Efficacy of Brief Behavioral Treatment in Chronic Insomnia: Case Report
DOI:
https://doi.org/10.47185/27113760.v3n1.83Keywords:
Insomnia, Spleepiness, SleepAbstract
Insomnia is emerging as the most prevalent sleep disorder during confinement by COVID-19, generating a decrease in the quality of life of those who suffer from it. The present study shows the clinical case of a 37-year-old man who, after modifying his sleep patterns due to work schedules, developed chronic insomnia. The problem started when the patient increased his work hours, so he began to prolong his bedtime until 2:00 am, however, work activities started at 7:00 am, resulting in sleepiness during the day. After the initial interview, Brief Behavioral Treatment for Insomnia (TCBI) was
implemented. The components were: bedtime restriction, stimulus control therapy, sleep hygiene, and progressive muscle relaxation. The duration was five weekly sessions divided into one evaluation, three intervention and one closure. The results
show an increase in subjective sleep time, sleep quality, in addition to a decrease in the frequency and severity of symptoms of insomnia and sleepiness during the day, both in the sleep diary and in the instruments. Finally, we can conclude that the
intervention was clinically effective, although improvements in the research design are suggested for future studies.
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Arnedt, J., Conroy, D., Mooney, A., Furgal, A., Sen, A., & Eisenberg, D. (2020). Telemedicine Versus Face-toFace Delivery of Cognitive Behavioral Therapy for Insomnia: A Randomized Controlled Non-Inferiority Trial. Sleep, zsaa136. Advance online publication. https://doi.org/10.1093/sleep/zsaa136
Ato-García, M., & Vallejo-Seco, G. (2015). Diseños de investigacion en psicologia. Piramide.
Borbely, A. (2009). Refining sleep homeostasis in the two‐process model. Journal. Sleep Reserch, 8,1–2.
Borbely, A., Daan, S., Wirz-Justice, A., & Deboer, T. (2016). The two-process model of sleep regulation: a reappraisal. Journal Sleep Reserch, 5, 131–143.
Buysse, D., Germain, A., Moul, D., Franzen, P., Brar, L., Fletcher, M., . . . Monk, T. (2011). Efficacy of brief behavioral treatment for chronic insomnia in older adults. Archive International Medicine. , 171(10):887-95.
Cheung, J., Jarrin, D., Ballot, O., Bharwani, A., & Morin, C. (2019). A systematic review of cognitive behavioral therapy for insomnia implemented in primary care and community settings. Sleep Medicine Reviews, 23-36.
Colten, H., & Altevogt, B. (2006). Functional and Economic Impact of Sleep Loss and Sleep-Related Disorders. En H. Colten, & B. Altevogt, Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem (págs. 137-163). National Academy of Sciences.
Deuschle, M. e. (2010). Association between a serotonin transporter length polymorphism and primary insomnia. Sleep, 33, 343–347.
Granados-Gurrola, D. (16 de 03 de 2018). https://www.elsevier.com/. Obtenido de https://www.elsevier.com/es-es/connect/actualidadsanitaria/los-10-mandamientos-de-la-higiene-del-suenopara-adultos-por-la-world-sleep-society
Gunn, H., Tutek, J., & Buysse, D. (2019). Brief Behavioral Treatment of Insomnia. Sleep medicine clinics,, 14(2), 235-243. https://doi.org/10.1016/j.jsmc.2019.02.003
Harvey, A. (2002). A cognitive model of insomnia. Behaviour research and therapy, 40(8), 869–893. https://doi.org/10.1016/s0005-7967(01)00061-4
Jiménez-Genchi, A., Monteverde-Maldonado, E., Nenclares-Portocarrero, A., Esquivel-Adame, G., & VegaPacheco, A. (2008). Confiabilidad y análisis factorial de la versión en español del índice de calidad de sueño de Pittsburgh en pacientes psiquiátricos. Gaceta Médica de México, 144(6), 491-496.
Mazza, M., De Lorenzo, R., Conte, C., Poletti, S., Vai, B., Bollettini, I., . . . Benedetti, F. (2020). Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain, behavior, and immunity, 89, 594–600. https://doi.org/10.1016/j.bbi.2020.07.037
Nenclares Portocarrero, A., & Jimenez Genchi, A. (2005). Estudio de validacion de la traduccion al español de la escala atenas de insomnio. Salud mental, 28, 34 - 39.
O’Malley, M., & O’Malley, E. (2017). Clinical Features, Diagnosis, and Differential Diagnosis. En H. Attarian, Clinical Handbook of Insomnia (págs. 27-40). Springer International Publishing Switzerland.
Perlis, M., Ellis, J., Kloss, J., & Riemann, D. (2017). Etiology and pathophysiology of insomnia. En M.
Kryger, T. Roth, & W. Dement, Principles and practice of sleep medicine (págs. 761-768). Elsevier.
Perlis, M., Jungquist, C., Smith, M., & Posner, D. (2009). Insomnio. Una guía cognitivo conductual de tratamiento. Desclée de Brouwer, S.A.
Riemann, D., Baglioni, C., Bassetti, C., Bjorvatn, B., Dolenc Groselj, L., Ellis, J., . . . Spiegelhalder, K. (2017). European guideline for the diagnosis and treatment of insomnia. Journal of sleep research, 26(6), 675–700. https://doi.org/10.1111/jsr.12594
Riemann, D., Spiegelhalder, K., Feige, B., Voderholzer, U., Berger, M., Perlis, M., & Nissen, C. (2009). The hyperarousal model of insomnia: A review of the concept and its evidence. Sleep Medicine Reviews, 19 - 31.
Robles, R., Rodríguez, E., Vega-Ramírez, H., ÁlvarezIcaza, D., Madrigal, E., Durand, S., . . . Reyes-Terán, G. (2021). Mental health problems among healthcare workers involved with the COVID-19 outbreak. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 43(5), 494-503. https://doi.org/10.1590/1516-4446-2020-1346
Sandoval-Rincón, M., Alcalá-Lozano, R., HerreraJiménez, I., & Jiménez-Genchi, A. (2013). Validación de la escala de somnolencia de Epworth en población mexicana. Gaceta Médica de México, 149(4), 409-416.
Sigurdson, K., & Ayas, N. (2007). The public health and safety consequences of sleep disorders. Canadian journal of physiology and pharmacology, 85(1), 179–183. https://doi.org/10.1139/y06-095
Spielman, A., Caruso, L., & Glovinsky, P. (1987). A behavioral perspective on insomnia treatment. Psychiatr Clin North Am(10), 541-553.
Troxel, W., Germain, A., & Buysee, D. (2012). Clinical Management of Insomnia with Brief Behavioral Treatment (BBTI). Behav Sleep Med, 10(4): 266–279. Ye, Y., Chen, N., Chen, J., Liu, J., Lin, L., Liu, Y., . . .
Jiang, X. (2016). Internet-based cognitive-behavioural therapy for insomnia (ICBT-i): a meta-analysis of randomised controlled trials. BMJ Open., 6(11):e010707.
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