Digital CBT Found Effective for Reducing Insomnia During Pregnancy

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 for mental health care that includes flexible options and for whom timely intervention may be particularly important.”Felder and colleagues randomly assigned 208 women who were up to 28 weeks pregnant and had insomnia to receive either digital CBT-I or standard insomnia treatment for 10 weeks. The digital CBT-I program consisted of six weekly tutorials on topics including the following: proper sleep hygiene, relaxation techniques, and stimulus control (how to associate a bed as a cue for sleep). The CBT-I program provided automated reminders to complete each session and automated help based on a person ’s progress. The participants also had access to a moderated online community and a library of sleep education materials. The women receiving standard care had access to treatments including prescription/over-the-counter sleep medications, herbal rem...
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

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CONCLUSIONS: A small group of pregnant women experienced consistently high and elevated insomnia symptoms throughout pregnancy and another larger group endorsed consistently elevated but subthreshold symptoms. Future studies should explore long-term consequences of experiencing high insomnia symptomatology during pregnancy and early postpartum, as well as safe and efficacious interventions. PMID: 32496138 [PubMed - as supplied by publisher]
Source: Behavioral Sleep Medicine - Category: Sleep Medicine Authors: Tags: Behav Sleep Med Source Type: research
Abstract Objective/Background: Insomnia and depression are disorders that affect many perinatal women and that often are interrelated. The present study aimed to examine concurrent and prospective associations between mid-pregnancy insomnia and depression during mid-pregnancy and 8 weeks postpartum. Furthermore, differences in depression and in the sleep-related characteristics insomnia, chronotype, and sleep efficiency were explored between the two time points (mid-pregnancy versus 8 weeks postpartum), and between primiparous and multiparous participants.Participants/Methods: The study was part of the N...
Source: Behavioral Sleep Medicine - Category: Sleep Medicine Authors: Tags: Behav Sleep Med Source Type: research
According to a 2013 study published in JAMA Psychiatry, one out of seven mothers suffers from postpartum depression (PPD). That’s 14 percent of all new moms. Katherine Stone, founder of Postpartum Progress, makes a good point that more women will suffer from postpartum depression and related illnesses this year than the combined number of new cases for men and women of tuberculosis, leukemia, multiple sclerosis, Parkinson’s disease, Alzheimer’s disease and epilepsy. Even though, according to Dr. Ruta Nonacs of Massachusetts General Hospital and Harvard Medical School, PPD is the most common comp...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Mental Health and Wellness Parenting Pregnancy Self-Help Women's Issues Apathy Depressive Episode Postpartum Source Type: blogs
Conclusions: Sleep patterns in children and adolescents were related to the psychiatric diagnosis of their parent(s). Future follow-up of these results may clarify the relations between early sleep differences and the risk of developing mood disorders in individuals at high familial risk.IntroductionSleep disturbances are core symptoms of mood disorders including major depressive disorder and bipolar disorder (1). Additionally, sleep problems have been associated with more severe symptoms, greater functional impairment, and increased risk for relapse among individuals with mood disorders (2). Over 40% of children and youth...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
We examined 1,221 cases from a population-based birth cohort, with subjective measures during pregnancy in mothers, and at 3 months after birth in the infants. The findings showed that all the maternal risk factors during pregnancy, except for symptoms of alcoholism and sleepiness, were related to sleep difficulties in infants. Interestingly, attention deficit and hyperactivity disorder symptomatology in mothers during pregnancy was the only variable that predicted more than two sleeping difficulties (i.e. long sleep-onset latency, co-sleeping with parents and irregular sleeping routines) at 3 months old. Our res...
Source: Journal of Sleep Research - Category: Sleep Medicine Authors: Tags: J Sleep Res Source Type: research
Conclusion. A review of the literature suggests that there are adequate data supporting the efficacy and general safety of the low-dose use of trazodone for the treatment of insomnia. keywords: insomnia, hypnotics, treatment, trazodone, sedative Keywords: insomnia, hypnotics, treatment, trazodone, sedative Innov Clin Neurosci. 2017;14(9–10):24–34 Introduction Insomnia is characterized by difficulty falling asleep, difficulty staying asleep, or waking too early1 and is associated with significant impairments in daytime activities, which might occur despite adequate opportunities for sleep.2–6 Primary insom...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Review hypnotics insomnia sedative trazodone treatment Source Type: research
Having a baby is one of the happiest times in life, but it can also be one of the saddest. For most new mothers, the first several days after having a baby is an emotional roller coaster ride. Thrilling moments of happiness and joy are abruptly interrupted by a plunge into moments of depressive symptoms including weeping, anxiety, anger, and sadness. These “baby blues” usually peak in the first two to five days after delivery, and in most women, go away as quickly as they came. Except sometimes they don’t go away. For some women, depressive symptoms continue well past those first two weeks or develop...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Anxiety and Depression Behavioral Health Family Planning and Pregnancy Parenting Screening Women's Health Source Type: blogs
Maternal and paternal sleep insufficiency during pregnancy appears to be a risk factor for health and wellbeing in young families. Here, we evaluated the prevalence of sleep insufficiency and symptoms of insomnia during pregnancy (at 32nd pregnancy week) and their relationship to depression, anxiety and environmental stress.
Source: Sleep Medicine - Category: Sleep Medicine Authors: Tags: Original Article Source Type: research
Maternal and paternal sleep insufficiency during pregnancy appears to be a risk factor for health and wellbeing in young families. Here, we evaluated the prevalence of sleep insufficiency and symptoms of insomnia during pregnancy (at 32nd pregnancy week) and their relationship to depression, anxiety and environmental stress.
Source: Sleep Medicine - Category: Sleep Medicine Authors: Tags: Original Article Source Type: research
Abstract IntroductionSleep disturbances are common during pregnancy, yet underdiagnosed and under‐investigated. We evaluated sleep quality during pregnancy and assessed associated factors, especially depressive and anxiety symptoms Materials and MethodsA total of 78 healthy pregnant women from the FinnBrain Birth Cohort Study were studied twice prospectively during pregnancy (in mid‐pregnancy and late pregnancy). Sleep quality was evaluated by the Basic Nordic Sleep Questionnaire, depressive symptoms by the Edinburgh Postnatal Depression Scale, and anxiety symptoms by the State‐Trait Anxiety Inventory ResultsPoor gen...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
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