Efficacy and Placebo Response of Multimodal Treatments for Primary Insomnia: A Network Meta-Analysis

Conclusions The pharmacotherapy seems the most effective in improving sleep efficiency. However, the optimal therapeutic regimen is still uncertain. In addition, the placebo response is significant and robust in treatments of primary insomnia.
Source: Clinical Neuropharmacology - Category: Neurology Tags: Original Articles Source Type: research

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Publication date: March 2020Source: Epilepsy &Behavior, Volume 104, Part AAuthor(s): Diana Paardekooper, Zoe Thayer, Laurie Miller, Armin Nikpour, Michael B GascoigneAbstractSleep difficulties are commonly reported by patients with epilepsy and can have a detrimental impact on overall quality of life. The purpose of this pilot study was to assess the efficacy of a psychotherapeutic approach, namely Cognitive Behavioral Therapy for Insomnia (CBT-I), in improving sleep quality in patients with epilepsy. Twenty outpatients with epilepsy who reported poor sleep quality were randomized to either a control or CBT-I treatment...
Source: Epilepsy and Behavior - Category: Neurology Source Type: research
Conclusions and implicationsResults support a largely transdiagnostic approach to treating sleep in children with NDD, and will inform the development of BNBD for Children with Neurodevelopmental Disorders (BNBD-NDD).
Source: Research in Developmental Disabilities - Category: Disability Source Type: research
ConclusionThis is the first study to prospectively demonstrates that CBT-I is feasible in people with MS and produces promising improvements in insomnia severity, sleep quality, sleep self-efficacy and comorbid symptoms of fatigue, depression, and anxiety. Future studies are needed to determine mechanisms for these improvements and expand the scope of individuals with MS who may benefit from CBT-I. Furthermore, considering the moderate to large improvements experienced by the brief education group and the limited number of CBT-I providers, a stepped-care approach warrants consideration. Trial Registry: ClinicalTrials.gov, ...
Source: Multiple Sclerosis and Related Disorders - Category: Neurology Source Type: research
(Natural News) Many of us struggle with insomnia, and when you wake up after a night of tossing and turning, it can be hard to say for sure just how much time you actually slept. However, if you’re turning to sleep apps or smart watches to help you pin down just how much shut-eye you’re...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
In conclusion, these results indicated that SXD produced beneficial sedative and hypnotic bioactivities mediated by regulating the serotonergic and immune system.
Source: Metabolic Brain Disease - Category: Neurology Source Type: research
Conclusion: This study determined that there is a relationship between insomnia and depressive symptoms and that pregnant women experiencing insomnia presented with more depressive symptoms.Keywords: Depressions, last trimester, pregnancy, sleep characteristics.
Source: African Health Sciences - Category: African Health Source Type: research
A recent 3-month double-blind placebo-controlled study demonstrated efficacy and safety of child-appropriate prolonged-release melatonin (PedPRM) for insomnia in children with autism spectrum disorder (ASD). Here, we report on the long-term effects of PedPRM treatment on sleep, growth, body mass index, and pubertal development.
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Tags: New Research Source Type: research
Digital cognitive-behavioral therapy (CBT) is a safe and effective approach for reducing insomnia symptoms in pregnant women, reports astudy published today inJAMA Psychiatry.“Although sleep disturbance during pregnancy may be viewed as normative and innocuous, research indicates that it is associated with an increased risk of adverse maternal outcomes, including depression and preterm birth,” wrote Jennifer Felder, Ph.D., of the University of California, San Francis co, and colleagues. “A digital CBT-I [CBT for insomnia] program may be of particular interest for pregnant women, who report a preference fo...
Source: Psychiatr News - Category: Psychiatry Tags: anxiety CBT cbt-i cognitive behavioral therapy depression insomnia insomnia severity index JAMA Psychiatry online intervention pregnancy preterm birth Source Type: research
Publication date: Available online 20 January 2020Source: Journal of Contextual Behavioral ScienceAuthor(s): Daniel Ruivo Marques, Ana Allen Gomes, Anabela Sousa PereiraAbstractThere is some evidence that insomnia seems to constitute a heterogeneous sleep disorder in which different psychological and neurophysiological variables may have differential roles. Mindfulness and acceptance-based approaches suggest new constructs for psychopathology and health sciences which can be useful to investigate in insomnia. In this paper, our aim was to explore eventual homogenous subgroups pertaining to mindfulness within a selected sam...
Source: Journal of Contextual Behavioral Science - Category: Psychiatry & Psychology Source Type: research
Conclusions: Sleep problems may persist after anxiety treatment, suggesting that CBT for insomnia may be warranted during or after a course of CBT for anxiety. Importantly, baseline insomnia does not impede anxiety reduction during CBT. PMID: 31955594 [PubMed - as supplied by publisher]
Source: Behavioral Sleep Medicine - Category: Sleep Medicine Authors: Tags: Behav Sleep Med Source Type: research
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