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Dissertations / Theses on the topic 'Chronic Insomnia'
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MacLeod, Mary Annet Krista. "Attitudes and beliefs about insomnia and insomnia treatment among older adults with chronic insomnia." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0020/MQ49638.pdf.
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Rioux, Isabelle. "Time estimation in chronic insomnia sufferers." Master's thesis, Université Laval, 2003. http://proquest.umi.com/pqdweb?did=766731671&sid=9&Fmt=2&clientId=9268&RQT=309&VName=PQD.
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Bramoweth, Adam Daniel. "Chronic Insomnia and Healthcare Utilization in Young Adults." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc84179/.
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Chronic insomnia is a highly prevalent disorder in general and young adult populations, and contributes a significant economic burden on society. Previous studies have shown healthcare utilization (HCU) is significantly higher for people with insomnia than people without insomnia. One limitation with previous research is accurate measurement of HCU in people with insomnia is difficult due to a high co-morbidity of medical and mental health problems as well as varying operational definitions of insomnia. Assessing HCU in people with insomnia can be improved by applying research diagnostic criteria (RDC) for insomnia, using a population with low rates of co-morbid medical/mental health problems, and measuring HCU with subjective, objective, and predictive methods. The current study found young adults with chronic insomnia had greater HCU than normal sleepers, specifically on number of medications, and chronic disease score (CDS) estimates of total healthcare costs, outpatient costs, and predicted number of primary care visits. The presence of a medical and/or mental health problem acted as a moderating variable between chronic insomnia and HCU. Simple effects testing found young adults with chronic insomnia and a medical/mental health problem had the greatest HCU followed by normal sleepers with a medical/mental health problem, chronic insomnia, and normal sleepers. Exploratory analyses found young adults with chronic insomnia had a greater likelihood of emergency room visits and overnight hospital admissions. More efforts for early identification and intervention of insomnia are necessary to help reduce costs associated with chronic insomnia co-morbid with medical and/or mental health problems.
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Currie, Shawn R. "Cognitive-behavioural treatment of insomnia secondary to chronic pain." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0010/NQ38779.pdf.
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Marino, Alfonso. "Treating chronic insomnia, a cognitive-behavioural group therapy approach." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ63577.pdf.
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Browning, Lindsay. "An investigation of worry and rumination in chronic insomnia." Thesis, University of Oxford, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.427894.
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Espie, Colin A. "A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia." Thesis, University of Glasgow, 1987. http://theses.gla.ac.uk/822/.
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Seventy, GP-referred, sleep-onset insomniacs were randomly assigned to either progressive relaxation, stimulus control, paradoxical intention, placebo or no treatment control groups. Following baseline assessment of sleep pattern and quality subjects received 8 weeks of treatment, comprising 4 weeks under counterdemand and 4 weeks under positive demand instruction to control for demand characteristics and expectancy effects. A further 14 patients were allocated consecutively to a tailored therapy condition as a development of the main study. Measures of treatment process and outcome were obtained from self-report instruments validated against objective monitoring via the `Somtrak
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Roberts, Mary Beatrice. "Effectiveness of an integrated group based treatment for chronic pain and insomnia." Thesis, Roberts, Mary Beatrice (2020) Effectiveness of an integrated group based treatment for chronic pain and insomnia. Masters by Coursework thesis, Murdoch University, 2020. https://researchrepository.murdoch.edu.au/id/eprint/60739/.
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Prevalence rates of insomnia among those who have chronic pain are high. Previous research has shown a bidirectional association between sleep and pain with the possibility that an improvement in sleep may result in an improvement in pain and other comorbid conditions such mood, anxiety and physical functioning. Although there are established cognitive behavioral therapy (CBT) programs for both chronic pain and insomnia (CBT-I), the effectiveness of integrating them has not yet been established. This study examined the effect of an integrated CBT-I and pain management program (CBT-I/P) on sleep, pain, mood, anxiety and physical function compared to the standard pain management program (treatment as usual).
Method: This study involved 101 participants, attending one of 20 group pain management programs at a hospital-based pain medicine unit, who were randomly assigned to either CBT-I/P, a comparison group program or treatment as usual. A questionnaire package was administered prior to the start of the intervention, on completion, and at three-month follow up.
Results: The integrated program improved sleep as measured by the Insomnia Severity Index and the Pittsburgh Sleep Disorders Questionnaire, compared to treatment as usual. There were no significant differences between groups over time in respect to other comorbid factors. However, there were significant improvements in depression, catastrophising, fear of movement and function in the CBT-I/P group. A correlational analysis showed that an improvement in sleep (regardless of which group attended) was associated with improvements in overall physical function and the ability to walk.
Discussion: This study shows that a sleep intervention can be incorporated into existing pain management programs, and that doing so results in an improvement in sleep over and above what can be obtained from treatment as usual in a pain management program. This is important given the prevalence of sleep problems in patients with chronic pain. These findings also demonstrate that an improvement in sleep is associated with an improvement in quality of life factors such as mood, anxiety and physical functioning. As such, it would be beneficial to incorporate CBT-I as part of standard pain management programs.
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McKenzie, Paul Stephen. "Chronic low back pain and insomnia : understanding the experience and attributions made by out-patients about sleeplessness, pain and their interaction." Thesis, University of Edinburgh, 2012. http://hdl.handle.net/1842/8014.
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Systematic Review: Chronic pain and insomnia are highly comorbid, and evidence suggests a reciprocal relationship between these. CBT-I has been shown to improve sleep in those with chronic pain, therefore the potential of improved sleep leading to improvements in pain symptoms is a possibility. This led to the question: Does CBT-I improve pain symptoms in those with chronic pain and insomnia? A systematic review of the literature was conducted resulting in eight papers regarding six studies. Evidence was moderate that CBT-I improved sleep and pain related disability, but did not improve self reported pain levels. This discrepancy between improvements in pain related disability and no changes in self-reported pain levels led to the research question for the empirical element of the current thesis. Empirical Element of Thesis Objective: Chronic low back pain (CLBP) is a common form of chronic pain that affects a large population each year. Chronic pain and insomnia are highly comorbid conditions, yet knowledge about how patients perceive their interaction is limited. This qualitative study aims to inform our understanding of the patient experience with particular reference to beliefs and attributions surrounding pain, poor sleep and their interaction. Methods: 11 outpatients from a chronic pain clinic were recruited who suffered CLBP as their main symptom, and who had subsequently developed insomnia as a result. Data were analysed using Interpretative Phenomenological Analysis (IPA). Results: Qualitative analysis produced five super-ordinate themes: 1) the privacy of pain and solitude of sleep; 2) sleep/pain interaction; 3) night-time thinking; 4) adjustment and acceptance; and 5) self-management. Discussion: The first three themes combine to create the individual experience of CLBP: the visceral, emotional experience; the pre-existing and shifting beliefs; and the thought content. Once this is in place, the individual can reflect on what this means to them, and through acceptance, move through to adjustment. The individual accepts elements of their current experience, but where they see the opportunity to take control, these adjustments are translated into actions relating to self-management. These themes suggest CBT-I should be adapted to include pain specific beliefs to form a CBT for Insomnia and Chronic Pain (‘CBT-CPI’).
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Yung, Kam-ping, and 翁錦屏. "Cognitive and behavioral characteristics of chronic primary insomnia in Hong Kong : a qualitative and quantitative study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/197536.
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Introduction:
Sleep-related cognitive and behavioral characteristics play an important role in the maintenance of insomnia. Culture affects individuals’ belief system and behaviors, but few studies have examined how Chinese subjects describe their experiences of insomnia and how they deal with it. This study explored the topic using qualitative and quantitative approaches.
Methods:
Participants were recruited from the community via advertisements. Their DSMIV diagnosis of primary insomnia for at least 6 months was confirmed by a sleep specialist with the help of the Structured Clinical Interview for DSM-IV and sleep-wake questionnaires. A focus group approach was used to elicit participants’ insomnia experiences. They were also asked to keep a 1-week insomnia experience diary prior to attending the focus group and to complete a set of sleepwake questionnaires, including the 30-item Dysfunctional Beliefs and Attitudes about Sleep Scale after the group meeting.
Each focus group comprised 6 to 8 participants. Discussion was led by a facilitator with a pre-determined question route and it was audiotaped, transcribed verbatim, and managed with NVivo software to facilitate coding and analysis. Focus group data collection ceased when data saturation was achieved. All data were fragmented into meaningful units, compared iteratively, and assigned with descriptive codes to condense the emerging meanings. Codes pertaining to the same phenomena were grouped together and a coding framework was built. The findings from the qualitative study were then validated in a quantitative questionnaire survey of a separate group of participants with chronic primary insomnia and good sleepers.
Results:
A total of 6 focus groups were arranged, involving 31 women and 12 men, with an average age of 51 years. Participants had a mean duration of insomnia of 11.81 years, and an average sleep-diary derived sleep efficiency of 70.57%. There were 16 sub-categories and 4 categories of characteristics. The 16 sub-categories could be grouped under: 1) beliefs regarding the nature and treatment of insomnia, 2) behavioral responses to insomnia, 3) cognitive-emotional and physiological arousal, and 4) emotional experiences associated with insomnia.
Significant difference between primary insomniacs and good sleepers was found on 9 out of 14 items of the quantitative scale we developed based on the qualitative study results. Seven items remained significant after Bonferroni correction (p < .003), including 1) puzzlement about cause, 2) realistic sleep expectation, 3) constant search for treatment, 4) nighttime negative emotions and physiological symptoms, 5) heightened vigilance, 6) association of sleep with suffering, and 7) sleep problem not understood by others.
Conclusion:
The present study serves as the first to use both qualitative and quantitative approaches to identify the subjective experience of Hong Kong Chinese insomnia patients. Questionnaire study confirmed that the identified experience was also found in a separate chronic insomnia sample. It sheds light on tailoring CBT-I for the local population with chronic insomnia. Further research on the efficacy and acceptance of a tailor-made local CBT-I program is needed.published_or_final_version
Psychiatry
Master
Master of Philosophy
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Wilson, Flora. "Psychological factors associated with self-reported sleep disturbance in Chronic Fatigue Syndrome and insomnia." Thesis, University of Bath, 2015. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.675711.
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Objectives: Reports of tiredness and poor quality sleep are common to both Chronic Fatigue Syndrome (CFS) and insomnia, despite evidence that sleep structure is not objectively impaired in these groups. Similar vulnerability and maintenance factors have been identified in both conditions, such as perfectionism, unhelpful beliefs and misattributions about symptoms. The aim of this study was to compare CFS and insomnia groups in terms of subjective sleep and fatigue symptoms and associated cognitive factors. Method: Using a cross-sectional design, CFS patients (n=18), community insomnia participants (n=18) and healthy community controls (n=19) were compared on a range of self-report questionnaires, including measures of psychological wellbeing (depression, anxiety, worry), insomnia, sleepiness and fatigue severity, cognitions about sleep and fatigue, and other cognitive variables associated with CFS and insomnia. Results: Between-group analyses identified that CFS and Insomnia participants did not differ significantly on the majority of variables. Compared to controls, both groups reported poorer psychological wellbeing and higher levels of insomnia, sleepiness, and sleep-related cognitions. Both groups also reported elevated perfectionism and unhelpful beliefs about emotions. Compared to the Insomnia group, CFS participants reported higher levels of fatigue, fatigue-related cognitions, and pre-sleep somatic experiences. Conclusions: This study found similarities between CFS and insomnia participants in terms of cognitive processes known to maintain insomnia. This indicates that it may be appropriate to use a transdiagnostic cognitive-behavioural approach to treating sleep disturbance in CFS. The results also indicate the importance of assessing for unhelpful fatigue-related beliefs and pre-sleep somatic complaints when working with the CFS population. Implications for further research are discussed.
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Kyle, Simon David. "Daytime functioning and quality of life in chronic insomnia : a multi-method, multi-level approach." Thesis, University of Glasgow, 2010. http://theses.gla.ac.uk/1971/.
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Insomnia disorder is characterised by difficulties with initiating and/or maintaining sleep. Similar to most psychiatric and mental health conditions, insomnia is defined according to subjective complaint, and achieves disorder ‘status’ when associated daytime functioning impairment is present. Yet, ironically, it is these two cornerstones of insomnia disorder, combined, that have achieved relatively minimal attention in the literature. That is, perhaps surprisingly, the subjective experience, and impact of insomnia, at least from the patient (‘expert’) perspective, has been under-researched. Night-time symptoms and sleep parameters have typically been the target of both treatment and non-treatment (clinical, epidemiological, mechanistic) research. In this thesis, a multi-method, multi-level approach is adopted to better understand the daytime experience of those with chronically disturbed sleep. First, a brief overview (chapter one) of insomnia is provided to familiarise the reader with the ‘problem of insomnia’. A narrative review (chapter two) then sets the scene in relation to the assessment and measurement of health-related quality of life (HRQoL) and daytime functioning. This work reveals several inadequacies and limitations of existing work, and outlines a prospective research agenda. Chapter three describes the first ever phenomenological study carried out in primary insomnia patients. Here, two qualitative methodologies, focus groups and audio-diaries, are combined to help better understand the proximal and distal impairments attributed to chronic sleep disturbance. Chapter four builds on this work by describing the creation of two new clinical scales, developed to quantify, in both valid and novel ways, the impact of poor sleep on aspects of daytime functioning and insomnia-related quality of life. Chapter five combines the aforementioned qualitative and questionnaire approaches to explore the experience of an effective behavioural intervention for insomnia, sleep restriction therapy (SRT). The application of these refined methods provided insight into the effects of SRT on both sleep and daytime functioning, but also permitted exploration of treatment-related issues - such as adherence, side-effects, and mechanisms of action - that have otherwise been difficult to probe using traditional quantitative methodologies. Chapter six tackles the issue of objective daytime impairment, typically assessed using computerised reaction time tasks. Through ‘mining’ an existing brain and behavioural database, and applying an algorithm to select poor and normal sleepers, it was possible to investigate cognitive functioning at two broad stages of processing – event-related potentials generated from the scalp-recorded electroencephalogram (EEG), and performance output using neuropsychological testing. The results provide some interesting hypotheses concerning possible cognition-arousal and -effort interactions. Importantly, as a by-product of this work, a methodological template for the future standardized assessment of brain and behavioural function in insomnia is considered. Finally, chapter seven synthesises the results of each preceding experimental chapter, with particular emphasis on how this work will advance research, measurement and understanding of insomnia-related functioning. Immediate clinical implications and relevance to other areas of insomnia research are also briefly considered.
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Treves, Katharine F. "The management of insomnia on a residential pain management programme : a single case series and qualitative analysis." Thesis, n.p, 1999. http://ethos.bl.uk/.
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Berg, Ingrid Helene. "The Relationship Between Insomnia and CFS/ME : The HPA Axis as a Mediator." Thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2013. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-25191.
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Fatigue is common in the general population, and is the hallmark of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME). Although the occurrence of sleep difficulties is known to be common in subjects with fatigue, research on insomnia in such subjects is absent. The current study sought to examine the impact comorbid insomnia has on level of fatigue in subjects with chronic fatigue. The aim of this study is to assess the relationship between insomnia and chronic fatigue, and examine if the relationship is affected by the endocrine activity in the HPA axis. The following hypotheses were tested: 1) Do patients with chronic fatigue and comorbid insomnia experience more fatigue than patients with chronic fatigue without comorbid insomnia? 2) Do patients with chronic fatigue and with initially comorbid insomnia experience more fatigue after treatment than chronic fatigue patients without comorbid insomnia? 3) Do patients with chronic fatigue who experience improvement in insomnia after treatment also experience less fatigue by the end of treatment compared with patients who do not experience improvement in insomnia? 4) Is the potential relationship between insomnia and chronic fatigue influenced by the activity of the HPA axis as expressed by variation in cortisol output measured by Trier Social Stress Test for Groups (TSST-G)? The study sample consisted of 75 patients with chronic fatigue. Thirty-three met criteria for insomnia, while 42 did not. While staying at Hysnes Rehabilitation Center in Trondheim, Norway, they received a work-related Acceptance and Commitment Therapy (ACT) treatment intervention lasting 3.5 weeks. In addition, they participated in a standardized stress test (Trier Social Stress Test) pre- and post-treatment. Saliva cortisol samples were collected during the test in order to measure variation in cortisol output. The current finding is the first description of how insomnia in patients with chronic fatigue is associated with higher levels of fatigue (p < .05). Further, this study gives preliminary support indicating that remission of insomnia in patients with chronic fatigue can significantly reduce levels of fatigue (p < .05), and furthermore improve the physiological stress-response (p < .05). These results might encourage clinicians to assess and provide specific treatment for insomnia in patients with chronic fatigue as this might improve their treatment results. An aim for further research should be to investigate the effect of specified treatment for insomnia in patients with chronic fatigue.
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Sedigh, Golnaz. "Essays on the Economics of Sleep Time and Work Stress." Thesis, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31870.
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This thesis consists of three essays on the economics of sleep time and work stress.
The first essay, “the impact of economic factors on sleep: the role of insomnia”, discusses the role played by insomnia on the link between economic variables and sleep time. Insomnia is a common phenomenon experienced by many Canadians. This paper uses the Canadian General Social Survey (GSS) 2005 to investigate the effect of economic factors on the sleep time of the labour force. It replicates previous work by Biddle and Hamermesh (1990) and then extends this work to look at the role played by insomnia on the link between economic variables and sleep time. The paper concludes that the presence of sleep problems can significantly change the impact of economic determinants such as wage and education on sleep time. This paper finds that a 10 percent increase in the wage rate decreases sleep time by almost 20 minutes per week for non-insomniacs while an increase in the wage rate does not have any impact on sleep time for insomniacs. In fact, the link between wage and sleep time appears to be broken for insomniacs as they do not want to, or cannot, sacrifice their sleep time in order to have more money in their pockets. The second essay, “sleep time and wages: the role of chronic diseases and work environment”, examines the role played by chronic diseases and work environment on the link between economic variables and sleep time. This paper, which expands on the work of the first essay, uses the Canadian Community Health Survey (CCHS) 2001 to investigate the roles of insomnia, chronic diseases and stressful work environments on the link between the wage rate and sleep time. Whereas Biddle and Hamermesh (1990) report that individuals sleep 14 minutes less per week as a result of a 10% increase in the wage rate, I find that this number increases to 30 minutes for individuals without sleep problems while it is zero for insomniacs. Moreover, the impact of wages on sleep time is even more pronounced – more than 60 minutes per week - once account is taken of health conditions and of the work environment. Interestingly, these health and environmental effects are in addition to their impact on insomnia: in other words, individuals with chronic health problems who are not insomniacs do not respond to an increase in the wage rate by reducing their sleep time. This means that the actual impact of wages on sleep time for those who do not suffer from these conditions is much more important than originally reported by Biddle and Hamermesh (1990). The third essay, “are Québecers more stressed out at work than others? An investigation into the differences between Québec and the Rest of Canada in the level of work stress” discusses the level of stress experienced by workers in Canada. Work stress has a large socio-economic impact: it affects worker absenteeism, productivity, and family life. Psychological health problems including stress at workplace are an important issue in Canada. Using nine cycles spanning twelve years of the Canadian Community Health Survey (CCHS), I find that the level of work stress in Québec is much higher than in any other province. In Québec, 40% of the population report having quite a bit or extremely stressful jobs. In the other provinces, this number is much smaller, in the order of 30% in Ontario, Alberta, Manitoba and British Columbia, and even lower in the Atlantic Provinces. I find that Québec still has a higher level of reported work stress even after controlling for the main determinants of work stress: income, education, health, age, gender, marital status, children and work environment. Unionization rate and unemployment rate in the province do not seem to matter. However, I find that immigrants in Québec have less work stress than native-born Francophones. Also, Francophones in Québec and elsewhere have higher levels of work stress than Anglophones and Allophones. A body of literature has examined the subject of work stress, and while it has been noted by a few authors (Bordeleau and Traoré, 2007 and Lesage et al., 2010) that Québec is different; a thorough analysis of the causes of this phenomenon needs to be done. This paper estimates regression models that include a large number of factors such as age, gender, marital status, census metropolitan area (CMA), urban, immigrants, having young children, household type, living arrangement, mother tongue, language of conversation, race, education, income, working hours, part time job, health, physical activity, type of smoker, type of drinker, sense of belonging to community, provincial unionization rate and provincial unemployment rate to examine why there may be a consistent and persistent different between those who reside in Québec relative to the rest of Canada. I find that, even after controlling for those factors, work stress is still higher in Québec. This study suggests that differences in the legal systems and in cultures may be some of the reasons of the differences between Québec and the rest of Canada.
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Bonato, Richard A. "Electroencephalographic correlates of sleep onset in chronic psychophysiological insomniacs and normal sleepers." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ26846.pdf.
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Bonato, Richard A. (Richard Anthony) 1966 Carleton University Dissertation Psychology. "Electroencephalographic correlates of sleep onset in chronic psychophysiological insomniacs and normal sleepers." Ottawa.:, 1997.
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Anske, Ute. "Chronopsychobiologische Pilotstudie zur objektiven Bestimmung funktioneller Gesundheitszustände." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2003. http://dx.doi.org/10.18452/14965.
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1. Unterschiedliche Definitionen der Gesundheit mit verschiedenen Betrachtungsweisen (WHO: Der Mensch eine biopsychosoziale Einheit. Schulmedizin: ohne klinischen und paraklinischen Befund mit Orientierung an kritikbedürftigen Referenzmittelwerten) führt bei Fachleuten, Behörden und Laien zu Verwirrungen, wenn es um die Beurteilung gesundheitlicher Schäden geht. 2. Es wurde die Aufgabe gestellt zu prüfen, welche der beiden Definitionen der Realität näher kommt. 3. Mittels der chronopsychobiologischen Regulationsdiagnostik, des Dreiphasenentspannungstests (Hecht und Balzer 2001), wurden unter dem Aspekt der beiden Gesundheitsdefinitionen drei Gruppen untersucht (je 40 Probanden). - klinisch Gesunde (klinisch Gesunde nach Schulmedizin ) - Gesunde nach Definition der WHO - Probanden mit nichtorganische Insomnie (ohne pathologische klinische und paraklinische Befunde) 4. Die mit den verwendeten Methoden gewonnenen Daten wiesen aus, dass zwischen den klinisch Gesunden und den Probanden mit nichtorganischer Insomnie weitgehend größere Ähnlichkeiten bestehen. Beide Gruppen zeigten aber zu der Gruppe der Gesunden nach WHO-Definition, welche die biopsychosoziale Einheit des Menschen berücksichtigt, noch hochsignifikante Unterschiede. Die Gruppe der klinisch Gesunden kann daher auf Grund unserer Ergebnisse nicht den Anspruch erheben, real gesund zu sein. 5. Mit der Bezugnahme auf die Internationale Klassifikation der Krankheiten (ICD 10F) haben die von uns untersuchten klinisch Gesunden und die nichtorganischen Insomniker eine mehr oder weniger stark ausgeprägte Symptomatik von psychischen Störungen. Dies müsste bei der Beurteilung von Schadstoff-, Lärm-, und EMF-Wirkungen auf den Menschen, wie auch bei den klinisch-pharmakoloischen Untersuchungen beachtet werden. Die in der Arbeit erzielten Ergebnisse bedürfen durch weitere Untersuchungen eine Fundierung. Sie signalisieren aber sowohl unter praktischen als auch unter theoretischen Aspekten einen dringenden Forschungsbedarf.1. Differing definitions of health using different criterea (WHO: The human being as a bio- psycho-social unit versus classical medicine: without clinical and paraclinical results based on suspect reference values) bring confusion to experts, authorities and laymen when assessing health damages. 2. The given task was to check which of the two definitions is closer to reality. 3. Using the chrono-psycho-biological diagnostic of regulation, the three-phase-relaxation test (Hecht and Balzer 2001), three groups were examined considering the aspects of the two health definitions (40 test subjects in the study group). - clinically healthy (clinically healthy per classical medicine definition) - healthy per definition of the WHO - test persons with non organic insomnia (i.e. no pathological or paraclinical findings) 4. The data gained from the employed methods revealed bigger similarities between clinically healthy persons and those with non organic insomnia. Both groups still showed highly significant differences to the group which fulfils the definition of the WHO regarding a human as a bio-psycho-social unit. As a result of this study, persons, though classified as "clinically healthy" might nevertheless not absolutely be healthy in reality. 5. In reference to the international classification of illnesses (ICD 10 F) the groups examined, both of clinically healthy and those with non organic insomnia, have more or less severe psychological symptoms. This should be taken into account when assessing the effects of pollution, noise, and EMF as well as clinical pharmacological studies. These present findings still need broader confirmation by further investigations. However, they clearly indicate, for practical and theoretical considerations, an urgent need for further research.
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El, Gewely Maryam. "Genetic risk factors of chronic insomnia disorder." Thèse, 2018. http://hdl.handle.net/1866/22309.
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Lin, Shih Chun, and 林詩淳. "The Relationship of Coping and Insomnia in Chronic Insomniacs and Normal Sleepers Vulnerable to Stress-related Sleep Disturbance." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/64604057001287175119.
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碩士國立政治大學
心理學研究所
96
OBJECTIVE: The goals of the study are to examine (1) the differences of coping, dysfunctional beliefs and attitudes about sleep, sleep related safety behaviors and pre-sleep arousals among chronic insomniacs, normal sleepers vulnerable to stress-related sleep disturbance and good sleepers (2) the interactions of coping with other etiological factors in the model of persistent insomnia. METHOD: The sample was composed of 211 participants. Participants were asked to complete a set of questionnaires, including the Ford Insomnia Response to Stress Test (FIRST), the Insomnia Severity Index, the Pre-Sleep Arousal Scale, the Sleep-Related Behaviour Questionnaire, the Dysfunctional beliefs and attitudes about sleep questionnaire, COPE, the Center for Epidemiologic Studies Depression Scale, the Beck Anxiety Inventory and the Pittsburgh Sleep Quality Inventory. The participants were categorized into three subgroups, 75 good sleepers, 74 normal sleepers vulnerable to stress-related sleep disturbance, and 62 chronic insomniacs, according to clinical interview and/or their scores on the FIRST. RESULT: The results showed that chronic insomniacs reported more dysfunctional beliefs and attitudes about sleep, sleep related safety behaviors and pre-sleep arousals than the other groups. In addition, chronic insomniacs and normal sleepers vulnerable to stress-related sleep disturbance used more coping styles of “problem solving, positive reinterpretation and acceptance”, “social support, focus on and venting of emotions”, and “avoidance” than good sleepers. Also, normal sleepers vulnerable to stress-related sleep disturbance reported more safety behaviors to cope insomnia than good sleepers. Furthermore, the path analysis showed that the safety behaviors and arousal play an important mediating role between dysfunctional beliefs and attitudes about sleep and insomnia in chronic insomniacs. Finally, data showed that avoidance coping could predict the frequency of sleep related safety behaviors. CONCLUSION: The results imply that in order to prevent normal sleepers vulnerable to stress-related sleep disturbance from becoming chronic insomniacs, sleep hygiene education program should incorporate methods that are designed to reduce maladaptive sleep beliefs and sleep related safety behaviors. The relationship found between avoidance coping and insomnia is also of interest and require replication in future researches.
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Maharaj, Ashnie. "The efficacy of homoeopathic simillimum in the treatment of chronic primary insomnia." Thesis, 2005. http://hdl.handle.net/10321/52.
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Thesis (M.Tech.: Homoeopathy)-Dept. of Homoeopathy, Durban Institute of Technology, 2005
xli, 193 p. : ill. ; 30 cmThe purpose of this double-blind placebo controlled study was to evaluate the efficacy of homoeopathic simillimum in the treatment of chronic primary insomnia.
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Tavares, Daniela Filipa Antunes. "What do Sleep Diaries tell us about patients diagnosed with Chronic Insomnia?" Master's thesis, 2019. http://hdl.handle.net/10316/94933.
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Dissertação de Mestrado Integrado em Psicologia apresentada à Faculdade de Psicologia e de Ciências da EducaçãoA insónia tem-se tornado, cada vez mais, um problema dos tempos modernos, o que lhe confere uma enorme relevância. Os diários do sono são ferramentas de extrema importância na avaliação e terapia da insónia, que nos permitem compreender os padrões de sono dos doentes a partir da sua perspetiva.O objetivo do presente estudo é dar a conhecer, de uma forma mais compreensiva, os padrões de sono dos doentes com diagnóstico de Insónia, antes de serem submetidos a Terapia Cognitivo-Comportamental para esta perturbação (TCC-I), utilizando, para isso, o Diário de Sono. A amostra inclui 102 participantes (56.9% mulheres) diagnosticados com Perturbação de Insónia Crónica, medicados (44.1%) e não medicados para a Insónia, com idades compreendidas entre os 18 e os 85 anos (M = 48.90 ± 14.14). A média de duração da insónia era de 12.98 anos (DP = 11.13).Em média, os participantes foram para a cama às 23h36m, acordaram 2.13 vezes, permaneceram 0h40m acordados durante a noite, acordaram às 7h23m, levantaram-se às 8h18m, e tomaram .42 sestas. O tempo total de sono foi de 6h14m, e o tempo total na cama de 8h40m, resultando numa eficiência de sono de 71.7%. Em mediana, demoraram 28 minutos a adormecer. A média dos padrões sono-vigília dos participantes foi mais tardia ao fim de semana, quando comparado com dias da semana. Foram encontradas diferenças significativas nas variáveis sociodemográficas. Participantes medicados e não medicados não apresentaram diferenças nos seus padrões de sono. A qualidade do sono relatada ao acordar associou-se à hora de deitar, ao número de acordares e ao grau de repouso sentido.Os resultados do presente estudo parecem de grande pertinência para uma melhor compreensão dos padrões de sono na insónia, antes do início da terapia, através da perspetiva do doente.
Insomnia has become a greater problem in modern society. Sleep diaries are extremely important tools in the assessment of insomnia disorder, as well as on the course of therapy, that allow us to understand the sleep pattern from the patient’s perspective.In this study, we aim to better understand the sleep patterns of patients diagnosed with insomnia disorder at the base line, ie., before starting Cognitive-Beavioral Therapy (CBT-I), using the Sleep Diary.The sample included 102 participants (56.9% women) diagnosed with chronic insomnia disorder, sleep medicated (44.1%) and non-medicated, with ages ranging from 18 to 85 (M = 48.90 ± 14.14). The average duration of insomnia was of 12.98 years (SD = 11.13).In mean, participants went to bed around 23h36m, awaked 2.13 times, spent 0h40m awaken during the night, woke up at 7h23m, got up at 8h18m, and took .42 naps. The total sleep time was of 6h14m, and time in bed was of 8h40m, resulting in a mean sleep efficiency of 71.7%. In median, they took 28 minutes to fall asleep. The participants’ mean sleep-wake patterns were later on weekends, when compared to weekdays. There were found several differences on sleep patterns by sociodemographic variables. Medicated and non-medicated participants did not seem to differ. Sleep quality seems to be associated, on general, with bedtime, the number of awakenings and the rest degree felt upon wake-time.These results seem of great importance to a better comprehension of insomnia from the perspective of the insomnia sufferer.
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Singh, Dharmender. "Economic evaluation of benzodiazepines versus cognitive behavioural therapy among older adults with chronic insomnia." Thèse, 2012. http://hdl.handle.net/1866/9935.
Full textAbstract:
L’insomnie, commune auprès de la population gériatrique, est typiquement traitée avec des benzodiazépines qui peuvent augmenter le risque des chutes. La thérapie cognitive-comportementale (TCC) est une intervention non-pharmacologique ayant une efficacité équivalente et aucun effet secondaire. Dans la présente thèse, le coût des benzodiazépines (BZD) sera comparé à celui de la TCC dans le traitement de l’insomnie auprès d’une population âgée, avec et sans considération du coût additionnel engendré par les chutes reliées à la prise des BZD. Un modèle d’arbre décisionnel a été conçu et appliqué selon la perspective du système de santé sur une période d’un an. Les probabilités de chutes, de visites à l’urgence, d’hospitalisation avec et sans fracture de la hanche, les données sur les coûts et sur les utilités ont été recueillies à partir d’une revue de la littérature. Des analyses sur le coût des conséquences, sur le coût-utilité et sur les économies potentielles ont été faites. Des analyses de sensibilité probabilistes et déterministes ont permis de prendre en considération les estimations des données.
Le traitement par BZD coûte 30% fois moins cher que TCC si les coûts reliés aux chutes ne sont pas considérés (231$ CAN vs 335$ CAN/personne/année). Lorsque le coût relié aux chutes est pris en compte, la TCC s’avère être l’option la moins chère (177$ CAN d’économie absolue/ personne/année, 1,357$ CAN avec les BZD vs 1,180$ pour la TCC). La TCC a dominé l’utilisation des BZD avec une économie moyenne de 25, 743$ CAN par QALY à cause des chutes moins nombreuses observées avec la TCC. Les résultats des analyses d’économies d’argent suggèrent que si la TCC remplaçait le traitement par BZD, l’économie annuelle directe pour le traitement de l’insomnie serait de 441 millions de dollars CAN avec une économie cumulative de 112 billions de dollars canadiens sur une période de cinq ans. D’après le rapport sensibilité, le traitement par BZD coûte en moyenne 1,305$ CAN, écart type 598$ (étendue : 245-2,625)/personne/année alors qu’il en coûte moyenne 1,129$ CAN, écart type 514$ (étendue : 342-2,526)/personne/année avec la TCC.
Les options actuelles de remboursement de traitements pharmacologiques au lieu des traitements non-pharmacologiques pour l’insomnie chez les personnes âgées ne permettent pas d’économie de coûts et ne sont pas recommandables éthiquement dans une perspective du système de santé.Insomnia is common in the geriatric population, typically treated with benzodiazepine drugs which can increase the risk of falls. Cognitive behavioral therapy (CBT) is a non-pharmacological intervention with equivalent efficacy and no adverse events. This thesis compares the cost of benzodiazepines versus CBT for the treatment of insomnia in older adults, with and without consideration of the additional cost of falls incurred by benzodiazepine use. A decision tree model was constructed and run from the health payer’s perspective over 1 year. The probability of falls, ER visits, hospitalisation with and without hip fracture, cost data and utilities were derived from a comprehensive literature review. Cost consequence, cost utility and potential cost saving analyses were performed. Both probabilistic and deterministic sensitivity analyses were conducted to account for uncertainty around the data estimates. Benzodiazepine treatment costs 30% less than the price of CBT when the costs of falls are not considered (CAN $231 vs. CAN $335 per individual per year). When the cost of falls is considered, CBT emerges as the least expensive option (absolute cost-saving CAN$ 177 per person per year, CAN $1,357 with benzodiazepines vs. $1,180 for CBT). CBT dominated benzodiazepines, with a mean cost saving of CAN $ 25,743 per QALY gained with CBT due to fewer falls. The cost savings analysis shows that if the CBT were to completely replace benzodiazepine therapy, the expected annual direct cost savings for the treatment of insomnia would be $ 441 million CAD dollars, with a cumulative cost savings of $112 billion CAD dollars over 5-years. The PSA report shows that even at different varying parameters, benzodiazepines cost CAD$ 1,305, S.D $ 598 (range 245-2,625) on average / person / year vs. CAD$ 1,129, S.D $ 514 (range 342-2,526) on average / person / year for CBT. Current treatment reimbursement options that fund pharmacologic therapy instead of non-pharmacologic therapy for geriatric insomnia are neither cost-saving nor ethically recommendable from the health system’s perspective.
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Chio-Yan, Tseng, and 曾秋燕. "The Effects of Musical Therapy on Improving Aged People’s Chronic Insomnia in Nursing Institutions." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/68385732470475092282.
Full textAbstract:
碩士國立臺東大學
健康促進與休閒管理碩士在職專班
99
Abstract Musical therapy has the function of improving sleeping quality and sleeping efficiency, and it is one of the methods which are with efficiently helpful for sleeping. This research aimed at exploring the effects of musical therapy on improving aged people’s chronic insomnia in nursing institutions. After reviewing relevant document and literature, a questionnaire of case-taking standard with regard to aged people’s chronic insomnia was formed, and by the method of thorough medical screening at the research premise , there were26 cases taken; among them, 20 were study cases and another 6 were cases stored for future use. This research conducted one sample and pretest-posttest para-experimental research design, which took Chinese version of Pittsburgh Sleep Quality Index (CPSQI) as its testing instrument. The total score of CPSQI was 21, and the lower the score was, the better the sleeping quality performed; the pretest was completed on the same day with medical therapy, and the posttest was completed on the next day after medical therapy There were four CDs, and the music chosen was with the temple of 60 to 80, bass-level pitch、low volume and with beautiful melodies; they were music in Chinese, Taiwanese, English, as well as light music. Study case chose his/her favorite music, and listened to it 30 minutes before sleep. The musical therapy lasted for two weeks. Data analysis used descriptive statistics and relative sample t test (two-tailed). The results of this research showed that after accepting musical therapy, individuals got improved with regard to the aspects of the total score of sleeping quality, the percentage of sleeping efficiency, sleeping lasting time, sleeping latent period, day time function, sleeping efficiency, subjective feelings of sleeping quality and the intake of sleeping pills, which showed significant difference statistically. The result of this research can be provided for aged people who are in the same condition as an adjuvant sleeping therapy to improve the sleeping quality of aged people in nursing institutions as well as improving their health. Key words: musical therapy, nursing institution, aged people, chronic insomnia
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Ebrahim, Naseem. "The effect of an a2d calcium channel blocker on sleep parameters in women with chronic primary insomnia: a pragmatic study." Thesis, 2014.
Find full textAbstract:
Chronic neuropathic pain, epilepsy, depression and anxiety disorders have been
treated successfully with pregabalin. Normal subjects, epileptics and patients with
neuropathic pain to whom pregabalin was prescribed showed an improvement in
objective and subjective sleep parameters. To determine if pregabalin’s sleep
enhancing effect is an independent process, it is necessary to test pregabalin in
primary insomniacs who do not have conditions that could be treated by
pregabalin. My study was designed as a double blind, randomised, crossover,
placebo controlled trial, with 50 milligrams of pregabalin or placebo was
administered for eight consecutive nights. I performed polysomnographic
recordings on eight female chronic primary insomniacs on five nights. Sleep
recordings were performed prior to the intervention, and on the first night and
eighth night of each treatment. Subjects filled out subjective scales at baseline and
night eight of every treatment. While polysomnography and subjective scales
showed that my subjects were insomniac, sleep variables during the pregabalin or
placebo period were unchanged when compared to baseline. A daily dose of 50
mg pregabalin did not have any significant effects on either sleep architecture or
subjective sleep variables in female chronic primary insomniacs.
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Leng, Kuo_Feng, and 冷國楓. "To discuss and predict the risk factors of insomnia – with chronic virus hepatitis conditions as research variables." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/39651324594287486232.
Full textAbstract:
碩士輔仁大學
應用統計學研究所
97
Insomnia may caused by many factors including chronic physical and psychiatric diseases. In the past, there were not too many reference papers on the research of the relations between chronic hepatitis patient and its insomnia. The purpose of this research is to explore the differences of insomnia scores between the groups of chronic hepatitis patients and health folks. Then, further discuss the differences of their insomnia scores under various health conditions. We also discuss whether the awareness and satisfaction of taking hypnotic will be affected by demographic variables. Meanwhile we’ll explore the relations between chronic hepatitis stages and demographic variables. On the premise of significance, we continue to explore the differences on insomnia scores from diseases conditions and various treatments. Finally we’ll establish a Logistic Regression model with the variables of hepatitis stages and age group. Result shows, there is a statistical significance between chronic hepatitis patients and health folks on the insomnia scores. Patients tend to get worse sleep at the stage of abnormal liver function. Abnormal hepatitis patients increase 26.358 times risk of insomnia than health folks with statistical significance, whereas normal hepatitis does not. Cirrhosis and HCC patients increase 12.262 time risk of insomnia. This research finding can be a reference for clinical physicians, not only to help better understand the sleeping quality of patients, but lift the value on patients’ quality of life. Furthermore, hepatitis patients may use sleeping condition as an indicator to do the secondary preventive works at home by next routine liver checkup.
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CHIANG, CHIA-HSUAN, and 江佳璇. "Barriers to Interventions Seeking and the Attitude toward Non-Phamacological Interventions Seeking for Chronic-Insomnia Patient in Taiwan." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/09583383899911569015.
Full textAbstract:
碩士輔仁大學
臨床心理學系碩士班
104
The prevalence of chronic insomnia disorder is high, which not only impair individual’s daily function, but also increase the use and cost of health care service. The pathology of chronic insomnia disorder shows that psychosocial factors could play an important role. However, the non-pharmacologic interventions, such as Cognitive Behavioral Therapy (CBTi), were seldom used in Taiwan. This study aims to explore the reasons why chronic insomnia patients do no use non-pharmacologic interventions in in Taiwan and their attitude toward these interventions. Fifty-five participants from community or hospital were recruited. All of them completed questionnaires, followed by a semi-structured interview. Most of participants still suffer from insomnia. The most two commonly mentioned reasons for not seeking (non-pharmacologic) treatment were “lack of knowledge of chronic insomnia and lack of awareness of available treatment options”. The other reasons included “stigma which is surrounding insomnia, hard to follow the non-pharmacologic suggestions given by physicians, and have not establish a good relationships with other professionals”. Participants with type D personality, suffered from more severe insomnia symptoms, more dysfunctional beliefs and attitudes about sleep, would agree that they encountered more barriers to treatment. None of them know what CBTi is or use it. Only 27.3% participants were willing to try it and they needed more information about effect of CBTi, the effort they need to do, and convenience of CBTi treatment. The results were similar to the previoes findings by Stinson et al. (2006)’s study. The clnical workers need to think about how to improve chronic insomnia patients’ awareness of chronic insomnia disorder and non-pharacological interventions to increase likelihood of these interventions adopted to help patients’ improve their insomnia.
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Stevens, Catherine. "Investigation of naturalistic sleep/wake behaviour in myalgic encephaloyelitis/chronic fatigue syndrome." Thesis, 2014. https://vuir.vu.edu.au/26239/.
Full textAbstract:
Sleep dysfunction is a prominent feature in the subjective experience of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). Although studies using polysomonography have identified at least one abnormal sleep characteristic in individuals with ME/CFS, no standard abnormalities in sleep have been identified. At the time of writing, only one published study had compared actigraphic measures of sleep between ME/CFS and controls, with no differences found. The aim of this study was to compare sleep parameters in people with and without ME/CFS using self-report and actigraphy.
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Duncan, Kristen Marie. "Characterizing the incidence of sleep disorders in a cohort of former college football players." Thesis, 2020. https://hdl.handle.net/2144/41216.
Full textAbstract:
CTE is a progressive neurodegenerative disease defined by p-tau lesions in characteristic locations of the brain, leading to cognitive impairment as well as mood and behavioral dysfunction. Exposure to repetitive head impacts is a major risk factor for developing CTE; however, additional risk factors and secondary modulating factors, which may expand available treatment and prevention options, are still being elucidated. Studies into the glymphatic system, a system of waste clearance in the brain thought to be activated during sleep, have implicated glymphatic dysfunction in the clearance of toxic proteins like amyloid-beta and hyperphosphorylated tau, as well as in cognitive decline in neurodegenerative disorders like Alzheimer’s Disease, bringing into question whether sleep, through impacting glymphatic clearance, may act as a modulating factor in the development of CTE. In the present study, we began to characterize the presence of sleep disorders and their co-morbid conditions in a cohort of former college football players to gain better insight into their prevalence and the health outcomes of those with sleep conditions. Our results found higher rates of sleep apnea in the study sample, as well as an association between diagnosis with sleep apnea and diagnosis with dementia, AD, MCI, CTE, and similar disorders. Sleep apnea was significantly associated with depression, anxiety, high cholesterol, and diabetes. Further research into whether sleep disorders exacerbate CTE pathology or clinical symptoms, and whether treatment of sleep symptoms leads to better outcomes for patients with CTE, is necessary to further elucidate a potential connection.
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Nguyen, Sandra Yung. "Comparison of Sleep Attitudes and Beliefs among Older Adult Vietnamese Migrants and Australians with and without Insomnia." Thesis, 2017. https://vuir.vu.edu.au/35046/.
Full textAbstract:
Sleep is an essential part of human life and is associated with both physical and mental health. When, where and how people sleep is known to vary across different cultures (Glaskin and Chenhall, 2013) but very little is documented about whether there are significant differences in attitudes and beliefs about sleep across different cultures or different ethnic groups. Previous research has found that both dysfunctional beliefs and attitudes about sleep and poor sleep hygiene knowledge can contribute to sleeping problems, especially for those with insomnia. As non-pharmacological treatments for insomnia often include addressing cognitive aspects related to sleep it is important that there is a good understanding of how sleep beliefs and attitudes may vary across groups and individuals, including possible ethnic differences. However, there has been no research, to the author’s knowledge, investigating the possible differences in sleep attitudes and beliefs between older adult Vietnamese migrants and Australians. This study aimed to examine the dysfunctional beliefs and attitudes about sleep, sleep hygiene knowledge and sleep perceptions between these two ethnic groups. Sex differences on the dependent variables were also of interest. Insomnia status was addressed as it is a possible confound. The participants consisted of 207 subjects (100 Vietnamese and 107 Australians). There were 36 males and 54 females for the Vietnamese sample with a mean age of 65.50 years (SD = 5.62). The Australian sample consisted of 50 males and 57 females with a mean age of 68.82 years (SD = 7.32).
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Liu, Yun-Ling, and 劉昀玲. "The Therapeutic Effects of Biofeedback Therapy in Chronic Insomniacs." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/32837872074525814430.
Full textAbstract:
碩士中原大學
心理學研究所
97
Abstract Background and Aim Based on literature and clinical experiences, physical, emotional and cognitive arousals before sleep are important factors that influence insomnia, and long term insomnia has serious effects on self-efficacy. Biofeedback therapy, however, helps decrease physical, emotional and cognitive arousals before sleep, and increase self-efficacy. Thus, the goals of the present study included: 1) to realize improvements of clients with chronic insomnia before and after the biofeedback therapy, such as on shortening time of falling asleep, increasing actual sleeping hours, raising subjective sleeping quality, and reducing subjective insomnia severity; 2) to realize the decrease of physical arousal, the positive change of emotional state, and the enhancement of subjective self-efficacy of clients with chronic insomnia after the biofeedback therapy; 3) to realize the maintenance of therapeutic effects by tracing sleeping circumstances, subjective self-efficacy, physical arousal, and emotional states for 6 weeks after the treatment course. Method The present study drew sample of insomnia clients who were referred from psychiatrists. After signing the informed consent, they were randomly assigned to relax group (n=12), biofeedback group (n=11), and control group (n=14). The standardized structural questionnaires were taken before and after the treatment, as well as one 6-week sequential follow-up. In order to prove that the intervention of biofeedback and relax can reduce psychological and physical arousals, increase self-efficacy, and have treatment effects on chronic insomnia clients, data were analyzed by a 3×3 ANCOVA F-test to examine whether biofeedback and relax treatments have statistic significant effects on variables related to insomnia. Result The present study found that, after the treatment course, the biofeedback group and relax group had significant improvements on variables including sleeping quality, sleeping dysfunction beliefs and attitudes, sleeping controllability, sleeping predicting ability, self-efficacy, the time needed to fall asleep, negative emotion, and cognitive arousal before sleep. Furthermore, the effects of biofeedback group were even better than relax group. The results of the follow-up showed that the effects of biofeedback group could almost maintain, but the effects of relax group did not. Three most significant treatment effects of the biofeedback group were subjective sleep quality, insomnia torments, and insomnia severity. Discussion From the results of the study, it suggests that biofeedback therapy maintained the treatment effects both in the end of the treatment course and the follow-up stage on variables including sleeping dysfunction beliefs and attitudes, sleeping controllability, sleeping predicting ability, self-efficacy, negative emotion, the time needed to fall asleep, and cognitive arousal extent before asleep. It indeed decreased the physical, emotional, and cognitive arousals of clients with chronic insomnia. Even though the objective time needed to fall asleep returned to the original level approximately, it still clarified that the decrease of physical and psychological arousal could enhance the sleeping controllability and sleeping predicting ability of patients with chronic insomnia. In addition, after the treatment of biofeedback, patients with chronic insomnia felt apparent improvements in sleep quality, decreases in insomnia torments and insomnia severity, and the sleeping controllability and sleeping predictability were relatively increased. Keywords: chronic insomnia, biofeedback therapy, relax therapy, treatment effect of insomnia
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Janků, Karolina. "Objektivní a subjektivní charakteristiky spánku u chronické insomnie." Doctoral thesis, 2020. http://www.nusl.cz/ntk/nusl-436689.
Full textAbstract:
Background: Insomnia is one of the most prevalent sleep disorders, negatively impacting the quality of life and increasing the risk of other health problems. Many patients with insomnia underestimate their sleep quantity compared to objective sleep measures. This objective and subjective sleep discrepancy (sleep misperception) occurs in different insomnia subtypes as well as in insomnia with a comorbid psychiatric disorder. Although previous research suggests that the sleep discrepancy reflects specific objective sleep alterations, the results of studies are inconsistent. Moreover, its relation to psychiatric comorbidities is not clear, as well as its role in the insomnia treatment. Aims: The theoretical part of the present thesis aimed to provide an overview of the recent research on sleep discrepancy in insomnia. The experimental part consists of four studies with the following goals: (1) to explore sleep electroencephalographic (EEG) correlates of sleep discrepancy in insomnia patients (Study 1); (2) to assess the association between sleep discrepancy and psychopathology (Study 2); (3) to examine changes of sleep discrepancy during and after the cognitive behavioural therapy for insomnia (CBT-I; Study 3); (4) to assess whether the additional chronotherapeutic tool can enhance the effect of CBT-I...