title: Sleep Quality Improvement During Cognitive Behavioral Therapy for Anxiety Disorders.
abstract: Despite the ubiquity of sleep complaints among individuals with anxiety disorders, few prior studies have examined whether sleep quality improves during anxiety treatment. The current study examined pre- to posttreatment sleep quality improvement during cognitive behavioral therapy (CBT) for panic disorder (PD; n = 26) or generalized anxiety disorder (GAD; n = 24). Among sleep quality indices, only global sleep quality and sleep latency improved significantly (but modestly) during CBT. Sleep quality improvement was greater for treatment responders, but did not vary by diagnosis. Additionally, poor baseline sleep quality was independently associated with worse anxiety treatment outcome, as measured by higher intolerance of uncertainty. Additional intervention targeting sleep prior to or during CBT for anxiety may be beneficial for poor sleepers.
authors.affiliation: a Center for the Study of Traumatic Stress, Department of Psychiatry , Uniformed Services University of the Health Sciences.
authors.forename: Holly J
authors.initials: HJ
authors.lastname: Ramsawh
authors.affiliation: b San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology.
authors.forename: Jessica
authors.initials: J
authors.lastname: Bomyea
authors.affiliation: c Department of Psychiatry , University of California San Diego.|d Department of Family & Preventive Medicine , University of California San Diego.
authors.forename: Murray B
authors.initials: MB
authors.lastname: Stein
authors.affiliation: c Department of Psychiatry , University of California San Diego.
authors.forename: Shadha H
authors.initials: SH
authors.lastname: Cissell
authors.affiliation: c Department of Psychiatry , University of California San Diego.|e Veterans Administration San Diego Health Care System , Center of Excellence for Stress and Mental Health.
authors.forename: Ariel J
authors.initials: AJ
authors.lastname: Lang
mesh_terms: D000328:Adult; D001007:Anxiety / Q000150:complications / Q000523:psychology / Q000628:therapy; D001008:Anxiety Disorders / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D016584:Panic Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy; D012890:Sleep / Q000502:physiology*; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome