Kristie M Harris1, Steven E Schiele2, Charles F Emery3. 1. Departments of Psychology and Internal Medicine, Institute for Behavioral Medicine Research, The Ohio State University, Columbus, OH, United States. Electronic address: kristie.harris@yale.edu. 2. Departments of Psychology and Internal Medicine, Institute for Behavioral Medicine Research, The Ohio State University, Columbus, OH, United States. Electronic address: schiele.6@buckeyemail.osu.edu. 3. Departments of Psychology and Internal Medicine, Institute for Behavioral Medicine Research, The Ohio State University, Columbus, OH, United States. Electronic address: emery.33@osu.edu.
Abstract
BACKGROUND:Insomnia is prevalent among patients with heart failure (HF) and is associated with reduced physical and mental functioning, including possible exacerbation of cognitive deficits. OBJECTIVES: This study evaluated the effects of Brief Behavioral Treatment for Insomnia (BBTI) on insomnia and related factors among HF patients. METHODS:Twenty-three HF patients with insomnia (70% women; 65% white; Mage = 55.7 ± 11.3 years; NYHA Class II = 70%) were randomized to a behavioral intervention (BI; n = 12) or sleep monitoring (SM; n = 11) group. Sleep, cognitive functioning, quality of life, distress, self-care, and functional status were assessed pre- and post-intervention. RESULTS: BI participants experienced reduced insomnia and increased sleep quality and efficiency, with 58% demonstrating clinically meaningful improvements in insomnia and 25% achieving remission of insomnia symptoms. Depression and anxiety also improved in BI participants. CONCLUSIONS: BBTI was tolerated well within this symptom-limited patient population and was associated with reduced symptoms of insomnia and distress.
RCT Entities:
BACKGROUND:Insomnia is prevalent among patients with heart failure (HF) and is associated with reduced physical and mental functioning, including possible exacerbation of cognitive deficits. OBJECTIVES: This study evaluated the effects of Brief Behavioral Treatment for Insomnia (BBTI) on insomnia and related factors among HF patients. METHODS: Twenty-three HF patients with insomnia (70% women; 65% white; Mage = 55.7 ± 11.3 years; NYHA Class II = 70%) were randomized to a behavioral intervention (BI; n = 12) or sleep monitoring (SM; n = 11) group. Sleep, cognitive functioning, quality of life, distress, self-care, and functional status were assessed pre- and post-intervention. RESULTS: BI participants experienced reduced insomnia and increased sleep quality and efficiency, with 58% demonstrating clinically meaningful improvements in insomnia and 25% achieving remission of insomnia symptoms. Depression and anxiety also improved in BI participants. CONCLUSIONS:BBTI was tolerated well within this symptom-limited patient population and was associated with reduced symptoms of insomnia and distress.
Authors: Samantha Conley; Sangchoon Jeon; Stephen Breazeale; Meghan O'Connell; Christopher S Hollenbeak; Daniel Jacoby; Sarah Linsky; Henry Klar Yaggi; Nancy S Redeker Journal: Behav Sleep Med Date: 2022-04-07 Impact factor: 3.492
Authors: Stephen Breazeale; Sangchoon Jeon; Youri Hwang; Meghan O'Connell; Uzoji Nwanaji-Enwerem; Sarah Linsky; H Klar Yaggi; Daniel L Jacoby; Samantha Conley; Nancy S Redeker Journal: Nurs Res Date: 2022 May-Jun 01 Impact factor: 2.364
Authors: Nancy S Redeker; Henry Klar Yaggi; Daniel Jacoby; Christopher S Hollenbeak; Stephen Breazeale; Samantha Conley; Youri Hwang; Joanne Iennaco; Sarah Linsky; Uzoji Nwanaji-Enwerem; Meghan O'Connell; Sangchoon Jeon Journal: Sleep Date: 2022-01-11 Impact factor: 6.313