Can Cognitive Behavioral Therapy for Insomnia also treat fatigue, pain, and mood symptoms in individuals with traumatic brain injury? – A multiple case report
| Autor: | Marcel P. Dijkers, William Lu, Jason W. Krellman |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Traumatic brain injury medicine.medical_treatment Pain Physical Therapy Sports Therapy and Rehabilitation Anxiety Cognitive behavioral therapy for insomnia 03 medical and health sciences 0302 clinical medicine Sleep Initiation and Maintenance Disorders mental disorders medicine Humans Pain Management 030212 general & internal medicine Fatigue Depression (differential diagnoses) Cognitive Behavioral Therapy Depression Minimal clinically important difference Rehabilitation Middle Aged medicine.disease Cognitive behavioral therapy Affect Mood Brain Injuries Cognitive therapy Female Self Report Neurology (clinical) medicine.symptom Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | NeuroRehabilitation. 38:59-69 |
| ISSN: | 1878-6448 1053-8135 |
| Popis: | Background Individuals with traumatic brain injury (TBI) often develop sleep disorders post-injury. The most common one is insomnia, which can exacerbate other post-injury symptoms, including fatigue, impaired cognition, depression, anxiety, and pain. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a manualized treatment that effectively treats insomnia with secondary effects on cognition, mood, and pain in various populations. Objective This paper reviews the use of CBT-I for three participants with TBI of different severities. Methods Pre- and post-treatment assessments of insomnia, fatigue, depression, anxiety, and pain were conducted. Mood was further assessed at follow-up. Minimal clinically important difference (MCID) scores derived from the research literature were used to establish clinically meaningful symptom improvement on self-report questionnaires. Results The reduction in insomnia severity scores for all three participants were not large enough to be considered a clinically significant improvement following CBT-I, although trends toward improvement were observed. However, all participants showed clinically significant reductions in anxiety at post-treatment; the effects persisted for 2 participants at follow-up. Reductions in depression symptoms were observed for 2 participants at post-treatment, and treatment effects persisted for 1 participant at follow-up. One participant endorsed clinically significant improvements in fatigue and pain severity. Conclusions We conclude that CBT-I may provide secondary benefits for symptoms commonly experienced by individuals with TBI, especially mood disturbances. |
| Databáze: | OpenAIRE |
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