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The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
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Restoring effective sleep tranquility (REST): A feasibility and pilot study.

Aaron M Eakman1, Arlene A Schmid2, Kimberly L Henry3

  • 1Assistant Professor, Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins, CO, USA.

The British Journal of Occupational Therapy
|June 20, 2017
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Summary
This summary is machine-generated.

This study explored a cognitive behavioral therapy for insomnia program for veterans, finding it feasible and effective in reducing sleep difficulties and improving participation. A future controlled trial is supported by these promising results.

Keywords:
Sleepcognitive behavioral therapygroupmeditationoccupational therapyself-managementveteran

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Area of Science:

  • Sleep Medicine
  • Behavioral Therapy
  • Military Health

Background:

  • Sleep disturbances are prevalent in military veterans with service-connected injuries.
  • Cognitive Behavioral Therapy for Insomnia (CBT-I) is a potential treatment for sleep issues.

Purpose of the Study:

  • To assess the feasibility of a multi-component CBT-I program for veterans with sleep disturbances.
  • To establish indicators for a future controlled trial.

Main Methods:

  • A single-arm pilot study involving US post-9/11 veterans with self-reported sleep disturbances.
  • The Restoring Effective Sleep Tranquility (REST) program included group and individual therapy sessions delivered by occupational therapists.
  • Feasibility was assessed through process, resource, management, and scientific indicators, including pre-post-assessments.

Main Results:

  • Significant reductions in sleep difficulties (p=.02) and nightmares (p=.03) were observed.
  • Participants showed fewer dysfunctional sleep beliefs (p=.01) and improved social role participation (p=.03).
  • Trends indicated improved satisfaction and reduced pain interference.

Conclusions:

  • The REST program shows potential for reducing sleep difficulties and enhancing participation in veterans.
  • Evidence supports the feasibility of conducting a controlled trial for this intervention.