Therapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis

Michelle Drerup,1 Alicia Roth,1 Alexa Kane,2 Amy B Sullivan2 1Sleep Disorders Center, Cleveland Clinic, Cleveland, OH, USA; 2Mellen Center for MS, Cleveland Clinic, Cleveland, OH, USACorrespondence: Michelle DrerupCleveland Clinic, 9500 Euclid Ave S-73, Cleveland, OH, 44195, USATel +1 216 445 9251Fa...

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Autores principales:	Drerup M, Roth A, Kane A, Sullivan AB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cbt-i sleep comorbidity neurological disorder multiple sclerosis Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/b467f983c2bb49c6ad56899b949a950e
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spelling	oai:doaj.org-article:b467f983c2bb49c6ad56899b949a950e2021-12-02T12:18:09ZTherapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis1179-1608https://doaj.org/article/b467f983c2bb49c6ad56899b949a950e2021-02-01T00:00:00Zhttps://www.dovepress.com/therapeutic-approaches-to-insomnia-and-fatigue-in-patients-with-multip-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Michelle Drerup,1 Alicia Roth,1 Alexa Kane,2 Amy B Sullivan2 1Sleep Disorders Center, Cleveland Clinic, Cleveland, OH, USA; 2Mellen Center for MS, Cleveland Clinic, Cleveland, OH, USACorrespondence: Michelle DrerupCleveland Clinic, 9500 Euclid Ave S-73, Cleveland, OH, 44195, USATel +1 216 445 9251Fax +1 216 636 0090Email drerupm@ccf.orgAbstract: The prevalence of sleep disorders in individuals with multiple sclerosis (MS) is 3– 5 times higher compared to the general population. Insomnia Disorder, defined as difficulty falling asleep, maintaining sleep or waking up too early, can lead to significant fatigue, the most common and disabling symptom of MS. In addition, fatigue and insomnia in patients with MS also can overlap with and exacerbate other psychological and physical symptoms. Cognitive behavioral therapy for insomnia (CBT-I) has been shown as an effective treatment for chronic insomnia and burgeoning research has demonstrated the effectiveness of this treatment for insomnia in individuals with a variety of comorbid medical conditions including MS. The purpose of the current review will explore the literature surrounding the prevalence and impact of sleep disorders and fatigue in MS. Additionally, this review will address practical ways to help individuals with MS manage fatigue as well as how to modify typical standard behavioral treatments for insomnia to take into account special considerations for individuals with MS based on the level of disability and other comorbid issues that impact sleep.Keywords: CBT-I, sleep, comorbidity, neurological disorder, multiple sclerosisDrerup MRoth AKane ASullivan ABDove Medical Pressarticlecbt-isleepcomorbidityneurological disordermultiple sclerosisPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 201-207 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cbt-i sleep comorbidity neurological disorder multiple sclerosis Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	cbt-i sleep comorbidity neurological disorder multiple sclerosis Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Drerup M Roth A Kane A Sullivan AB Therapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis
description	Michelle Drerup,1 Alicia Roth,1 Alexa Kane,2 Amy B Sullivan2 1Sleep Disorders Center, Cleveland Clinic, Cleveland, OH, USA; 2Mellen Center for MS, Cleveland Clinic, Cleveland, OH, USACorrespondence: Michelle DrerupCleveland Clinic, 9500 Euclid Ave S-73, Cleveland, OH, 44195, USATel +1 216 445 9251Fax +1 216 636 0090Email drerupm@ccf.orgAbstract: The prevalence of sleep disorders in individuals with multiple sclerosis (MS) is 3– 5 times higher compared to the general population. Insomnia Disorder, defined as difficulty falling asleep, maintaining sleep or waking up too early, can lead to significant fatigue, the most common and disabling symptom of MS. In addition, fatigue and insomnia in patients with MS also can overlap with and exacerbate other psychological and physical symptoms. Cognitive behavioral therapy for insomnia (CBT-I) has been shown as an effective treatment for chronic insomnia and burgeoning research has demonstrated the effectiveness of this treatment for insomnia in individuals with a variety of comorbid medical conditions including MS. The purpose of the current review will explore the literature surrounding the prevalence and impact of sleep disorders and fatigue in MS. Additionally, this review will address practical ways to help individuals with MS manage fatigue as well as how to modify typical standard behavioral treatments for insomnia to take into account special considerations for individuals with MS based on the level of disability and other comorbid issues that impact sleep.Keywords: CBT-I, sleep, comorbidity, neurological disorder, multiple sclerosis
format	article
author	Drerup M Roth A Kane A Sullivan AB
author_facet	Drerup M Roth A Kane A Sullivan AB
author_sort	Drerup M
title	Therapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis
title_short	Therapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis
title_full	Therapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis
title_fullStr	Therapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis
title_full_unstemmed	Therapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis
title_sort	therapeutic approaches to insomnia and fatigue in patients with multiple sclerosis
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/b467f983c2bb49c6ad56899b949a950e
work_keys_str_mv	AT drerupm therapeuticapproachestoinsomniaandfatigueinpatientswithmultiplesclerosis AT rotha therapeuticapproachestoinsomniaandfatigueinpatientswithmultiplesclerosis AT kanea therapeuticapproachestoinsomniaandfatigueinpatientswithmultiplesclerosis AT sullivanab therapeuticapproachestoinsomniaandfatigueinpatientswithmultiplesclerosis
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Therapeutic Approaches to Insomnia and Fatigue in Patients with Multiple Sclerosis

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