Transdiagnostic cognitive behavioral therapy for nightmares and parasomnias.

Autor:	Vincent N; Department of Clinical Health Psychology, University of Manitoba, Winnipeg, Manitoba, Canada., Dirkse D; Department of Clinical Health Psychology, University of Manitoba, Winnipeg, Manitoba, Canada., Giannouli E; Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada., McQuarrie A; Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada.
Jazyk:	angličtina
Zdroj:	Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2023 Mar 01; Vol. 19 (3), pp. 499-509.
DOI:	10.5664/jcsm.10374
Abstrakt:	Study Objectives: This pilot study determined whether transdiagnostic cognitive behavioral therapy for parasomnias (CBTp) reduces parasomnia and activity levels during sleep in a sample of adult sleep clinic outpatients. A secondary objective was to assess whether treatment produces improvements in daytime fatigue/sleepiness, perceived cognition, mood, and depression/anxiety/stress, as well as functional impairment in work and leisure activities. Methods: This was a randomized controlled trial with CBTp and self-monitoring control conditions. Participants were 19 adults with a DSM 5 parasomnia disorder who received individual CBTp virtually from their homes. CBTp consisted of psychoeducation, sleep hygiene and safety instructions, relaxation training, parasomnia techniques, and relapse prevention in a 6-week manualized, structured program. Results: Using a repeated measures analysis of variance model, and relative to a self-monitoring control condition, results showed that CBTp produced statistically significant improvements in parasomnia frequency, severity, nocturnal activity, and sleep efficiency. There was a trend toward reduced sleep-onset latency and improved work and social adjustment. Of treated participants, 100% rated themselves as improved at study conclusion. Conclusions: Implications of these findings are that cognitive behavioral interventions for parasomnias are effective in lessening parasomnias. More investigation into this type of treatment is warranted. Clinical Trial Registration: Registry: ClinicalTrials.gov; Name: Impact of Cognitive Behavioral Therapy on Parasomnias; URL: https://clinicaltrials.gov/ct2/show/NCT04633668; Identifier: NCT04633668. Citation: Vincent N, Dirkse D, Giannouli E, McQuarrie A. Transdiagnostic cognitive behavioral therapy for nightmares and parasomnias. J Clin Sleep Med . 2023;19(3):499-509. (© 2023 American Academy of Sleep Medicine.)
Databáze:	MEDLINE
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