AutomedicationFrancoV1, Main, Corpus, bibRecord, 001D36

Cognitive behavioral therapy for insomnia associated with traumatic brain injury: a single-case study.

Identifieur interne : 001D36 ( Main/Corpus ); précédent : 001D35; suivant : 001D37

Cognitive behavioral therapy for insomnia associated with traumatic brain injury: a single-case study.

Auteurs : Marie-Christine Ouellet ; Charles M. Morin

Source :

Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2004.

RBID : pubmed:15295756

English descriptors

KwdEn :
- Adult (MeSH), Affect (MeSH), Attitude to Health (MeSH), Brain Injuries (complications), Cognitive Behavioral Therapy (methods), Fatigue (diagnosis), Fatigue (etiology), Follow-Up Studies (MeSH), Glasgow Coma Scale (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Male (MeSH), Neuropsychological Tests (MeSH), Polysomnography (MeSH), Self Care (methods), Self Care (psychology), Severity of Illness Index (MeSH), Sleep Initiation and Maintenance Disorders (diagnosis), Sleep Initiation and Maintenance Disorders (etiology), Sleep Initiation and Maintenance Disorders (psychology), Sleep Initiation and Maintenance Disorders (therapy), Treatment Outcome (MeSH), Wechsler Scales (MeSH).
MESH :
- complications : Brain Injuries.
- diagnosis : Fatigue, Sleep Initiation and Maintenance Disorders.
- etiology : Fatigue, Sleep Initiation and Maintenance Disorders.
- methods : Cognitive Behavioral Therapy, Self Care.
- psychology : Self Care, Sleep Initiation and Maintenance Disorders.
- therapy : Sleep Initiation and Maintenance Disorders.
- Adult, Affect, Attitude to Health, Follow-Up Studies, Glasgow Coma Scale, Health Knowledge, Attitudes, Practice, Humans, Male, Neuropsychological Tests, Polysomnography, Severity of Illness Index, Treatment Outcome, Wechsler Scales.

Abstract

OBJECTIVE

To test the efficacy of a cognitive behavioral therapy (CBT) for insomnia with a patient with traumatic brain injury (TBI).

DESIGN

Single-case study.

SETTING

Outpatient rehabilitation center.

PARTICIPANT

A man in his late thirties who sustained a moderate TBI in a motor vehicle crash and who developed insomnia. He complained of difficulties falling asleep and staying asleep, despite pharmacotherapy with zopiclone.

INTERVENTIONS

Eight weekly individual CBT sessions. Treatment included stimulus control, sleep restriction, cognitive therapy, and sleep hygiene education.

MAIN OUTCOME MEASURES

Sleep diary and polysomnography data.

RESULTS

Sleep onset decreased from 47 to 18 minutes, and nocturnal awakenings dropped from 85 to 28 minutes on average at posttreatment. Sleep efficiency also increased substantially (58% to 83%). Polysomnography evaluations corroborated the diary data by showing a decrease in total time awake (63.2 to 26.3 min) and in the number of awakenings (21 to 7.5). The majority of gains were well maintained at 1- and 3-month follow-up assessments.

CONCLUSIONS

These preliminary results suggest that sleep disturbances after TBI can be alleviated with a nonpharmacologic intervention. CBT for post-TBI insomnia is a promising therapeutic avenue deserving more scientific and clinical attention.

DOI: 10.1016/j.apmr.2003.11.036
PubMed: 15295756

Links to Exploration step

pubmed:15295756

Le document en format XML

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<author><name sortKey="Ouellet, Marie Christine" sort="Ouellet, Marie Christine" uniqKey="Ouellet M" first="Marie-Christine" last="Ouellet">Marie-Christine Ouellet</name>
<affiliation><nlm:affiliation>Ecole de Psychologie, Centre d'Etude des Troubles du Sommeil, Université Laval, Québec City, QC, Canada. mcouellet@psy.ulaval.ca</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Morin, Charles M" sort="Morin, Charles M" uniqKey="Morin C" first="Charles M" last="Morin">Charles M. Morin</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Cognitive behavioral therapy for insomnia associated with traumatic brain injury: a single-case study.</title>
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<author><name sortKey="Morin, Charles M" sort="Morin, Charles M" uniqKey="Morin C" first="Charles M" last="Morin">Charles M. Morin</name>
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<series><title level="j">Archives of physical medicine and rehabilitation</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Affect (MeSH)</term>
<term>Attitude to Health (MeSH)</term>
<term>Brain Injuries (complications)</term>
<term>Cognitive Behavioral Therapy (methods)</term>
<term>Fatigue (diagnosis)</term>
<term>Fatigue (etiology)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Glasgow Coma Scale (MeSH)</term>
<term>Health Knowledge, Attitudes, Practice (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Neuropsychological Tests (MeSH)</term>
<term>Polysomnography (MeSH)</term>
<term>Self Care (methods)</term>
<term>Self Care (psychology)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Sleep Initiation and Maintenance Disorders (diagnosis)</term>
<term>Sleep Initiation and Maintenance Disorders (etiology)</term>
<term>Sleep Initiation and Maintenance Disorders (psychology)</term>
<term>Sleep Initiation and Maintenance Disorders (therapy)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Wechsler Scales (MeSH)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Injuries</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Fatigue</term>
<term>Sleep Initiation and Maintenance Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Fatigue</term>
<term>Sleep Initiation and Maintenance Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cognitive Behavioral Therapy</term>
<term>Self Care</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Self Care</term>
<term>Sleep Initiation and Maintenance Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sleep Initiation and Maintenance Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Affect</term>
<term>Attitude to Health</term>
<term>Follow-Up Studies</term>
<term>Glasgow Coma Scale</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Male</term>
<term>Neuropsychological Tests</term>
<term>Polysomnography</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
<term>Wechsler Scales</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To test the efficacy of a cognitive behavioral therapy (CBT) for insomnia with a patient with traumatic brain injury (TBI).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Single-case study.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Outpatient rehabilitation center.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PARTICIPANT</b>
</p>
<p>A man in his late thirties who sustained a moderate TBI in a motor vehicle crash and who developed insomnia. He complained of difficulties falling asleep and staying asleep, despite pharmacotherapy with zopiclone.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b>
</p>
<p>Eight weekly individual CBT sessions. Treatment included stimulus control, sleep restriction, cognitive therapy, and sleep hygiene education.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b>
</p>
<p>Sleep diary and polysomnography data.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Sleep onset decreased from 47 to 18 minutes, and nocturnal awakenings dropped from 85 to 28 minutes on average at posttreatment. Sleep efficiency also increased substantially (58% to 83%). Polysomnography evaluations corroborated the diary data by showing a decrease in total time awake (63.2 to 26.3 min) and in the number of awakenings (21 to 7.5). The majority of gains were well maintained at 1- and 3-month follow-up assessments.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>These preliminary results suggest that sleep disturbances after TBI can be alleviated with a nonpharmacologic intervention. CBT for post-TBI insomnia is a promising therapeutic avenue deserving more scientific and clinical attention.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To test the efficacy of a cognitive behavioral therapy (CBT) for insomnia with a patient with traumatic brain injury (TBI).</AbstractText>
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<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Eight weekly individual CBT sessions. Treatment included stimulus control, sleep restriction, cognitive therapy, and sleep hygiene education.</AbstractText>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">Sleep onset decreased from 47 to 18 minutes, and nocturnal awakenings dropped from 85 to 28 minutes on average at posttreatment. Sleep efficiency also increased substantially (58% to 83%). Polysomnography evaluations corroborated the diary data by showing a decrease in total time awake (63.2 to 26.3 min) and in the number of awakenings (21 to 7.5). The majority of gains were well maintained at 1- and 3-month follow-up assessments.</AbstractText>
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Cognitive behavioral therapy for insomnia associated with traumatic brain injury: a single-case study.

Cognitive behavioral therapy for insomnia associated with traumatic brain injury: a single-case study.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki