Behavioral treatments for sleep disorders

Behavioral Treatments for Sleep Disorders: A Comprehensive Primer of Behavioral Sleep Medicine Interventions......Page 1
Front-matter......Page 2
Copyright......Page 4
About the Author......Page 5
Dedication......Page 6
Contributors......Page 9
Abbreviations......Page 12
Introduction......Page 14
Conceptual Models......Page 16
Efficacy and Effectiveness Data......Page 17
New Treatments......Page 18
Standardized Assessment Methods......Page 19
References......Page 20
Specific Indication......Page 23
Rationale for Intervention......Page 24
Step by Step Description of Procedures......Page 25
Example 1......Page 26
Example 3......Page 27
Completing SRT......Page 28
Example 5......Page 29
Proof of Concept......Page 30
References......Page 32
Contraindications......Page 34
Introduce the Exercise......Page 35
Rationale for the Specific SCT Instructions......Page 40
Possible Modifications/Variants......Page 41
References......Page 42
Contraindications......Page 44
Rationale for Intervention......Page 45
Procedures......Page 46
Sleep Hygiene Rules......Page 49
Do Not Take Naps During the Day......Page 50
Avoid Liquids Before Bedtime......Page 51
Avoid Nicotine......Page 52
Make the Sleep Environment Comfortable and Conducive to Sleep......Page 53
“Wrapping Up”......Page 54
Proof of Concept/Supporting Data/Evidence Base......Page 55
Recommended Reading......Page 56
Rationale for Intervention......Page 57
The Relaxation Response......Page 58
Relaxation Procedures......Page 59
Progressive Muscle Relaxation (PMR)......Page 60
Yoga......Page 61
Imagery......Page 62
Proof of Concept/Supporting Data/Evidence Base......Page 63
References......Page 64
Recommended Reading......Page 65
Contraindications......Page 67
Step by Step Description of Procedures......Page 68
Adherence......Page 69
Proof of Concept/Supporting Data/Evidence Base......Page 70
Recommended Reading......Page 71
Contraindications......Page 72
Consider Sleep “Normalcy”......Page 73
Measure Sleep Normalcy......Page 74
Develop a Formulation of Insomnia as a Sleep Effort Syndrome......Page 75
Give Up Trying to Sleep......Page 76
Proof of Concept/Supporting Data/Evidence Base......Page 79
References......Page 80
Rationale for Intervention......Page 82
Step by Step Description of Procedures......Page 83
Step 2: Collaborate with your Patient to Brainstorm Ideas for an Experiment......Page 84
Step 6: Review the Experiment and Draw Conclusions......Page 86
Possible Modifications/Variants......Page 87
Recommended Reading......Page 88
Rationale for Intervention......Page 89
Example 1: Daytime Fatigue......Page 90
Example 2: Poor Sleep is Dangerous......Page 91
Example 3: Control of Sleep......Page 94
Example 4: Survey......Page 95
References......Page 98
Recommended Reading......Page 99
Rationale for Intervention......Page 100
Step by Step Description of Procedures for Misperception of Sleep......Page 101
Example Experiment: Does Tiredness Noticeably Affect My Appearance?......Page 103
Recommended Reading......Page 104
Rationale for Intervention......Page 105
Step by Step Description of Procedures (SEE CHAPTER 7 FOR THE STEPS INVOLVED IN DEVISING EACH EXPERIMENT)......Page 106
References......Page 112
Recommended Reading......Page 113
Contraindications......Page 114
Rationale for Intervention......Page 115
Step by Step Description of Procedures......Page 116
Possible Modifications/Variants......Page 121
References......Page 122
Recommended reading......Page 123
Contraindications......Page 126
Step by Step Description of Procedures......Page 127
Calculate How Long the Patient has had Their Insomnia (in Days)......Page 128
Assess and Record the Patient’s Probability Estimates......Page 129
Calculate the Frequency Rate that Corresponds to the Certainty Estimate......Page 131
Set a Countering “Mantra”......Page 132
Recommended Reading......Page 133
Contraindications......Page 134
Step by Step Description of Procedures......Page 135
Possible Modifications/Variants......Page 136
Proof of Concept/Supporting Data/Evidence Base......Page 137
References......Page 138
Rationale For Intervention......Page 139
Step by Step Description of Procedures......Page 140
Letting Go......Page 141
Acceptance......Page 142
Overall Discussion......Page 144
Proof of Concept/Supporting Data/Evidence Base......Page 145
References......Page 146
Recommended Reading......Page 147
Rationale for Intervention......Page 148
Step by Step Description of Procedures......Page 151
Possible Modifications/Variants......Page 152
Proof of Concept/Supporting Data/Evidence Base......Page 153
Recommended Reading......Page 154
Contraindications......Page 156
Step by Step Description of Procedures......Page 157
Possible Modifications/Variants......Page 160
References......Page 161
Recommended Reading......Page 162
Contraindications......Page 163
Step by Step Description of Procedures......Page 164
Possible Modifications/Variants......Page 166
References......Page 167
Recommended reading......Page 169
BSM Protocols for Adherence and Treatment of Intrinsic Sleep Disorders......Page 170
Contraindications......Page 172
Session 1: Patient Assessment of PAP during Titration Night......Page 173
Review of Symptoms......Page 174
Positive Response......Page 175
Negative Response......Page 176
Session 2: Patient’s Subjective Appraisal of Adherence to PAP......Page 177
Decisional Balance Exercise......Page 178
Review of Feedback on Reaction Time......Page 179
Assess Patient Motivation and Confidence......Page 180
Explore and Identify Experienced or Anticipated Barriers to PAP Use......Page 181
Building Confidence to Use PAP......Page 182
Proof of Concept/Supporting Data/Evidence Base......Page 183
Recommended reading......Page 184
Contraindications......Page 185
Rationale for Intervention......Page 186
Step by Step Description of Procedures......Page 187
Proof of Concept/Supporting Data/Evidence Base......Page 192
References......Page 194
Recommended Reading......Page 195
Treating OSA as a Chronic Disease......Page 196
Why Implement a Self-management Program for Sleep Apnea Patients?......Page 197
Group Size......Page 198
Review of Sleep Apnea......Page 199
Sleep Apnea as a Chronic Disease......Page 200
Sleep Apnea Self-Management......Page 201
Session 3: First Week on CPAP Therapy......Page 203
Session 4: Second Week on CPAP Therapy......Page 205
Group Size......Page 207
Proof of Concept/Supporting Data/Evidence Base......Page 208
References......Page 209
Recommended Reading......Page 210
Specific Indication......Page 211
Step by Step Description of Procedures......Page 212
References......Page 214
Specific Indication......Page 215
Step by Step Description of Procedures......Page 216
Key Components of a Modeling Video......Page 218
The Intervention......Page 219
Problems Encountered......Page 220
References......Page 221
Specific Indications......Page 222
Rationale for Intervention......Page 223
Step by Step Description of Procedures......Page 224
Improving Patients’ Acceptance of Positional Therapy......Page 225
Head Extension......Page 227
Supporting Data......Page 228
Summary......Page 231
References......Page 232
Recommended Reading......Page 234
Rationale for Intervention......Page 236
Proof of Concept/Supporting Data/Evidence Base......Page 237
References......Page 238
BSM Protocols for Pediatric Sleep Disorders......Page 239
References......Page 241
Contraindications......Page 242
Rationale for Intervention......Page 243
Step by Step Description of Procedures......Page 244
Background Knowledge (Part I of the Protocol)......Page 245
Advice for Home with a New Baby (Part II of the Protocol)......Page 246
Possible Modifications/Variants......Page 249
Proof of Concept/Supporting Data/Evidence Base......Page 250
Recommended Reading......Page 251
Specific Indication......Page 253
Rationale for Intervention......Page 254
Step 2: Providing General Information about Sleep to Parents......Page 255
Step 4: Unmodified Extinction – Bedtime and Night Wakings......Page 256
Extinction Burst and Spontaneous Recovery......Page 257
References......Page 258
Recommended Reading......Page 259
Specific Indication......Page 260
Rationale for Intervention......Page 261
Educate Parents about Normal Sleep and Child Development......Page 262
Establish a Sleep Schedule and a Bedtime Routine......Page 263
Select a Global or Targeted Approach......Page 264
Infants Who Are Nursed to Sleep......Page 265
Problem-Solve Barriers to Treatment Adherence......Page 266
Proof of Concept/Evidence Base......Page 267
Recommended Reading......Page 268
Specific Indication......Page 269
Rationale for Intervention......Page 270
Assess Suitability of the Family......Page 271
Introduce the Intervention......Page 272
Bedtime and Early Evening......Page 273
Troubleshooting/Fears......Page 274
Maintaining Progress and Follow-up......Page 275
References......Page 276
Recommended readings......Page 277
Gross Indication......Page 278
Rationale for Intervention......Page 279
Step by Step Description of Procedures......Page 280
Possible Modifications/Variants......Page 282
Proof of Concept/Supporting Data/Evidence Base......Page 283
References......Page 284
Specific Indication......Page 286
Rationale for Intervention......Page 287
Step by Step Description of Procedures......Page 288
Possible Modifications/Variants......Page 289
Proof of Concept/Supporting Data/Evidence Base......Page 290
Recommended Reading......Page 291
Specific Indication......Page 292
Rationale for Intervention......Page 293
Teach the Child to Fall Asleep in the Desired Habitual Sleep Environment......Page 295
Temporarily Delay Bedtime and Manage the Sleep Schedule......Page 296
The Excuse-Me Drill (EMD)......Page 297
Create a Back-up Plan for Leaving the Bedroom......Page 298
Possible Modifications/Variants......Page 299
References......Page 300
Recommended Reading......Page 302
Contraindications......Page 303
Encouraging the Development of Self-Calming Skills......Page 304
Possible Modifications/Variants......Page 306
References......Page 308
Recommended Reading......Page 309
Contraindications......Page 310
Step by Step Description of Procedures......Page 311
Proof of Concept/Supporting Data......Page 313
Recommended Reading......Page 314
Specific Indication......Page 315
Rationale for Intervention......Page 316
Step by Step Description of Procedures......Page 317
Baseline Monitoring/Treatment Planning......Page 318
Treatment Fading/Termination......Page 320
References......Page 321
Recommended Reading......Page 322
Specific Indication......Page 323
Rationale for Intervention......Page 324
Facts About Nightmares......Page 326
Practicing Pleasant Imagery......Page 327
Notes on the Application of IRT......Page 328
Possible Modifications/Variants......Page 329
References......Page 330
Recommended Reading......Page 332
Contraindications......Page 333
Step by Step Description of Procedures......Page 334
Important Supplies......Page 336
Procedural Sequence......Page 337
Possible Modifications/Variants......Page 338
References......Page 339
Recommended Reading......Page 340
Specific Indication......Page 341
Contraindications......Page 342
Rationale for Intervention......Page 343
Step by Step Description of Procedures......Page 344
Measurement of PAP Adherence......Page 345
Summary of Protocol Procedures......Page 348
Specific Behavior Therapy Procedures......Page 349
Caregiver Training and Procedures for Adherence Promotion......Page 350
Possible Modifications/Variants......Page 351
Proof of Concept/Supporting Data/Evidence Base......Page 353
References......Page 355
Recommended Reading......Page 356
Contraindications......Page 357
Rationale for Intervention......Page 358
Develop Discrepancy......Page 359
Step by Step Description of Procedures......Page 360
Strategies for Establishing Rapport......Page 361
Decisional Balance......Page 364
Importance and Confidence Rulers......Page 365
FRAMES......Page 367
Possible Modifications/Variants......Page 368
References......Page 369
Recommended Reading......Page 370
Index......Page 372