Therapy for insomnia with chronic obstructive pulmonary disease: a randomized trial of components
DC Field | Value | Language |
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dc.contributor.author | Kapella, Mary | - |
dc.contributor.author | Steffen, Alana | - |
dc.contributor.author | Prasad, Bharati | - |
dc.contributor.author | Laghi, Franco | - |
dc.contributor.author | Vispute, Sachin | - |
dc.contributor.author | Kemner, Gretchen | - |
dc.contributor.author | Teixeira, Celso | - |
dc.contributor.author | Peters, Tara | - |
dc.contributor.author | Jun, Jeehye | - |
dc.contributor.author | Law, Julie | - |
dc.contributor.author | Carley, David | - |
dc.date.accessioned | 2024-02-23T01:31:04Z | - |
dc.date.available | 2024-02-23T01:31:04Z | - |
dc.date.issued | 2022-12 | - |
dc.identifier.issn | 1550-9389 | - |
dc.identifier.issn | 1550-9397 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/72317 | - |
dc.description.abstract | Study Objectives: To determine efficacy and mechanisms of cognitive behavioral therapy for insomnia (CBT-I) and chronic obstructive pulmonary disease (COPD) education (COPD-ED) on clinical outcomes in adults with concurrent COPD and insomnia.Methods: We conducted a 2 3 2 factorial study to test the impact of CBT-I and COPD-ED delivered alone or in combination on severity of insomnia and fatigue, sleep, and dyspnea. Participants were randomized to 1 of 4 groups-group 1: CBT-I + attention control (AC; health videos, n = 27); group 2: COPD-ED + AC, n = 28; group 3: CBT-I + COPD-ED, n = 27; and group 4, AC only, n = 27. Participants received six 75-minute weekly sessions. Dependent variables included insomnia severity, sleep by actigraphy, fatigue, and dyspnea measured at baseline, immediately postintervention, and at 3 months postintervention. Presumed mediators of intervention effects included beliefs and attitudes about sleep, self-efficacy for sleep and COPD, and emotional function.Results: COPD patients (percent predicted forced expiratory volume in 1 second [FEV1pp] 67% & PLUSMN; 24% [mean & PLUSMN; standard deviation]), aged 65 & PLUSMN; 8 years, with insomnia participated in the study. Insomnia and sleep improved more in patients who received CBT-I than in those who did not, an effect that was sustained at 3 months postintervention and mediated by beliefs and attitudes about sleep. CBT-I was associated with clinically important improvements in fatigue and dyspnea. When CBT-I and COPD-ED were concurrently administered, effects on insomnia, fatigue, and dyspnea were attenuated.Conclusions: CBT-I produced significant and sustained decreases in insomnia improved sleep and clinically important improvement in fatigue, and dyspnea. The combination of CBT-I and COPD-ED reduced CBT-I's effectiveness. Further research is needed to understand the mechanisms associated with effects of insomnia therapy on multiple symptoms in COPD. | - |
dc.format.extent | 12 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | AMER ACAD SLEEP MEDICINE | - |
dc.title | Therapy for insomnia with chronic obstructive pulmonary disease: a randomized trial of components | - |
dc.type | Article | - |
dc.identifier.doi | 10.5664/jcsm.10210 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL SLEEP MEDICINE, v.18, no.12, pp 2763 - 2774 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 001050876300002 | - |
dc.identifier.scopusid | 2-s2.0-85143180209 | - |
dc.citation.endPage | 2774 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 2763 | - |
dc.citation.title | JOURNAL OF CLINICAL SLEEP MEDICINE | - |
dc.citation.volume | 18 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | cognitive behavioral therapy | - |
dc.subject.keywordAuthor | sleep | - |
dc.subject.keywordAuthor | insomnia | - |
dc.subject.keywordAuthor | fatigue | - |
dc.subject.keywordAuthor | dyspnea | - |
dc.subject.keywordAuthor | chronic obstructive pulmonary disease | - |
dc.subject.keywordPlus | COGNITIVE-BEHAVIORAL THERAPY | - |
dc.subject.keywordPlus | QUALITY-OF-LIFE | - |
dc.subject.keywordPlus | HEALTH-STATUS | - |
dc.subject.keywordPlus | COMORBID INSOMNIA | - |
dc.subject.keywordPlus | SEVERITY INDEX | - |
dc.subject.keywordPlus | SELF-EFFICACY | - |
dc.subject.keywordPlus | SLEEP | - |
dc.subject.keywordPlus | FATIGUE | - |
dc.subject.keywordPlus | ANXIETY | - |
dc.subject.keywordPlus | COPD | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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