Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians

Introduction Insomnia is a common complaint among primary care patients that can have significant consequences for physiological and mental health. Although psychopharmacological interventions have traditionally been taught as first-line treatment in medical education, cognitive behavioral therapy (...

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Autores principales:	Shin Ock, Lindsay B. Demers, Juhee C. McDougal
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Insomnia Cognitive Behavioral Therapy Internal Medicine Primary Care CBT-i Nonpharmacologic Treatment Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/8d9adb82e5dd489fa35e97876885301c
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spelling	oai:doaj.org-article:8d9adb82e5dd489fa35e97876885301c2021-11-19T14:53:26ZCognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians10.15766/mep_2374-8265.110022374-8265https://doaj.org/article/8d9adb82e5dd489fa35e97876885301c2020-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11002https://doaj.org/toc/2374-8265Introduction Insomnia is a common complaint among primary care patients that can have significant consequences for physiological and mental health. Although psychopharmacological interventions have traditionally been taught as first-line treatment in medical education, cognitive behavioral therapy (CBT) for insomnia has emerged as the recommended treatment to address the multimodal precipitants and reinforcing factors of insomnia symptoms. Methods We developed a 90-minute workshop that included a didactic component to deliver content, role-playing to practice skills, and discussion to reflect and solidify learning. Two facilitators, a general internist and a clinical psychologist with content expertise in CBT, delivered the workshop to 16 internal medicine residents. This pairing provided complementary perspectives to allow for learner engagement. To evaluate the workshop, we used a pre/post survey that was administered at the beginning of the workshop and at its end. Participants were asked how often they incorporated (presurvey) and intended to incorporate (postsurvey) CBT as part of treatment of insomnia in their clinical practices. Results Sixteen internal medicine residents participated in the workshop and completed the pre/post survey. Our results showed immediate positive outcomes as a result of participating in the workshop. Discussion Our results showed that participants increased their intent to incorporate CBT in their primary care practice and increased their comfort with the various components of CBT. Our future directions include examining how long-term behavior changes as a result of this training.Shin OckLindsay B. DemersJuhee C. McDougalAssociation of American Medical CollegesarticleInsomniaCognitive Behavioral TherapyInternal MedicinePrimary CareCBT-iNonpharmacologic TreatmentMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Insomnia Cognitive Behavioral Therapy Internal Medicine Primary Care CBT-i Nonpharmacologic Treatment Medicine (General) R5-920 Education L
spellingShingle	Insomnia Cognitive Behavioral Therapy Internal Medicine Primary Care CBT-i Nonpharmacologic Treatment Medicine (General) R5-920 Education L Shin Ock Lindsay B. Demers Juhee C. McDougal Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians
description	Introduction Insomnia is a common complaint among primary care patients that can have significant consequences for physiological and mental health. Although psychopharmacological interventions have traditionally been taught as first-line treatment in medical education, cognitive behavioral therapy (CBT) for insomnia has emerged as the recommended treatment to address the multimodal precipitants and reinforcing factors of insomnia symptoms. Methods We developed a 90-minute workshop that included a didactic component to deliver content, role-playing to practice skills, and discussion to reflect and solidify learning. Two facilitators, a general internist and a clinical psychologist with content expertise in CBT, delivered the workshop to 16 internal medicine residents. This pairing provided complementary perspectives to allow for learner engagement. To evaluate the workshop, we used a pre/post survey that was administered at the beginning of the workshop and at its end. Participants were asked how often they incorporated (presurvey) and intended to incorporate (postsurvey) CBT as part of treatment of insomnia in their clinical practices. Results Sixteen internal medicine residents participated in the workshop and completed the pre/post survey. Our results showed immediate positive outcomes as a result of participating in the workshop. Discussion Our results showed that participants increased their intent to incorporate CBT in their primary care practice and increased their comfort with the various components of CBT. Our future directions include examining how long-term behavior changes as a result of this training.
format	article
author	Shin Ock Lindsay B. Demers Juhee C. McDougal
author_facet	Shin Ock Lindsay B. Demers Juhee C. McDougal
author_sort	Shin Ock
title	Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians
title_short	Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians
title_full	Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians
title_fullStr	Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians
title_full_unstemmed	Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians
title_sort	cognitive behavioral therapy for treatment of insomnia in primary care for resident physicians
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/8d9adb82e5dd489fa35e97876885301c
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Cognitive Behavioral Therapy for Treatment of Insomnia in Primary Care for Resident Physicians

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