Randomized controlled trial of brief cognitive–behavioural interventions for insomnia in recovering alcoholics

Currie, Shawn R.; Clark, Stewart D.; Hodgins, David C.; el‐Guebaly, Nady

doi:10.1111/j.1360-0443.2004.00835.x

Cited by 188 publications

(150 citation statements)

References 40 publications

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“…Although the impact of CBT-I or sleep medications on cannabis use cessation has yet to be thoroughly evaluated, research drawing from the treatment of alcohol use disorders provides some insight. Research has shown that among individuals recovering from alcohol dependence, behavioral interventions (e.g., CBT-I) improve self-reported and objective measures of sleep immediately after the intervention [65,66] and at 3 and 6 months after the intervention [65]. However, there has yet to be any documentation of an effect of behavioral sleep interventions on alcohol use cessation outcomes (e.g., abstinence, relapse) [65,66].…”

Section: Discussionmentioning

confidence: 99%

Sleep Disturbances: Implications for Cannabis Use, Cannabis Use Cessation, and Cannabis Use Treatment

Babson

Bonn‐Miller

2014

Curr Addict Rep

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Cannabis may be used, among certain individuals, for its actual and/or perceived sleep-promoting properties. Although evidence suggests that cannabis is likely beneficial for sleep initiation, over time individuals may develop tolerance to these benefits, leading to greater use in order to maintain the same sleep-inducing effects. This form of use likely contributes to the development of problematic cannabis use patterns, including cannabis use disorders. Evidence also points to sleep as an important consideration in terms of understanding cannabis withdrawal and relapse. Here, sleep disturbances have been reported as a primary symptom of withdrawal, with studies revealing that this increase in sleep disruption during discontinuation of cannabis use may be a significant risk factor for relapse. Therefore, it is likely important to consider interventions aimed at providing alternative means to cope with and/or treat sleep disturbances (e.g., behavioral or pharmacological approaches) as adjuncts to interventions for cannabis use disorders to improve treatment outcomes.

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Section: Discussionmentioning

confidence: 99%

Sleep Disturbances: Implications for Cannabis Use, Cannabis Use Cessation, and Cannabis Use Treatment

Babson

Bonn‐Miller

2014

Curr Addict Rep

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“…The addition of telephone consultation to self-help written material enhanced outcomes at post treatment, but those gains tended to disappear at follow up (Mimeault & Morin, 1999). Another study of insomnia in recovered alcoholics also found equivalent outcome between individual CBT and self-help CBT plus telephone consultation (Currie, Clark, Hodgins, & El-Guebaly, 2004). …”

Section: Insomnia 19mentioning

confidence: 99%

“…Likewise, there is preliminary evidence that treating insomnia in the context of cooccurring major depression (Manber et al, 2008;Taylor, Lichstein, Weinstock, Sanford, & Temple, 2007), generalized anxiety disorder (Blais, Mimeault, & Morin, 2000), or substance abuse (Arnedt et al, 2007;Currie, Clark, Hodgins, & El-Guebaly, 2004 Therapeutic effects were well maintained up to 12 months after the intervention. In a similar study targeting insomnia in 150 patients with various forms of cancer (Espie et al, 2008), treatment was implemented in small groups by oncology nurses; significant improvements of sleep and quality of life and reduction of daytime fatigue, were observed in patients treated with CBT relative to those who received treatment as usual.…”

Section: Insomnia 12 Treatment Of Comorbid Insomniamentioning

confidence: 99%

“…A controlled study conducted with recovered alcoholics (Currie et al, 2004) showed modest but significant improvements of sleep latency (-18 min) and sleep Insomnia 15 efficiency (+10%) among insomnia-treated patients. At the 6 month follow-up, 15% of treated participants had relapses with alcohol and this proportion was not different between treated and control patients.…”

Section: Insomnia 14mentioning

confidence: 99%

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Chronic insomnia: Recent advances and innovations in treatment developments and dissemination.

Morin¹

2010

Canadian Psychology / Psychologie canadienne

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Insomnia is a prevalent public health problem that carries an important psychosocial and economic burden for those affected, their families, employers, and for society at large. Despite its negative impacts, insomnia often remains untreated and, when treatment is initiated, it is predominantly with medication, an option that is not always acceptable to people with insomnia. There is extensive evidence that psychological approaches, primarily cognitive behavioural therapy, are effective, produce durable and generalizable outcomes, and should be the first line therapy for chronic insomnia. Nonetheless, these approaches remain under utilised in clinical (medical) practise. Several innovative and cost-effective treatment delivery models (e.g., telephone consultations, Internet-based treatment) have yielded promising results but despite these advances, there remains a problem of supply. A significant challenge for the future will be to disseminate more efficiently validated therapies and practise guidelines and increase their use in clinical practise. Additional training opportunities are also needed for psychologists to develop expertise in a new emerging behavioural sleep medicine subspecialty.

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“…21 Although the number of sessions in this study were fewer than the 6 to 8 offered in traditional CBT-I, previous trials have indicated the efficacy of brief versions of CBT-I in patients with primary insomnia, older adults with chronic insomnia, and patients with alcoholism and insomnia. [22][23][24][25][26] The treatment regimen was highly structured and included modules on sleep hygiene education, an introduction to the behavioral model of insomnia, sleep restriction, stimulus control, sleep titration, and relapse prevention. 16 Five psychiatrists and a psychiatric nurse provided the psychotherapy, and they received a written manual describing the regimen.…”

Section: Study Design and Interventionsmentioning

confidence: 99%

Change in Quality of Life after Brief Behavioral Therapy for Insomnia in Concurrent Depression: Analysis of the Effects of a Randomized Controlled Trial

Shimodera

Watanabe

Furukawa

et al. 2014

Journal of Clinical Sleep Medicine

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Study Objectives:The effi cacy of cognitive behavioral therapy for insomnia (CBT-I) has been suggested for insomnia concomitant with depression, but its impact on quality of life (QoL) has not been adequately evaluated. The study aimed to determine which aspects of QoL could be affected by CBT-I and how any changes in QoL were mediated by changes in insomnia and depression. Methods: We conducted a 4-week randomized controlled trial with 4-week follow-up in outpatient clinics in Japan. Thirtyseven patients with DSM-IV diagnosis of major depressive disorder concomitant with chronic insomnia were randomly assigned to the treatment-as-usual (TAU) alone arm or the TAU with brief behavioral therapy for insomnia (TAU plus psychotherapy) arm using modifi ed CBT-I consisting of 4 weekly individual sessions. We evaluated QoL using normbased scoring of the Short Form-36 at baseline and at 8 weeks. We also examined associations between QoL subscales and remission in insomnia or depression while controlling for baseline scores of the entire sample. Results:We tested group effects while controlling for baseline scores. TAU plus psychotherapy resulted in signifi cantly better scores on physical functioning (p = 0.006), social functioning (p = 0.002), and mental health (p = 0.041) subscales than TAU alone at 8 weeks. Patients with either remitted insomnia or depression showed higher QoL scores than non-remitted patients; scores approximated those within the normal range. Conclusions: For patients with insomnia in depression, adding CBT-I to TAU can produce substantive benefi ts in some aspects of QoL. Trial Registration: ClinicalTrials.gov Identifi er: NCT00610259, http://www.clinicaltrials.gov/ Keywords: Depressive disorder, sleep initiation and maintenance disorders, behavior therapy, quality of life Citation: Shimodera S; Watanabe N; Furukawa TA; Katsuki F; Fujita H; Sasaki M; Perlis ML. Change in quality of life after brief behavioral therapy for insomnia in concurrent depression: analysis of the effects of a randomized controlled trial.

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Randomized controlled trial of brief cognitive–behavioural interventions for insomnia in recovering alcoholics

Abstract: Recovering alcoholics with insomnia can achieve better sleep by applying cognitive-behavioural strategies.

Cited by 188 publications

References 40 publications

Sleep Disturbances: Implications for Cannabis Use, Cannabis Use Cessation, and Cannabis Use Treatment

Sleep Disturbances: Implications for Cannabis Use, Cannabis Use Cessation, and Cannabis Use Treatment

Chronic insomnia: Recent advances and innovations in treatment developments and dissemination.

Change in Quality of Life after Brief Behavioral Therapy for Insomnia in Concurrent Depression: Analysis of the Effects of a Randomized Controlled Trial

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