Mary C. Kapella|Herdegen|Perlis|Shaver|Larson|Division on Earth|Kathleen M. Carley
Cognitive behavioral therapy for insomnia comorbid with COPD is feasible with preliminary evidence of positive sleep and fatigue effects
University of Illinois at Chicago|University of Pennsylvania|University of Arizona|University of Michigan–Ann Arbor|University of Illinois at Chicago
background many people copd report difficulties falling asleep staying asleep insufficient sleep duration nonrestorative sleepcognitive behavioral therapy insomnia cbti proved effective people primary insomnia also people insomnia comorbid psychiatric medical illness eg depression cancer chronic painhowever cbti rarely tested copd diseaserelated features interfere sleep may lessen effectiveness therapiesthe purpose study determine feasibility applying cbti intervention people copd assess impact cbti insomnia severity sleeprelated outcomes fatigue mood daytime functioningmethods study two phasesin phase 1 6weekly session cbti intervention protocol participants copd assessed examine feasibility acceptabilityphase 2 small trial utilizing prospective twogroup preand posttest design random assignment sixsession cbti sixsession wellness education program determine effects intervention interventions provided nurse behavioral sleep medicine specialistresults fourteen participants five phase 1 nine phase 2 completed six sessions cbti nine participants completed six sessions weparticipants indicated interventions acceptablesignificant positive treatmentrelated effects cbti intervention noted insomnia severity p 0000 global sleep quality p 0002 wake sleep onset p 003 sleep efficiency p 002 fatigue p 0005 beliefs attitudes sleep p 0000significant positive effects noted depressed mood p 0005conclusion results suggest using cbti copd feasible outcomes compare favorably obtained older adults insomnia context chronic illnesses