Effects of Cognitive Behavioral Therapy for Insomnia on Sleep, Symptoms, Stress, and Autonomic Function Among Patients With Heart Failure.
Saved in:
| Title: | Effects of Cognitive Behavioral Therapy for Insomnia on Sleep, Symptoms, Stress, and Autonomic Function Among Patients With Heart Failure. |
|---|---|
| Authors: | Redeker, Nancy S. (AUTHOR), Conley, Samantha (AUTHOR), Anderson, George (AUTHOR), Cline, John (AUTHOR), Andrews, Laura (AUTHOR), Mohsenin, Vahid (AUTHOR), Jacoby, Daniel (AUTHOR), Jeon, Sangchoon (AUTHOR) |
| Source: | Behavioral Sleep Medicine. Mar/Apr2020, Vol. 18 Issue 2, p190-202. 13p. 5 Charts. |
| Subjects: | Cognitive therapy, Heart failure patients, Morningness-Eveningness Questionnaire, Insomnia, Mental fatigue, Sleep, Attention control, Cardiac pacing |
| Abstract: | Background: Insomnia is common among patients with stable heart failure (HF) and associated with inflammation and altered autonomic function. Purpose: The purposes of this study were to examine the effects of cognitive behavioral therapy for insomnia (CBT-I) on the Hypothalamic Pituitary (HPA) Axis, autonomic function, inflammation, and circadian rhythmicity and the associations between these biomarkers and insomnia, sleep characteristics, symptoms, functional performance, and sleep-related cognitions. Methods: We conducted a subanalysis of a pilot randomized controlled trial (RCT, NCT02827799) whose primary aim was to test the effects of CBT-I on insomnia. We randomized 51 patients with stable Class II-IV HF to CBT-I (n = 30) or attention control (n = 21). Participants completed wrist actigraphy and self-reported insomnia severity, sleep characteristics, sleep-related cognitions, daytime symptoms, and functional performance. We measured day and nighttime urinary free cortisol, melatonin sulfate, epinephrine, and norepinephrine at baseline, and two weeks after CBT-I and computed general linear models and partial correlations. Results: CBT-I had no effects on the biomarkers, but there were statistically significant negative cross-sectional correlations between the ratio of day and night urinary free cortisol and sleep disturbance, anxiety, fatigue, depression, and negative sleep cognitions. Increases in the ratio between day and night cortisol were associated with statistically significant improvements in fatigue, depression, sleep duration, and sleep-related cognitions. Conclusions: Biomarkers of stress and autonomic function are associated with sleep, sleep-related symptoms, and cognitions among people with chronic HF. Future studies are needed to identify potential causal relationships and the impact of sleep interventions. [ABSTRACT FROM AUTHOR] |
| Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 141377178 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Effects of Cognitive Behavioral Therapy for Insomnia on Sleep, Symptoms, Stress, and Autonomic Function Among Patients With Heart Failure. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Redeker%2C+Nancy+S%2E%22">Redeker, Nancy S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Conley%2C+Samantha%22">Conley, Samantha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anderson%2C+George%22">Anderson, George</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cline%2C+John%22">Cline, John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Andrews%2C+Laura%22">Andrews, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mohsenin%2C+Vahid%22">Mohsenin, Vahid</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jacoby%2C+Daniel%22">Jacoby, Daniel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jeon%2C+Sangchoon%22">Jeon, Sangchoon</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Behavioral+Sleep+Medicine%22">Behavioral Sleep Medicine</searchLink>. Mar/Apr2020, Vol. 18 Issue 2, p190-202. 13p. 5 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Heart+failure+patients%22">Heart failure patients</searchLink><br /><searchLink fieldCode="DE" term="%22Morningness-Eveningness+Questionnaire%22">Morningness-Eveningness Questionnaire</searchLink><br /><searchLink fieldCode="DE" term="%22Insomnia%22">Insomnia</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+fatigue%22">Mental fatigue</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep%22">Sleep</searchLink><br /><searchLink fieldCode="DE" term="%22Attention+control%22">Attention control</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiac+pacing%22">Cardiac pacing</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Insomnia is common among patients with stable heart failure (HF) and associated with inflammation and altered autonomic function. Purpose: The purposes of this study were to examine the effects of cognitive behavioral therapy for insomnia (CBT-I) on the Hypothalamic Pituitary (HPA) Axis, autonomic function, inflammation, and circadian rhythmicity and the associations between these biomarkers and insomnia, sleep characteristics, symptoms, functional performance, and sleep-related cognitions. Methods: We conducted a subanalysis of a pilot randomized controlled trial (RCT, NCT02827799) whose primary aim was to test the effects of CBT-I on insomnia. We randomized 51 patients with stable Class II-IV HF to CBT-I (n = 30) or attention control (n = 21). Participants completed wrist actigraphy and self-reported insomnia severity, sleep characteristics, sleep-related cognitions, daytime symptoms, and functional performance. We measured day and nighttime urinary free cortisol, melatonin sulfate, epinephrine, and norepinephrine at baseline, and two weeks after CBT-I and computed general linear models and partial correlations. Results: CBT-I had no effects on the biomarkers, but there were statistically significant negative cross-sectional correlations between the ratio of day and night urinary free cortisol and sleep disturbance, anxiety, fatigue, depression, and negative sleep cognitions. Increases in the ratio between day and night cortisol were associated with statistically significant improvements in fatigue, depression, sleep duration, and sleep-related cognitions. Conclusions: Biomarkers of stress and autonomic function are associated with sleep, sleep-related symptoms, and cognitions among people with chronic HF. Future studies are needed to identify potential causal relationships and the impact of sleep interventions. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=141377178 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/15402002.2018.1546709 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 190 Subjects: – SubjectFull: Cognitive therapy Type: general – SubjectFull: Heart failure patients Type: general – SubjectFull: Morningness-Eveningness Questionnaire Type: general – SubjectFull: Insomnia Type: general – SubjectFull: Mental fatigue Type: general – SubjectFull: Sleep Type: general – SubjectFull: Attention control Type: general – SubjectFull: Cardiac pacing Type: general Titles: – TitleFull: Effects of Cognitive Behavioral Therapy for Insomnia on Sleep, Symptoms, Stress, and Autonomic Function Among Patients With Heart Failure. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Redeker, Nancy S. – PersonEntity: Name: NameFull: Conley, Samantha – PersonEntity: Name: NameFull: Anderson, George – PersonEntity: Name: NameFull: Cline, John – PersonEntity: Name: NameFull: Andrews, Laura – PersonEntity: Name: NameFull: Mohsenin, Vahid – PersonEntity: Name: NameFull: Jacoby, Daniel – PersonEntity: Name: NameFull: Jeon, Sangchoon IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar/Apr2020 Type: published Y: 2020 Identifiers: – Type: issn-print Value: 15402002 Numbering: – Type: volume Value: 18 – Type: issue Value: 2 Titles: – TitleFull: Behavioral Sleep Medicine Type: main |
| ResultId | 1 |
