PMID- 26889799
OWN - NLM
STAT- MEDLINE
DCOM- 20161019
LR  - 20181202
IS  - 1878-6448 (Electronic)
IS  - 1053-8135 (Linking)
VI  - 38
IP  - 1
DP  - 2016
TI  - Can Cognitive Behavioral Therapy for Insomnia also treat fatigue, pain, and mood 
      symptoms in individuals with traumatic brain injury? - A multiple case report.
PG  - 59-69
LID - 10.3233/NRE-151296 [doi]
AB  - 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. OBJECTIVE: This paper reviews 
      the use of CBT-I for three participants with TBI of different severities. 
      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. 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. CONCLUSIONS: We conclude that CBT-I may provide secondary benefits for 
      symptoms commonly experienced by individuals with TBI, especially mood 
      disturbances.
FAU - Lu, William
AU  - Lu W
AD  - Rusk Rehabilitation, New York University Langone Medical Center, New York, NY, 
      USA.
FAU - Krellman, Jason W
AU  - Krellman JW
AD  - Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, 
      New York, NY, USA.
FAU - Dijkers, Marcel P
AU  - Dijkers MP
AD  - Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, 
      New York, NY, USA.
LA  - eng
GR  - 5U49CE002092-02/CE/NCIPC CDC HHS/United States
PT  - Case Reports
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - Netherlands
TA  - NeuroRehabilitation
JT  - NeuroRehabilitation
JID - 9113791
SB  - IM
MH  - Adult
MH  - Affect
MH  - Anxiety/diagnosis/etiology/*therapy
MH  - Brain Injuries/complications/diagnosis/*therapy
MH  - Cognitive Behavioral Therapy/*methods
MH  - Depression/diagnosis/etiology/*therapy
MH  - Fatigue/diagnosis/etiology/*therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain/diagnosis/etiology
MH  - Pain Management/*methods
MH  - Self Report
MH  - Sleep Initiation and Maintenance Disorders/diagnosis/etiology/*therapy
OTO - NOTNLM
OT  - Insomnia
OT  - case study
OT  - cognitive behavioral therapy
OT  - traumatic brain injury
EDAT- 2016/02/20 06:00
MHDA- 2016/11/11 06:00
CRDT- 2016/02/19 06:00
PHST- 2016/02/19 06:00 [entrez]
PHST- 2016/02/20 06:00 [pubmed]
PHST- 2016/11/11 06:00 [medline]
AID - NRE1296 [pii]
AID - 10.3233/NRE-151296 [doi]
PST - ppublish
SO  - NeuroRehabilitation. 2016;38(1):59-69. doi: 10.3233/NRE-151296.