title: An open pilot of cognitive-behavioral therapy for insomnia in women with postpartum depression.
abstract: Sleep disturbances and depression are commonly experienced by postpartum women. We evaluated the preliminary efficacy of a modified version of cognitive-behavioral therapy for insomnia on mood, sleep, and fatigue in postpartum women with insomnia and depression in an open pilot study. Twelve postpartum women participated in five weekly individual treatment sessions. Statistically significant improvements were observed in sleep diary-rated sleep efficiency and total wake time, and subjective mood, insomnia severity, sleep quality, and fatigue. Further evaluation of the treatment using a controlled design is warranted.
authors.affiliation: Department of Psychiatry, University of Michigan, USA. LMSwan@med.umich.edu
authors.forename: Leslie M
authors.initials: LM
authors.lastname: Swanson
authors.forename: Heather
authors.initials: H
authors.lastname: Flynn
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Adams-Mundy
authors.forename: Roseanne
authors.initials: R
authors.lastname: Armitage
authors.forename: J Todd
authors.initials: JT
authors.lastname: Arnedt
mesh_terms: D000328:Adult; D000339:Affect; D015928:Cognitive Behavioral Therapy; D019052:Depression, Postpartum / Q000150:complications*; D005221:Fatigue / Q000150:complications / Q000523:psychology; D005260:Female; D006801:Humans; D010865:Pilot Projects; D012720:Severity of Illness Index; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome