Changes in Subjective-Objective Sleep Discrepancy Following Inpatient Cognitive Behavior Therapy for Insomnia
| Autor: | Tatjana Crönlein, Petra Schüssler, Peter Geisler, Thomas C. Wetter, Rainer Rupprecht, Astrid Lehner |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Polysomnography medicine.medical_treatment Sleep state misperception Cognitive behavioral therapy for insomnia Sleep Initiation and Maintenance Disorders mental disorders Insomnia medicine Psychoeducation Humans Wakefulness Inpatients Cognitive Behavioral Therapy medicine.diagnostic_test Repeated measures design Cognition Middle Aged medicine.disease Sleep in non-human animals Clinical Psychology Treatment Outcome Physical therapy Female medicine.symptom Psychology |
| Zdroj: | Behavior Therapy. 50:994-1001 |
| ISSN: | 0005-7894 |
| Popis: | Discrepancy between objective and subjective sleep parameters is a frequent symptom in persons suffering from insomnia. Since it has an impairing effect on daytime well-being and neglects possible positive objective improvements, it would be useful if it was treated. Apart from hypnotics, cognitive behavior therapy (CBT-I) is the therapy of choice for chronic forms of insomnia. However, there is limited information about whether CBT-I can also improve subjective-objective sleep discrepancy. We investigated a large sample of patients showing chronic forms of insomnia regarding their subjective-objective sleep discrepancy pre and post CBT-I. Objective sleep data were obtained from 3 nights (2 baseline nights and 1 night after therapy) using polysomnography in our sleep laboratory. All 92 patients participated in a 14-day inpatient program with CBT-I including psychoeducation about subjective-objective sleep discrepancy. Repeated measures analyses showed an improvement in subjective-objective sleep discrepancy parameters after CBT-I. Those parameters were also correlated with perceived quality of sleep. We conclude that CBT-I is a useful tool to improve subjective-objective sleep discrepancy in patients showing chronic forms of insomnia. |
| Databáze: | OpenAIRE |
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