作者
Sylvia Nguyen, Adam McKay, Dana Wong, Shantha M Rajaratnam, Gershon Spitz, Gavin Williams, Darren Mansfield, Jennie L Ponsford
发表日期
2017/8/1
期刊
Archives of physical medicine and rehabilitation
卷号
98
期号
8
页码范围
1508-1517. e2
出版商
WB Saunders
简介
Objective
To evaluate the efficacy of adapted cognitive behavioral therapy (CBT) for sleep disturbance and fatigue in individuals with traumatic brain injury (TBI).
Design
Parallel 2-group randomized controlled trial.
Setting
Outpatient therapy.
Participants
Adults (N=24) with history of TBI and clinically significant sleep and/or fatigue complaints were randomly allocated to an 8-session adapted CBT intervention or a treatment as usual (TAU) condition.
Interventions
Cognitive behavior therapy.
Main Outcome Measures
The primary outcome was the Pittsburgh Sleep Quality Index (PSQI) posttreatment and at 2-month follow-up. Secondary measures included the Insomnia Severity Index, Fatigue Severity Scale, Brief Fatigue Inventory (BFI), Epworth Sleepiness Scale, and Hospital Anxiety and Depression Scale.
Results
At follow-up, CBT recipients reported better sleep quality than those receiving TAU (PSQI mean difference, 4 …
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