Does cognitive-behavioural therapy improve sleep outcomes in individuals with traumatic brain injury: a scoping review
- Resource Type
- Authors
- Rebecca Ludwig; Catherine F. Siengsukon; Prasanna Vaduvathiriyan
- Source
- Brain injury. 34(12)
- Subject
- Sleep Wake Disorders
030506 rehabilitation
medicine.medical_specialty
Traumatic brain injury
Neuroscience (miscellaneous)
behavioral disciplines and activities
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Sleep Initiation and Maintenance Disorders
mental disorders
Brain Injuries, Traumatic
Developmental and Educational Psychology
medicine
Insomnia
Humans
Cognitive Behavioral Therapy
business.industry
Cognition
medicine.disease
Sleep in non-human animals
nervous system diseases
Neurology (clinical)
medicine.symptom
0305 other medical science
business
Sleep
030217 neurology & neurosurgery
- Language
- ISSN
- 1362-301X
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.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.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.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.