Development and Evaluation of a Cognitive Behavioural Intervention for Chronic Post-Stroke Insomnia

Behavioural and Cognitive Psychotherapy
Katie HerronAnnette Sterr

Abstract

Cognitive behavioural therapy for insomnia (CBTI) has been successfully applied to those with chronic illness. However, despite the high prevalence of post-stroke insomnia, the applicability of CBTI for this population has not been substantially researched or routinely used in clinical practice. The present study developed a 'CBTI+' protocol for those with post-stroke insomnia and tested its efficacy. The protocol also incorporated additional management strategies that considered the consequences of stroke. A single-case experimental design was used with five community-dwelling individuals with post-stroke insomnia. Daily sleep diaries were collected over 11 weeks, including a 2-week baseline, 7-week intervention and 2-week follow-up. The Insomnia Severity Index, Dysfunctional Attitudes and Beliefs About Sleep Scale, Epworth Sleepiness Scale, Fatigue Severity Scale and Stroke Impact Scale were administered pre- and post-treatment, as well as at 2-week follow-up. At post-treatment, three participants no longer met diagnostic criteria for insomnia and all participants showed improvements on two or more sleep parameters, including sleep duration and sleep onset latency. Three participants showed a reduction in daytime sleepiness, ...Continue Reading

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May 3, 2019·Stroke; a Journal of Cerebral Circulation·Sandeep P Khot, Lewis B Morgenstern
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Jan 15, 2021·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Eeeseung ByunPamela H Mitchell
Aug 17, 2021·Journal of Communication Disorders·Ellyn A RileySameer Ashaie

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