CBT Can Help Reduce Insomnia
the Psychiatry Advisor take:
Patients suffering from insomnia may get a better night’s sleep if they participate in cognitive behavioral therapy (CBT).
Michael R. Irwin, MD, of the David Geffen School of Medicine at the University of California at Los Angeles, and colleagues found that CBT was more effective at reducing insomnia compared with movement and breathing exercises or having patients take a sleep seminar.
Patients treated with CBT has a reduced insomnia rate that was almost double of either of the other two treatments, the researchers reported in the journal Sleep. CBT was also associated with fewer reports of fatigue or depressive symptoms.
The researchers conducted a clinical trial of 123 adults aged 55 and older who were randomized to receive either CBT, tai chi chah or sleep seminar education for two-hour group sessions weekly over four months. Follow-up was conducted after seven and 16 months.
They found that reducing insomnia can also reduce inflammation, thus lowering the risk of chronic disease. Treating insomnia led to decreases in a known marker of inflammation found in blood plasma known as C-reactive protein (CRP).
“What we found particularly intriguing was that the levels of the CRP inflammatory marker remained low even 16 months after treating the insomnia,” Irwin said in a statement.
CBT Can Help Reduce Insomnia
Lack of sleep can make you sick. And while everybody has the occasional restless night, for those who suffer from chronic insomnia — some 15 percent of older adults in the United States — that sleep loss can increase the risk for cardiovascular disease, hypertension, weight gain, type 2 diabetes, and even lead to an earlier death.
The reason for the increased risk of health problems is thought to be an association between insomnia and an increase in inflammation throughout the body that becomes chronic. Though inflammation can be a good thing — part of a robust immune response that heals injury and fights infection, chronic inflammation can damage and kill healthy cells, leading to disease.
Psychiatry Advisor Articles
- Early Detection Markers of Alzheimer's Disease Possibly Identified
- Transcranial Direct Current Stimulation Inferior to Escitalopram
- Illicit Cannabis Use Among Adults Up Due to Medical Marijuana Laws
- Memory Training Opportunities Exist for Patients With Schizophrenia
- APA: Medical Discrimination Based on Size Psychologically, Physically Harms Patients
- Criteria For Identification of Smartphone Addiction
- Bipolar Disorder: Childhood Trauma Modulates Impact on Amygdala, Hippocampus
- Psychiatric Evaluations: Questions on Suicide Need to Be Rephrased
- Subsequent Suicide Attempts May Be Reduced by Emergency Department Interventions
- Elevated Levels of Childhood Adversity in Patients with Fibromyalgia and Chronic Widespread Pain
- Prescription Opioid Misuse Remains a Persistent Problem
- Revised Treatment Guidelines for Pediatric Acute Onset Neuropsychiatric Syndrome
- Long-term Response to Prophylactic Mood Stabilizers in Bipolar Disorder
- Medically Supervised Withdrawal, an Option for Pregnant Women Addicted to Opioids
- Navigating the Thin Line Between Identification & Intimacy With Patients