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A single-case multiple baseline design for treating insomnia in eating disorders: The TIRED study
Kara A Christensen1, Kelsie T Forbush1, Brendon T Elliott1
1Department of Psychology, University of Kansas, Lawrence, Kansas, USA.
The International Journal of Eating Disorders
|December 18, 2020
Summary
This study tested Brief Behavioral Treatment for Insomnia in individuals with residual insomnia disorder after eating disorder (ED) treatment. Results showed improvements in insomnia severity, sleep efficiency, and daytime fatigue.
Area of Science:
- Sleep Medicine
- Psychiatry
- Behavioral Therapy
Background:
- Insomnia is a common issue in individuals with eating disorders (EDs).
- Few studies have investigated behavioral interventions for insomnia in this population.
- Residual insomnia symptoms can negatively impact recovery.
Purpose of the Study:
- To evaluate the effectiveness of Brief Behavioral Treatment for Insomnia (BBTI) in individuals with residual insomnia disorder post-ED treatment.
- To assess the impact of BBTI on insomnia severity, sleep efficiency, and daytime fatigue.
- To explore the effects of BBTI on ED-related symptoms, depression, and anxiety.
Main Methods:
- A single-case multiple baseline study design was employed.
- Six participants received BBTI and completed pre- and post-treatment assessments.
- Daily sleep diaries and follow-up assessments at one and three months were conducted.
Main Results:
- The primary outcome, insomnia severity, showed significant improvement.
- Secondary outcomes, including sleep efficiency and daytime fatigue, also improved.
- Exploratory outcomes indicated positive trends in ED-related symptoms, anxiety, and depression.
Conclusions:
- BBTI is a promising intervention for residual insomnia disorder in individuals with a history of EDs.
- These findings support the development of targeted insomnia interventions for this population.
- Further research with larger sample sizes is warranted to confirm these results.
Keywords:
behavioral therapyeating disordersinsomnia disordermultiple baseline designsingle-case experimental designMore Related Videos
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