Efficacy of cognitive behavioral therapy for insomnia comorbid to Parkinson's disease: A focus on psychological and daytime functioning with a single‐case design with multiple baselines
Résumé
Objective: To test the efficacy of cognitive behavioral
therapy for insomnia (CBT‐i) in Parkinsonʼs Disease (PD)
and to evaluate its impact on indices of daytime and
psychological functioning.
Method: Fifteen patients with insomnia disorder (ID)
comorbid to PD were enrolled in a single‐case design with
multiple baselines. Total wake time, sleep efficiency, and
daytime sleepiness were recorded on a sleep diary. Selfreported
measures of insomnia, anxiety and depressive
symptoms, health‐related quality of life, and psychological
variables perpetuating ID were completed. All patients also
underwent a clinical interview for ID diagnosis.
Results: CBT‐i was associated with significant changes in
sleep variables and ID criteria. Significant positive treatment‐
related effects were also noted for all indices of
daytime and psychological functioning, and for variables
perpetuating ID. All of these improvements were well
maintained at 3‐month follow‐up.
Conclusion: CBT‐i is a promising therapeutic avenue for
patients with PD.