Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-20T13:30:34.689Z Has data issue: false hasContentIssue false
  • English
  • Français

Efficacy of a short-term psychoeducational intervention for persistent non-organic insomnia in severely mentally ill patients. A pilot study

Published online by Cambridge University Press:  16 April 2020

Bruno Biancosino ,
Denis Rocchi ,
Silvia Donà ,
Vasiliki Kotrotsiou ,
Luciana Marmai  and
Luigi Grassi
Bruno Biancosino
Affiliation:
Section of Psychiatry, Department of Medical Sciences of Communication and Behavior, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy Department of Mental Health, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy
Denis Rocchi
Affiliation:
Section of Psychiatry, Department of Medical Sciences of Communication and Behavior, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy Department of Mental Health, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy
Silvia Donà
Affiliation:
Section of Psychiatry, Department of Medical Sciences of Communication and Behavior, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy Department of Mental Health, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy
Vasiliki Kotrotsiou
Affiliation:
Section of Psychiatry, Department of Medical Sciences of Communication and Behavior, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy Department of Mental Health, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy
Luciana Marmai
Affiliation:
Section of Psychiatry, Department of Medical Sciences of Communication and Behavior, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy Department of Mental Health, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy
Luigi Grassi*
Affiliation:
Section of Psychiatry, Department of Medical Sciences of Communication and Behavior, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy Department of Mental Health, University of Ferrara, Corso Giovecca 203, 44100Ferrara, Italy
*
*Corresponding author. Tel.: +39 05 322 36409; fax: +39 05 322 12240. E-mail address: [email protected] (L. Grassi).
Get access

Abstract

Insomnia in psychiatric patients is frequently underestimated in clinical practice. Usually drugs are prescribed for the treatment of this disorder but non-pharmacological intervention can be successfully used. The present study aimed at evaluating the efficacy of a two-session psychoeducational intervention in improving persistent non-organic insomnia and reducing the administration of PRN therapy in severely mentally ill patients.

A pre-post study was performed on 36 psychiatric patients admitted to a residential psychiatric unit. The Nocturnal Sleep Onset Scale (NSOS) and Daytime Sleepiness Scale (DSS), the sleep onset latency, the time awake after sleep onset and the numbers of awakenings were gathered 2 weeks before the intervention (T0), immediately prior the intervention (T1), 2 weeks after the last session of the intervention (T2) and a 3-month follow-up (T3). The total number of administrations of PRN therapy from T0 toT1 and from T1 to T2 were also examined. A significant reduction was shown on the NSOS, the sleep onset latency and in the time awake after sleep onset from T1 to T2 and from T1 to T3, while no significant difference was found between T0 and T1. A significant decrease on the mean number of administrations of PRN therapy was also found between 15 days before the intervention (T0–T1) and 15 days after intervention (T1–T2). The initial results of this study seems to suggest the possible efficacy of a short-term psychoeducational intervention on improving persistent non-organic insomnia in severely mentally ill patients. Further control studies are necessary to confirm these findings.

Keywords

Non-organic insomniaNon-pharmacological treatment of insomniaPsychoeducational interventionSleep-wake activity inventory
Type
Original article
Information
European Psychiatry , Volume 21 , Issue 7 , October 2006 , pp. 460 - 462
Copyright
Copyright © Elsevier SAS 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Agid, O., Kapur, S., Arenovich, T., Zipursky, R.B.Delayed-onset hipothesis of antipsychotic action a hypothesis tested and rejected Arch. Gen. Psychiatry 2003; 60:1228–1235.CrossRefGoogle Scholar
Bootzin, R.R., Nicassio, P.M.Behavioral treatments of insomnia. Hersen, M., Eissler, R., Miller, P., Progress in behavior modification. New York: Academic Press; 1978. 1–49.Google Scholar
Dashevsky, B.A., Kramer, M.Behavioral treatment of chronic insomnia in psychiatrically ill patients J. Clin. Psychiatry 1998; 59:693–699.CrossRefGoogle ScholarPubMed
Johnson, E.O., Breslau, N., Roth, T., Roehrs, T., Rosenthal, L.Psychometric evaluation of daytime sleepiness and nocturnal sleep onset scales in a representative community sample Biol. Psychiatry 1999; 45:764–770.CrossRefGoogle Scholar
Morin, C.M., Culbert, J.P., Schwartz, S.M.Nonpharmacological intervention for insomnia: a meta-analysis of treatment efficacy Am. J. Psychiatry 1994; 151:1172–1180.Google Scholar
Morin, C.M., Hauri, P.J., Espie, C.A., Spielman, A.J., Buysse, D.J., Bootzin, R.R.Nonpharmacologic treatment of chronic insomnia Sleep 1999; 22:1134–1156.CrossRefGoogle ScholarPubMed
Morin, C.M.Cognitive-behavioral approaches to the treatment of insomnia J. Clin. Psychiatry 65(Suppl 6)2004 33–40.Google ScholarPubMed
Murtagh, D.R., Greenwood, K.M.Identifying effective psychological treatments for insomnia: a meta-analysis J. Consult. Clin. Psychol. 1995; 63:79–89.CrossRefGoogle ScholarPubMed
Pallesen, S., Nordhus, I.H., Kvale, G., Nielsen, G.H., Havik, O.E., Johnsen, B.H.et al.Behavioral treatment of insomnia in older adults: an open clinical trial comparing two interventions Behav. Res. Ther. 2003; 41:31–48.CrossRefGoogle ScholarPubMed
Posternak, M.A., Zimmerman, M.Is there a delay in the antidepressant effect? A meta-analysis J. Clin. Psychiatry 2005; 62:148–158.CrossRefGoogle Scholar
Riemann, D., Voderholzer, U.Primary insomnia: a risk factor to develop depression? J. Affect. Disord. 2003; 76:255–259.CrossRefGoogle ScholarPubMed
Rosenthal, L., Roehrs, T.A., Roth, T.The Sleep-Wake Inventory: a self report measure of daytime sleepiness Biol. Psychiatry 1993; 34:810–820.CrossRefGoogle ScholarPubMed
Smith, M.T., Perlis, M.L., Park, A., Smith, M.S., Pennington, J., Giles, D.E.et al.Comparative meta-analysis of pharmacotherapy and behavior therapy for persistent insomnia Am. J. Psychiatry 2002; 159:5–11.CrossRefGoogle ScholarPubMed
Smith, S., Trinder, J.Detecting insomnia: comparison of four self-report measures of sleep in a young adult population J. Sleep Res. 2001; 10:229–235.CrossRefGoogle Scholar
Verbeek, I., Schreuder, K., Declerck, G.Evaluation of short-term nonpharmacological treatment of insomnia in a clinical setting J. Psychosom. Res. 1999; 47:369–383.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.