Does cognitive-behavioural therapy improve sleep outcomes in individuals with traumatic brain injury: a scoping review. (14th October 2020)

• Record Type: Journal Article
• Authors: Ludwig, Rebecca; Vaduvathiriyan, Prasanna; Siengsukon, Catherine
• Is Part Of: Brain injury. Volume 34:Number 12(2020)
• Page Start: 1569
• Page End: 1578
• Publication Date: 2020-10-14
• Subjects: Sleep -- cognitive-behavioural therapy -- insomnia -- traumatic brain injury; Brain damage -- Periodicals; Brain -- Wounds and injuries -- Periodicals; Brain Injuries -- Periodicals; 617.481
• DOI: 10.1080/02699052.2020.1831070
• Languages: English
• ISSNs: 0269-9052

Abstract

ABSTRACT: Background: Insomnia symptoms are common after a traumatic brain injury (TBI). Cognitive-behavioural therapy (CBT) to treat sleep disturbances and insomnia (CBT-I) has been used to improve sleep outcomes. It is unclear if CBT/CBT-I is efficacious in individuals with a TBI. This review was performed to evaluate the use of CBT/CBT-I in individuals with a TBI who also endorse insomnia and concomitant symptoms. Methods: Literature searches were conducted in June 2019. A total of 861 articles were found. The full text of 14 articles was reviewed for inclusion/exclusion criteria. Quality appraisal was conducted to assess the risk of bias. Results: Five articles met the criteria. Two articles were pilot-randomized control trials and three were case studies. The review indicates that individuals participating in CBT/CBT-I reported increased sleep efficiency, sleep quality, and reduced insomnia symptoms and concomitant symptoms. The major source of bias is a limited number of participants across all studies. Conclusion: This review provides evidence that CBT/CBT-I following a TBI can improve sleep outcomes and reduce concomitant symptoms. More robust studies are needed due to limited number of randomized control trials to determine if CBT/CBT-I is an effective treatment in individuals with TBI.