Cognitive Behavioral Therapy in the Treatment of Insomnia

Haynes, James W.; Talbert, Malissa; Fox, Steven; Close, Elizabeth

doi:10.14423/smj.0000000000000769

Cited by 38 publications

(15 citation statements)

References 148 publications

(334 reference statements)

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“…Thus, focusing on a means to improve sleep consolidation and maintenance for this group is a priority, as an improved SE of 85%, if combined with the TIB achieved during camp, would have resulted in over 7 h of sleep. For example, appropriate bed time temperatures (Harding et al, 2019 ), cognitive behavioral therapy (Haynes et al, 2018 ), or sleep hygiene techniques (Vitale et al, 2019 ) are options that may be helpful. Although decrements in performance are less likely with short periods of sleep loss, training camps may span 1 week or more, therefore, the cumulation of partial sleep loss would require adequate planning and strategies to ensure recovery needs are met.…”

Section: Discussionmentioning

confidence: 99%

Sleep Characteristics of Highly Trained Wheelchair Rugby Athletes With and Without a Cervical Spinal Cord Injury During the Competitive Season

Murphy

Hartescu

Roberts

et al. 2021

Front. Sports Act. Living

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Sleep behaviors although significantly relevant to exercise recovery are poorly characterized in Para-sport athletes. Therefore, the main aims of this study were to describe sleep quality and quantity of highly trained wheelchair rugby (WR) athletes during the competitive season, and to investigate whether impairment type or attending a training camp influenced sleep outcomes. Eighteen male WR athletes (mean ± SD; age: 30 ± 5 years) with cervical spinal cord injuries (n = 11) (CSCI) and without (n = 7) (NON-SCI) wore an activity monitor over a 16-day period to objectively quantify sleep parameters, while the Pittsburgh Sleep Quality Index (PSQI) and nightly sleep diary entries were used as subjective means. A sub-sample of the athletes (n = 11) had their sleep monitored during a 3-night training camp to assess the impact of environmental change on sleep. Furthermore, as an additional exploratory measure core temperature was measured for a single night-time period using ingestible telemetry capsules. The athletes had total sleep times and sleep efficiency scores of 7.06 (1.30) h.min [median (interquartile range)] and 81 (9)%, respectively. Sleep onset latency and wake after sleep onset were 13 (24) min and 1.11 (0.45) h.min, respectively. No significant differences were found in objective sleep variables between the impairment groups despite the CSCI group being significantly more likely to report a poorer night's sleep (p = 0.04). Furthermore, attending the training camp caused a significant reduction in total sleep time for both groups [Δ38 ± 33 min; (95% CI: 18–60 min) p < 0.01]. This study highlights suboptimal sleep characteristics that are present in both CSCI and NON-SCI wheelchair athletes, as defined by the National Sleep Foundation. Although objective scores did not differ between groups, athletes with a CSCI rated their sleep worse. Furthermore, the disruption of sleep during training camp reflects an additional risk factor that is important to recognize for those working with wheelchair athletes.

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Section: Discussionmentioning

confidence: 99%

Sleep Characteristics of Highly Trained Wheelchair Rugby Athletes With and Without a Cervical Spinal Cord Injury During the Competitive Season

Murphy

Hartescu

Roberts

et al. 2021

Front. Sports Act. Living

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“…Fourth, some factors related to insomnia and its treatment, such as anxiety and social support, were not examined. Finally, apart from sleep-enhancing drugs, certain psychosocial interventions, such as cognitive behavioural therapy (CBT), were also used for insomnia (Haynes et al, 2018;Asarnow & Manber, 2019). However, use of such psychosocial interventions for insomnia was not examined.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease

Zhao

Liu

Ungvári

et al. 2021

PeerJ

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Objective This study aimed to describe the one-month prevalence of insomnia symptoms (insomnia hereafter) and the demographic and clinical correlates, and its association with quality of life (QOL) in Chinese patients with HBV-related liver disease. Method A total of 689 patients with HBV-related liver disease in Beijing, China formed the study sample. Three forms of insomnia including difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS) and early morning awakening (EMA) were assessed using standardized questions. QOL was measured using the Medical Outcomes Study Short Form 12 (SF-12). Results The one-month prevalence of at least one type of insomnia was 69.5%, while DIS, DMS and EMA were 60.4%, 54.7% and 50.9%, respectively. Only 4.8% of patients suffering from insomnia received treatment. Multiple logistic regression analyses revealed that pre-existing medical conditions were positively associated with DIS and EMA; patients with more severe depressive symptoms were more likely to have DIS, DMS and EMA; local residents were less likely to have DIS; and those who were married and older were more likely to have DMS. Insomnia was not independently associated with QOL. Conclusions Insomnia is common in Chinese patients with HBV-related liver disease with a very low rate of treatment. Greater attention should be given to identify and treat insomnia in this patient population.

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“…Hence, medicalisation and pharmaceuticalisation are dynamic and potentially bi-directional processes [ 29 ]. In a UK context, it seems unclear if sleep problems are being subject to a process of pharmaceuticalisation or if, on the contrary, a degree of depharmaceuticalisation will occur in the future (c.f., nonpharmacological treatments such as Cognitive Behaviour Therapy for Insomnia – CBTI) [ 8 , 13 , 16 ].…”

Section: The Pharmaceuticalisation Of Life?mentioning

confidence: 99%

The pharmaceuticalisation of life? A fictional case report of insomnia with a thought experiment

Bäckryd

2021

Philos Ethics Humanit Med

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Background The safety of sleeping pills has increased dramatically during the last 100 years, from barbiturates to bensodiazepines to modern day so-called Z-drugs. Methods The circumstances of prescribing sleeping pills in the early 20th century are illustrated by summarizing the main storyline of a novel by Swedish writer Vilhelm Moberg. This is followed by a thought experiment and a theoretical discussion. Results In his 1937 novel Sömnlös (Swedish for sleepless) Vilhelm Moberg portrayed existential and relational distress in relation to insomnia. In a thought experiment, past progresses in sleeping pills safety are projected into the future. Thereby, it is claimed that important issues in the area of philosophy of medicine come to the fore. This leads to a theoretical discussion about broader questions concerning the role of the physician, the goals of medicine (as described by Lennart Nordenfelt), the concept of pharmaceuticalisation (as described notably by sociologist of sleep Simon J. Williams and co-workers), and health enhancement (c.f. Carl Elliott and the alleged wish to be better than well). Conclusion Insomnia is a prism through which important philosophical and sociological questions related to the practice of medicine can be asked.

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Cognitive Behavioral Therapy in the Treatment of Insomnia

Cited by 38 publications

References 148 publications

Sleep Characteristics of Highly Trained Wheelchair Rugby Athletes With and Without a Cervical Spinal Cord Injury During the Competitive Season

Sleep Characteristics of Highly Trained Wheelchair Rugby Athletes With and Without a Cervical Spinal Cord Injury During the Competitive Season

Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease

The pharmaceuticalisation of life? A fictional case report of insomnia with a thought experiment

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