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Can Cognitive Behavioral Therapy for Insomnia also treat fatigue, pain, and mood symptoms in individuals with traumatic brain injury? - A multiple case report.
- Source :
-
NeuroRehabilitation [NeuroRehabilitation] 2016; Vol. 38 (1), pp. 59-69. - Publication Year :
- 2016
-
Abstract
- 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.<br />Objective: This paper reviews the use of CBT-I for three participants with TBI of different severities.<br />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.<br />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.<br />Conclusions: We conclude that CBT-I may provide secondary benefits for symptoms commonly experienced by individuals with TBI, especially mood disturbances.
- Subjects :
- Adult
Affect
Anxiety diagnosis
Anxiety etiology
Brain Injuries complications
Brain Injuries diagnosis
Depression diagnosis
Depression etiology
Fatigue diagnosis
Fatigue etiology
Female
Humans
Male
Middle Aged
Pain diagnosis
Pain etiology
Self Report
Sleep Initiation and Maintenance Disorders diagnosis
Sleep Initiation and Maintenance Disorders etiology
Anxiety therapy
Brain Injuries therapy
Cognitive Behavioral Therapy methods
Depression therapy
Fatigue therapy
Pain Management methods
Sleep Initiation and Maintenance Disorders therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1878-6448
- Volume :
- 38
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- NeuroRehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 26889799
- Full Text :
- https://doi.org/10.3233/NRE-151296