However, the results were often mixed, possibly because the improvement of insomnia comorbidities was secondary aims of these studies, and the studies may have been underpowered to find smaller effect sizes. One recent systematic review of this literature found that cognitive behavioral therapy for insomnia (CBTi) is generally effective for insomnia in civilians and veterans with comorbid depression, anxiety, PTSD, and alcohol abuse disorders, and in some cases, CBTi also improved the comorbid disorder. Furthermore, although several studies have now shown that it is possible to treat insomnia successfully in patients with other psychiatric and medical problems, these studies have generally focused on civilian populations with only one comorbidity. PTSD, anxiety and/or depression, alcohol abuse) and sometimes one to two related outcomes. More typically, studies assess sleep outcomes comprehensively, then focus on only one comorbid outcome (e.g. ![]() To date, few efficacy and effectiveness studies have met the above recommendations by comprehensively assessing and reporting on all of these variables. The stated intention of these recommendations was to provide greater standardization and comparability across insomnia research studies. medications and substances, fatigue, mood, and quality of life) essential elements of efficacy and effectiveness studies. Recommendations for a Standard Research Assessment of Insomnia considered assessment and reporting diagnosis of insomnia and comorbid conditions, sleep and insomnia severity, and waking correlates and consequences of insomnia (i.e. One way to test this hypothesis is to experimentally assign participants with insomnia to treatment or no treatment, and then measure if the treatment group has a significantly greater reduction in those conditions closely related to insomnia. ![]() alcohol or medications to help sleep caffeine or nicotine to increase daytime alertness social isolation decreased activity) may actually instigate or exacerbate these comorbid symptoms. It is plausible that the stress of insomnia, disruption of circadian rhythms, or coping methods adopted to manage the insomnia (e.g. People with insomnia disorder (hereafter referred to just as insomnia) often have comorbid depression, anxiety, and posttraumatic stress disorder (PTSD). depression, anxiety, posttraumatic stress disorder). primary care, predeployment, during deployment) and in comorbid populations (e.g. Future studies are needed to examine the effectiveness of CBTi in other military settings (e.g. We encourage members to repeat the module series three (3) times for a 12-week commitment for the strongest, longest-lasting benefit.Cognitive behavioral therapy for insomnia (CBTi) disorder has the potential to improve military operational readiness through improvements in sleep, fatigue, and general mental health along with reductions in the use of nicotine and caffeine. We expect there to be benefit from repeating the same modules, because they will offer an opportunity to make strategic adjustments and learn from new perspectives brought by each week’s attendees. It’s also a great place to learn more about how sleep works and how to optimize healthy sleep.Īdmission is rolling there are four (4) modules that will repeat each month. ![]() ![]() This group is also useful for any other condition that would benefit from improving sleep habits, such as sleep apnea, hypersomnia, and work or schedule-related challenges. Furthermore, many clients appreciate hearing experiences and perspectives from fellow group participants to help discover what works best for them and find creative solutions to challenges. Many components of insomnia treatment (CBT-I) are also effective in a group format, which can help reduce costs for individuals and increase our capacity to more quickly offer services.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |