0503 Reductions in Sleep and Daily Rhythm Variability Following Brief Behavioral Treatment for Insomnia
Abstract Introduction Brief behavioral treatment for insomnia (BBTI) is efficacious for insomnia symptoms. Here we examine whether BBTI reduces sleep and daily rhythm variability and whether reductions in variability result in improved functioning and quality of life. Methods Ninety-one Veterans wit...
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| creator | Kanady, J C Straus, L D Gloria, R Neylan, T C Maguen, S |
| description | Abstract
Introduction
Brief behavioral treatment for insomnia (BBTI) is efficacious for insomnia symptoms. Here we examine whether BBTI reduces sleep and daily rhythm variability and whether reductions in variability result in improved functioning and quality of life.
Methods
Ninety-one Veterans with insomnia (49.3±18.7yrs; 18.7% female) were randomized to one of two treatment conditions: BBTI or progressive muscle relaxation training (PMRT; control condition). Variability was assessed using sleep diaries and actigraphy. The sleep diary outcome variables included bedtime variability, wake time variability, and total sleep time variability; actigraphy variables included interdaily stability, intradaily variability, and total sleep time variability. Functioning was assessed using the Work and Social Adjustment Scale. Quality of life was assessed using the Hotel Dieu-16 Scale.
Results
Compared to PMRT, BBTI resulted in a greater reduction in subjective total sleep time variability (F1,90=6.61, p |
| doi_str_mv | 10.1093/sleep/zsaa056.500 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2502900845</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/sleep/zsaa056.500</oup_id><sourcerecordid>2502900845</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1980-50733621ca8029c1f8a4770f8ea5a842944db00ba9625f70c21b79680931c1e13</originalsourceid><addsrcrecordid>eNqNkNFOwjAUhhujiYg-gHdNvHVwuq3beikoSkJiguhtczY6KNlabDfNfHqH8ABenZyc7_9P8hFyy2DEQERjXym1H_94RODJiAOckQHjHALRn8_JAFjCgowBvyRX3u-g32MRDcgGOER0qdZt0WhrPNWGvh26KJo1fURddXS57ZptTT_Qacx1pZuOzmxV2W9tNnTitCrpRG3xS1uHFV05hU2tTENL6-jceFsbjdfkosTKq5vTHJL32dNq-hIsXp_n04dFUDCRQcAhjaIkZAVmEIqClRnGaQplppBjFocijtc5QI4iCXmZQhGyPBVJ1itgBVMsGpK7Y-_e2c9W-UbubOtM_1KGvK8EyGLeU-xIFc5671Qp907X6DrJQB58yj-f8uRT9j77zP0xY9v9P_BfAW94nA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2502900845</pqid></control><display><type>article</type><title>0503 Reductions in Sleep and Daily Rhythm Variability Following Brief Behavioral Treatment for Insomnia</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Kanady, J C ; Straus, L D ; Gloria, R ; Neylan, T C ; Maguen, S</creator><creatorcontrib>Kanady, J C ; Straus, L D ; Gloria, R ; Neylan, T C ; Maguen, S</creatorcontrib><description>Abstract
Introduction
Brief behavioral treatment for insomnia (BBTI) is efficacious for insomnia symptoms. Here we examine whether BBTI reduces sleep and daily rhythm variability and whether reductions in variability result in improved functioning and quality of life.
Methods
Ninety-one Veterans with insomnia (49.3±18.7yrs; 18.7% female) were randomized to one of two treatment conditions: BBTI or progressive muscle relaxation training (PMRT; control condition). Variability was assessed using sleep diaries and actigraphy. The sleep diary outcome variables included bedtime variability, wake time variability, and total sleep time variability; actigraphy variables included interdaily stability, intradaily variability, and total sleep time variability. Functioning was assessed using the Work and Social Adjustment Scale. Quality of life was assessed using the Hotel Dieu-16 Scale.
Results
Compared to PMRT, BBTI resulted in a greater reduction in subjective total sleep time variability (F1,90=6.61, p<0.01, partial η 2=0.13) and a greater increase in interdaily stability (F1,78=12.41, p<0.01, partial η 2=0.25). There was a greater decrease in intradaily variability following PMRT (F1,78=27.96, p<0.01, partial η 2=0.42). Across the entire sample, reductions in subjective wake time variability were associated with improved functioning (F1,88=4.43, p=0.04, η 2=0.05) and reductions in subjective total sleep time variability were associated with improved quality of life (F1,89=4.91, p=0.03, partial η 2=0.05).
Conclusion
There was significant improvement in the stability of sleep-wake rhythms following BBTI, suggesting that BBTI not only treats insomnia, but also may stabilize circadian rhythms. Interestingly, PMRT resulted in greater intradaily variability reductions than BBTI. One explanation is that due to BBTI stimulus control guidelines, individuals were getting out of bed in the middle of the night more frequently and thus, these awakenings were better captured by actigraphy. Reductions in wake time and total sleep time variability were associated with improved functioning and quality of life, further demonstrating the importance of stable sleep-wake rhythms.
Support
VA Rehabilitation Research and Development Grant # RX001539-01A2</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleep/zsaa056.500</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Insomnia ; Quality of life ; Rhythm ; Sleep</subject><ispartof>Sleep (New York, N.Y.), 2020-05, Vol.43 (Supplement_1), p.A192-A193</ispartof><rights>Sleep Research Society 2020. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. 2020</rights><rights>Sleep Research Society 2020. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1980-50733621ca8029c1f8a4770f8ea5a842944db00ba9625f70c21b79680931c1e13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids></links><search><creatorcontrib>Kanady, J C</creatorcontrib><creatorcontrib>Straus, L D</creatorcontrib><creatorcontrib>Gloria, R</creatorcontrib><creatorcontrib>Neylan, T C</creatorcontrib><creatorcontrib>Maguen, S</creatorcontrib><title>0503 Reductions in Sleep and Daily Rhythm Variability Following Brief Behavioral Treatment for Insomnia</title><title>Sleep (New York, N.Y.)</title><description>Abstract
Introduction
Brief behavioral treatment for insomnia (BBTI) is efficacious for insomnia symptoms. Here we examine whether BBTI reduces sleep and daily rhythm variability and whether reductions in variability result in improved functioning and quality of life.
Methods
Ninety-one Veterans with insomnia (49.3±18.7yrs; 18.7% female) were randomized to one of two treatment conditions: BBTI or progressive muscle relaxation training (PMRT; control condition). Variability was assessed using sleep diaries and actigraphy. The sleep diary outcome variables included bedtime variability, wake time variability, and total sleep time variability; actigraphy variables included interdaily stability, intradaily variability, and total sleep time variability. Functioning was assessed using the Work and Social Adjustment Scale. Quality of life was assessed using the Hotel Dieu-16 Scale.
Results
Compared to PMRT, BBTI resulted in a greater reduction in subjective total sleep time variability (F1,90=6.61, p<0.01, partial η 2=0.13) and a greater increase in interdaily stability (F1,78=12.41, p<0.01, partial η 2=0.25). There was a greater decrease in intradaily variability following PMRT (F1,78=27.96, p<0.01, partial η 2=0.42). Across the entire sample, reductions in subjective wake time variability were associated with improved functioning (F1,88=4.43, p=0.04, η 2=0.05) and reductions in subjective total sleep time variability were associated with improved quality of life (F1,89=4.91, p=0.03, partial η 2=0.05).
Conclusion
There was significant improvement in the stability of sleep-wake rhythms following BBTI, suggesting that BBTI not only treats insomnia, but also may stabilize circadian rhythms. Interestingly, PMRT resulted in greater intradaily variability reductions than BBTI. One explanation is that due to BBTI stimulus control guidelines, individuals were getting out of bed in the middle of the night more frequently and thus, these awakenings were better captured by actigraphy. Reductions in wake time and total sleep time variability were associated with improved functioning and quality of life, further demonstrating the importance of stable sleep-wake rhythms.
Support
VA Rehabilitation Research and Development Grant # RX001539-01A2</description><subject>Insomnia</subject><subject>Quality of life</subject><subject>Rhythm</subject><subject>Sleep</subject><issn>0161-8105</issn><issn>1550-9109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkNFOwjAUhhujiYg-gHdNvHVwuq3beikoSkJiguhtczY6KNlabDfNfHqH8ABenZyc7_9P8hFyy2DEQERjXym1H_94RODJiAOckQHjHALRn8_JAFjCgowBvyRX3u-g32MRDcgGOER0qdZt0WhrPNWGvh26KJo1fURddXS57ZptTT_Qacx1pZuOzmxV2W9tNnTitCrpRG3xS1uHFV05hU2tTENL6-jceFsbjdfkosTKq5vTHJL32dNq-hIsXp_n04dFUDCRQcAhjaIkZAVmEIqClRnGaQplppBjFocijtc5QI4iCXmZQhGyPBVJ1itgBVMsGpK7Y-_e2c9W-UbubOtM_1KGvK8EyGLeU-xIFc5671Qp907X6DrJQB58yj-f8uRT9j77zP0xY9v9P_BfAW94nA</recordid><startdate>20200527</startdate><enddate>20200527</enddate><creator>Kanady, J C</creator><creator>Straus, L D</creator><creator>Gloria, R</creator><creator>Neylan, T C</creator><creator>Maguen, S</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20200527</creationdate><title>0503 Reductions in Sleep and Daily Rhythm Variability Following Brief Behavioral Treatment for Insomnia</title><author>Kanady, J C ; Straus, L D ; Gloria, R ; Neylan, T C ; Maguen, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1980-50733621ca8029c1f8a4770f8ea5a842944db00ba9625f70c21b79680931c1e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Insomnia</topic><topic>Quality of life</topic><topic>Rhythm</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kanady, J C</creatorcontrib><creatorcontrib>Straus, L D</creatorcontrib><creatorcontrib>Gloria, R</creatorcontrib><creatorcontrib>Neylan, T C</creatorcontrib><creatorcontrib>Maguen, S</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kanady, J C</au><au>Straus, L D</au><au>Gloria, R</au><au>Neylan, T C</au><au>Maguen, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>0503 Reductions in Sleep and Daily Rhythm Variability Following Brief Behavioral Treatment for Insomnia</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><date>2020-05-27</date><risdate>2020</risdate><volume>43</volume><issue>Supplement_1</issue><spage>A192</spage><epage>A193</epage><pages>A192-A193</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><abstract>Abstract
Introduction
Brief behavioral treatment for insomnia (BBTI) is efficacious for insomnia symptoms. Here we examine whether BBTI reduces sleep and daily rhythm variability and whether reductions in variability result in improved functioning and quality of life.
Methods
Ninety-one Veterans with insomnia (49.3±18.7yrs; 18.7% female) were randomized to one of two treatment conditions: BBTI or progressive muscle relaxation training (PMRT; control condition). Variability was assessed using sleep diaries and actigraphy. The sleep diary outcome variables included bedtime variability, wake time variability, and total sleep time variability; actigraphy variables included interdaily stability, intradaily variability, and total sleep time variability. Functioning was assessed using the Work and Social Adjustment Scale. Quality of life was assessed using the Hotel Dieu-16 Scale.
Results
Compared to PMRT, BBTI resulted in a greater reduction in subjective total sleep time variability (F1,90=6.61, p<0.01, partial η 2=0.13) and a greater increase in interdaily stability (F1,78=12.41, p<0.01, partial η 2=0.25). There was a greater decrease in intradaily variability following PMRT (F1,78=27.96, p<0.01, partial η 2=0.42). Across the entire sample, reductions in subjective wake time variability were associated with improved functioning (F1,88=4.43, p=0.04, η 2=0.05) and reductions in subjective total sleep time variability were associated with improved quality of life (F1,89=4.91, p=0.03, partial η 2=0.05).
Conclusion
There was significant improvement in the stability of sleep-wake rhythms following BBTI, suggesting that BBTI not only treats insomnia, but also may stabilize circadian rhythms. Interestingly, PMRT resulted in greater intradaily variability reductions than BBTI. One explanation is that due to BBTI stimulus control guidelines, individuals were getting out of bed in the middle of the night more frequently and thus, these awakenings were better captured by actigraphy. Reductions in wake time and total sleep time variability were associated with improved functioning and quality of life, further demonstrating the importance of stable sleep-wake rhythms.
Support
VA Rehabilitation Research and Development Grant # RX001539-01A2</abstract><cop>US</cop><pub>Oxford University Press</pub><doi>10.1093/sleep/zsaa056.500</doi><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Insomnia Quality of life Rhythm Sleep |
| title | 0503 Reductions in Sleep and Daily Rhythm Variability Following Brief Behavioral Treatment for Insomnia |
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