Related Experiment Video
Updated: Dec 3, 2025

Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
Does cognitive-behavioural therapy improve sleep outcomes in individuals with traumatic brain injury: a scoping
Rebecca Ludwig1, Prasanna Vaduvathiriyan2, Catherine Siengsukon1
1Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center , Kansas City, Kansas, USA.
Background:
Insomnia symptoms are common after a traumatic brain injury (TBI). Cognitive-behavioural therapy (CBT) to treat sleep disturbances and insomnia (CBT-I) has been used to improve sleep outcomes. It is unclear if CBT/CBT-I is efficacious in individuals with a TBI. This review was performed to evaluate the use of CBT/CBT-I in individuals with a TBI who also endorse insomnia and concomitant symptoms.
Methods:
Literature searches were conducted in June 2019. A total of 861 articles were found. The full text of 14 articles was reviewed for inclusion/exclusion criteria. Quality appraisal was conducted to assess the risk of bias.
Results:
Five articles met the criteria. Two articles were pilot-randomized control trials and three were case studies. The review indicates that individuals participating in CBT/CBT-I reported increased sleep efficiency, sleep quality, and reduced insomnia symptoms and concomitant symptoms. The major source of bias is a limited number of participants across all studies.
Conclusion:
This review provides evidence that CBT/CBT-I following a TBI can improve sleep outcomes and reduce concomitant symptoms. More robust studies are needed due to limited number of randomized control trials to determine if CBT/CBT-I is an effective treatment in individuals with TBI.
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