title: Developing a cognitive behavioral therapy manual for delayed sleep-wake phase disorder.
abstract: This article reports the development of a treatment protocol, based on cognitive behavioral therapy (CBT) principles, for delayed sleep-wake phase disorder (DSWPD). The protocol consists of psycho-education, presenting a CBT model for DSWPD, case formulation, motivational interviewing, registering sleep in a diary, strategies to improve the rhythm of sleep and wakefulness, relaxation training, cognitive restructuring, strategies to cope with daytime symptoms, constructing an individualized CBT program, and learning how to deal with relapses. Qualitative data, focusing on how the patients perceived the protocol, were collected within the realm of a trial exploring the efficacy of the protocol. These findings highlighted several advantages but also disadvantages of the therapy. It is our hope that this paper might act as a platform for further clinical work and future research efforts in patients with DSWPD.
authors.affiliation: a Department of Psychology , Stockholm University , Stockholm , Sweden.|b School of Law and Psychology, and Social Work , Center for Health and Medical Psychology (CHAMP), Örebro University , Örebro , Sweden.
authors.forename: Markus
authors.initials: M
authors.lastname: Jansson-Fröjmark
authors.affiliation: c Department of Neuroscience, Psychiatry , Uppsala University , Uppsala , Sweden.
authors.forename: Katarina
authors.initials: K
authors.lastname: Danielsson
authors.affiliation: d Department of Medical Sciences, Lung- Allergy- and Sleep Research , Uppsala University , Uppsala , Sweden.
authors.forename: Agneta
authors.initials: A
authors.lastname: Markström
authors.affiliation: c Department of Neuroscience, Psychiatry , Uppsala University , Uppsala , Sweden.
authors.forename: Jan-Erik
authors.initials: JE
authors.lastname: Broman
mesh_terms: D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D062405:Motivational Interviewing / Q000379:methods*; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic; D012064:Relaxation Therapy / Q000379:methods*; D012890:Sleep; D020178:Sleep Disorders, Circadian Rhythm / Q000628:therapy*; D007319:Sleep Initiation and Maintenance Disorders / Q000628:therapy*; D055815:Young Adult
keywords: Delayed sleep–wake phase disorder; cognitive behavioral therapy; manual; protocol