The Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis

Cierra Williams-Cooke,1 Leslie LeSuer,1 Michelle Drerup,2 Catherine Siengsukon1 1Department of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, KS, USA; 2Sleep Disorders Clinic, Cleveland Clinic, Cleveland, OH, USACorrespondence: Cath...

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Autores principales:	Williams-Cooke C, LeSuer L, Drerup M, Siengsukon C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	multiple sclerosis cognitive behavioral therapy for insomnia sleep log actigraphy Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/03b1911004e64a3aa72fbb2c9c9af339
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spelling	oai:doaj.org-article:03b1911004e64a3aa72fbb2c9c9af3392021-12-02T16:58:33ZThe Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis1179-1608https://doaj.org/article/03b1911004e64a3aa72fbb2c9c9af3392021-10-01T00:00:00Zhttps://www.dovepress.com/the-impact-of-cognitive-behavioral-therapy-for-insomnia-on-sleep-log-a-peer-reviewed-fulltext-article-NSShttps://doaj.org/toc/1179-1608Cierra Williams-Cooke,1 Leslie LeSuer,1 Michelle Drerup,2 Catherine Siengsukon1 1Department of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, KS, USA; 2Sleep Disorders Clinic, Cleveland Clinic, Cleveland, OH, USACorrespondence: Catherine SiengsukonDepartment of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, KS, 66160, USAEmail csiengsukon@kumc.eduPurpose: While studies indicate cognitive behavioral therapy for insomnia (CBT-I) improves self-report sleep outcomes from questionnaires in people with multiple sclerosis (MS), it is unclear if CBT-I improves outcomes from a sleep log or sleep assessed objectively via actigraphy in people with MS. This study aimed to determine if CBT-I improves sleep log and actigraphy outcomes in individuals with MS.Patients and Methods: Twenty-five participants (Mage= 53.04, SD= 10.90) were included in this secondary analysis of data from a pilot randomized control study to assess the feasibility and treatment effect of CBT-I in individuals with MS. Participants were asked to maintain a sleep log and wear an actigraph for a week at baseline and post-intervention. Participants were randomized into one of three groups (CBT-I, active control, or one-time brief education control group). One-way ANOVAs were used to assess for group differences and within group change in sleep latency, sleep efficiency (SE), time in bed, total sleep time (TST), wake after sleep onset, variability of SE, and variability of TST.Results: CBT-I resulted in an increase in sleep efficiency (SE) and decrease in time in bed (TIB) and variability of SE from the sleep log. The CBT-I group also experienced a decrease in TIB and total sleep time (TST) from actigraphy. The active control group demonstrated an increase in variability of SE from actigraphy.Conclusion: This study indicates that individuals with MS may experience an improvement in sleep log and actigraphy sleep outcomes following CBT-I, but findings need to be replicated in a larger prospective study. The decrease in TST from actigraphy mirrors results from prior studies.Keywords: multiple sclerosis, cognitive behavioral therapy for insomnia, sleep log, actigraphyWilliams-Cooke CLeSuer LDrerup MSiengsukon CDove Medical Pressarticlemultiple sclerosiscognitive behavioral therapy for insomniasleep logactigraphyPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 1865-1874 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	multiple sclerosis cognitive behavioral therapy for insomnia sleep log actigraphy Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	multiple sclerosis cognitive behavioral therapy for insomnia sleep log actigraphy Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Williams-Cooke C LeSuer L Drerup M Siengsukon C The Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis
description	Cierra Williams-Cooke,1 Leslie LeSuer,1 Michelle Drerup,2 Catherine Siengsukon1 1Department of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, KS, USA; 2Sleep Disorders Clinic, Cleveland Clinic, Cleveland, OH, USACorrespondence: Catherine SiengsukonDepartment of Physical Therapy, Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas City, KS, 66160, USAEmail csiengsukon@kumc.eduPurpose: While studies indicate cognitive behavioral therapy for insomnia (CBT-I) improves self-report sleep outcomes from questionnaires in people with multiple sclerosis (MS), it is unclear if CBT-I improves outcomes from a sleep log or sleep assessed objectively via actigraphy in people with MS. This study aimed to determine if CBT-I improves sleep log and actigraphy outcomes in individuals with MS.Patients and Methods: Twenty-five participants (Mage= 53.04, SD= 10.90) were included in this secondary analysis of data from a pilot randomized control study to assess the feasibility and treatment effect of CBT-I in individuals with MS. Participants were asked to maintain a sleep log and wear an actigraph for a week at baseline and post-intervention. Participants were randomized into one of three groups (CBT-I, active control, or one-time brief education control group). One-way ANOVAs were used to assess for group differences and within group change in sleep latency, sleep efficiency (SE), time in bed, total sleep time (TST), wake after sleep onset, variability of SE, and variability of TST.Results: CBT-I resulted in an increase in sleep efficiency (SE) and decrease in time in bed (TIB) and variability of SE from the sleep log. The CBT-I group also experienced a decrease in TIB and total sleep time (TST) from actigraphy. The active control group demonstrated an increase in variability of SE from actigraphy.Conclusion: This study indicates that individuals with MS may experience an improvement in sleep log and actigraphy sleep outcomes following CBT-I, but findings need to be replicated in a larger prospective study. The decrease in TST from actigraphy mirrors results from prior studies.Keywords: multiple sclerosis, cognitive behavioral therapy for insomnia, sleep log, actigraphy
format	article
author	Williams-Cooke C LeSuer L Drerup M Siengsukon C
author_facet	Williams-Cooke C LeSuer L Drerup M Siengsukon C
author_sort	Williams-Cooke C
title	The Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis
title_short	The Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis
title_full	The Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis
title_fullStr	The Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis
title_full_unstemmed	The Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis
title_sort	impact of cognitive behavioral therapy for insomnia on sleep log and actigraphy outcomes in people with multiple sclerosis: a secondary analysis
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/03b1911004e64a3aa72fbb2c9c9af339
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The Impact of Cognitive Behavioral Therapy for Insomnia on Sleep Log and Actigraphy Outcomes in People with Multiple Sclerosis: A Secondary Analysis

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