Cognitive-behavioral group therapy for insomnia in individuals with serious mental illnesses: a preliminary evaluation.
Chronic insomnia is a problem among individuals with serious mental illnesses. In an effort to expand treatment options, we examined whether well-established cognitive-behavioral treatments for insomnia developed for individuals in the general population generalize to those for people with serious mental illnesses. Individuals participated in comprehensive sleep evaluations and cognitive-behavioral therapy. Results suggest that sleep problems often began during periods of distress and/or exacerbation of illness but were maintained by environmental, behavioral, and cognitive factors. With the treatment, participants reported improvement in many sleep parameters. Initial indication is that cognitive-behavioral therapy does generalize. More rigorous research seems warranted.
Dopke
Cynthia A
CA
Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
Lehner
Renanah Kaufman
RK
Wells
Anita M
AM
D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000150:complications / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications*; D008609:Mental Status Schedule; D008875:Middle Aged; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000628:therapy*; D014851:Wakefulness