Preliminary outcomes following cognitive behavioural therapy for insomnia in a multidisciplinary outpatient sleep clinic.

Blackwell Publishing Ltd Netherlands 2018-10-31

Spina M.-A.
Rajaratnam S.
Mansfield D.
Ng Y.
Bei B.
Cahill F.
Maskevich S.

Introduction: Insomnia is frequently managed with medications in the community. Cognitive behavioural therapy (CBT) is an effective non-pharmacological treatment for insomnia. This case series evaluated preliminary outcomes following CBT delivered to patients presenting with insomnia complaints to a multidisciplinary outpatient sleep clinic. Method(s): Data were collected using self-report questionnaires and extraction of medical records through opt-out consent. A paired-samples t-test was conducted to compare pre-and post-treatment Insomnia Severity Index (ISI) scores. Result(s): 29 patients who received CBT submitted pre-and post-treatment questionnaires. Mean age was 48.4 years (range 18.0-80.9 years), and 24.1% were male. Of the 27/29 patients who completed the ISI questionnaires, the baseline mean ISI score was 17.6 (SD = 5.1), with 77.8% of the sample having a score <=15 (clinical insomnia with at least moderate severity). Following completion of treatment, the mean ISI score was 7.7 (SD = 5.6), with 14.8% having a score <=15. The mean reduction in ISI score was 9.9 (95% CI-11.9 to-7.8, p < 0.001). At baseline, 21/29 (72.4%) often or always had trouble sleeping in the preceding 7 days, whilst most (93.1%) were at least somewhat worried or distressed about their current sleep problem. Post-treatment, only 4/29 (13.8%) often had trouble sleeping in the preceding 7 days and 7/29 (24.1%) were at least somewhat worried or distressed about their current sleep problem. Prior to receiving CBT, about half the patients (55.6%) used medications at least once a week to help them sleep. After completing CBT, a third (33.3%) of patients took medications at least once a week to help them sleep. The majority of patients (93.1%) reported that the program had met most or almost all of their needs, and 100% felt that the services received helped them deal with sleep problems more effectively. Discussion(s): These preliminary findings from a multidisciplinary sleep clinic indicat

controlled study; adult; aged; clinical article; clinical practice; cognitive behavioral therapy; extraction; feasibility study; female; human; insomnia; Insomnia Severity Index; male; medical record; middle aged; outpatient; questionnaire; satisfaction; self report; conference abstract; Conference Abstract

AUSHL oai:repository.monashhealth.org:1/37843
Journal of Sleep Research. Conference: 30th ASM of Australasian Sleep Association and Australasian Sleep Technologists Association, Sleep DownUnder 2018. Brisbane, OLD Australia. 27 (Supplement 2) (no pagination), 2018. Date of Publication: October 2018.
1365-2869
https://repository.monashhealth.org/monashhealthjspui/handle/1/37843
Monash Health
624612092
(Ng, Bei, Cahill, Maskevich, Spina, Rajaratnam, Mansfield) Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Clayton, Australia (Ng, Mansfield) Monash Lung and Sleep, Monash Health, Clayton, Australia (Cahill, Mansfield) Epworth Sleep Centre, East Melbourne, Australia
(Ng, Bei, Cahill, Maskevich, Spina, Rajaratnam, Mansfield) Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Clayton, Australia
(Cahill, Mansfield) Epworth Sleep Centre, East Melbourne, Australia
(Ng, Mansfield) Monash Lung and Sleep, Monash Health, Clayton, Australia
1305137886

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