title: Sleep education for paradoxical insomnia.
abstract: This case study series investigated a new treatment for paradoxical insomnia patients as there is no standard treatment for this patient group at this time. Four paradoxical insomnia patients had a polysomnography (PSG) sleep study, an unsuccessful brief course of behavioral treatment for insomnia, and then a novel sleep education treatment comprising review of their PSG with video and exploration of the discrepancy between their reported and observed sleep experience. Two patients responded well to sleep education, mainly with improved self-reported sleep onset latency, total sleep time, and Insomnia Severity Index scores; and the other two, who exhibited sleep architecture anomalies, were unresponsive. These findings suggest that sleep education holds promise for some paradoxical insomnia patients. Suggestions for future studies are given.
authors: Alabama Neurology and Sleep Medicine, Tuscaloosa, USA. jgeyer@nctpc.com
authors: James D
authors: JD
authors: Geyer
authors: Kenneth L
authors: KL
authors: Lichstein
authors: Megan E
authors: ME
authors: Ruiter
authors: L Charles
authors: LC
authors: Ward
authors: Paul R
authors: PR
authors: Carney
authors: Stephenie C
authors: SC
authors: Dillard
mesh_terms: D000328:Adult; D000368:Aged; D001521:Behavior Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D017286:Polysomnography; D012720:Severity of Illness Index; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome