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Relaxation therapy for insomnia: nighttime and day time effects
M K Means1, K L Lichstein, M T Epperson
1Department of Psychology, University of Memphis, TN 38152-6400, USA.
Behaviour Research and Therapy
|June 30, 2000
Summary
College students with insomnia experience significant daytime dysfunction. While progressive relaxation improved sleep, it did not significantly enhance daytime functioning, suggesting treatment goals should encompass both sleep and daily life improvements.
Area of Science:
- Sleep Medicine
- Psychology
- Cognitive Behavioral Therapy
Background:
- Insomnia significantly impacts college students' daily lives.
- Daytime functioning deficits are common in individuals with insomnia.
- The effectiveness of insomnia treatments on daytime functioning requires further investigation.
Purpose of the Study:
- To compare daytime functioning in college students with and without insomnia.
- To explore the effects of progressive relaxation (PR) on daytime functioning in students with insomnia.
- To assess if improvements in sleep translate to improvements in daytime functioning post-treatment.
Main Methods:
- A comparative study involving college students with insomnia (SWI) and without insomnia (SNI).
- Utilized validated questionnaires including the Insomnia Impact Scale (IIS), Epworth Sleepiness Scale (ESS), and Fatigue Severity Scale (FSS).
- A subset of SWI received progressive relaxation (PR) treatment, with outcomes compared to untreated SWI and SNI.
Main Results:
- Students with insomnia (SWI) showed significant impairments in daytime functioning and sleep quality compared to students without insomnia (SNI).
- PR treatment led to sleep improvements in SWI compared to untreated SWI.
- Treated SWI did not exhibit significant improvements in daytime functioning compared to untreated SWI or SNI.
Conclusions:
- Insomnia treatments primarily focused on sleep may not sufficiently improve daytime functioning.
- Improvements in daytime functioning may lag behind sleep improvements following insomnia treatment.
- Insomnia treatment strategies should aim to enhance both sleep quality and the subjective experience of daytime functioning.
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