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Behavioral Treatments for Sleep Disorders -

Behavioral Treatments for Sleep Disorders (eBook)

A Comprehensive Primer of Behavioral Sleep Medicine Interventions
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2010 | 1. Auflage
404 Seiten
Elsevier Reference Monographs (Verlag)
978-0-12-381523-1 (ISBN)
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Sleep is a major component of good mental and physical health, yet over 40 million Americans suffer from sleep disorders. Edited by three prominent clinical experts, Behavioral Treatments for Sleep Disorders is the first reference to cover all of the most common disorders (insomnia, sleep apnea, restless legs syndrome, narcolepsy, parasomnias, etc) and the applicable therapeutic techniques. The volume adopts a highly streamlined and practical approach to make the tools of the trade from behavioral sleep medicine accessible to mainstream psychologists as well as sleep disorder specialists. Organized by therapeutic technique, each chapter discusses the various sleep disorders to which the therapy is relevant, an overall rationale for the intervention, step-by-step instructions for how to implement the technique, possible modifications, the supporting evidence base, and further recommended readings. Treatments for both the adult and child patient populations are covered, and each chapter is authored by an expert in the field. - Offers more coverage than any volume on the market, with discussion of virtually all sleep disorders and numerous treatment types - Addresses treatment concerns for both adult and pediatric population - Outstanding scholarship, with each chapter written by an expert in the topic area - Each chapter offers step-by-step description of procedures and covers the evidence-based data behind those procedures

Front Cover 1
Behavioral Treatments for Sleep Disorders 4
Copyright Page 5
Contents 12
Contributors 16
Abbreviations 20
Introduction 22
Part I. BSM Treatment Protocols for Insomia 24
Chapter 1. Sleep Restriction Therapy 32
Protocol Name 32
Gross Indication 32
Specific Indication 32
Contraindications 33
Rationale for Intervention 33
Step by Step Description of Procedures 34
Possible Modifications/Variants 39
Proof of Concept 39
References 41
Chapter 2. Stimulus Control Therapy 44
Protocol Name 44
Gross Indication 44
Specific Indication 44
Contraindications 44
Rationale for Intervention 45
Step by Step Description of Procedures 45
Possible Modifications/Variants 51
Proof of Concept/Supporting Data/Evidence Base 52
References 52
Chapter 3. Sleep Hygiene 54
Protocol Name 54
Gross Indication 54
Specific Indication 54
Contraindications 54
Rationale for Intervention 55
Step by Step Description of Procedures 56
Possible Modifications/Variants 65
Proof of Concept/Supporting Data/Evidence Base 65
References 66
Recommended Reading 66
Chapter 4. Relaxation for Insomnia 68
Protocol Name 68
Gross Indication 68
Specific Indication 68
Contraindications 68
Rationale for Intervention 68
Step by Step Description of Procedures 69
Possible Modifications/Variants 71
Proof of Concept/Supporting Data/Evidence Base 74
References 75
Recommended Reading 76
Chapter 5. Sleep Compression 78
Protocol Name 78
Gross Indication 78
Specific Indication 78
Contraindications 78
Rationale for Intervention 79
Step by Step Description of Procedures 79
Possible Modifications/Variants 81
Proof of Concept/Supporting Data/Evidence Base 81
References 82
Recommended Reading 82
Chapter 6. Paradoxical Intention Therapy 84
Protocol Name 84
Gross Indication 84
Specific Indication 84
Contraindications 84
Rationale for Intervention 85
Step by Step Description of Procedures 85
Possible Modifications and Variants 91
Proof of Concept/Supporting Data/Evidence Base 91
References 92
Chapter 7. Behavioral Experiments 94
Protocol Name 94
Gross Indication 94
Specific Indication 94
Contraindications 94
Rationale for Intervention 94
Step by Step Description of Procedures 95
Possible Modifications/Variants 99
Proof of Concept/Supporting Data/Evidence Base 100
References 100
Recommended Reading 100
Chapter 8. Intervention to Reduce Unhelpful Beliefs about Sleep 102
Protocol Name 102
Gross Indication 102
Specific Indication 102
Contraindications 102
Rationale for Intervention 102
Step by Step Description of Procedures 103
Proof of Concept/Supporting Data/Evidence Base 111
References 111
Recommended Reading 112
Chapter 9. Intervention to Reduce Misperception 114
Protocol Name 114
Gross Indication 114
Specific Indication 114
Contraindications 114
Rationale for Intervention 114
Step by Step Description of Procedures (SEE CHAPTER 7 FOR THE STEPS INVOLVED IN DEVISING EACH EXPERIMENT) 115
Possible Modifications/Variants 118
Proof of Concept/Supporting Data/Evidence Base 118
References 118
Recommended Reading 118
Chapter 10. Intervention to Reduce Use of Safety Behaviors 120
Protocol Name 120
Gross Indication 120
Specific Indication 120
Contraindications 120
Rationale for Intervention 120
Step by Step Description of Procedures (SEE CHAPTER 7 FOR THE STEPS INVOLVED IN DEVISING EACH EXPERIMENT) 121
Possible Modifications/Variants 127
Proof of Concept/Supporting Data/Evidence Base 127
References 127
Recommended Reading 128
Chapter 11. Cognitive Therapy for Dysfunctional Beliefs about Sleep and Insomnia 130
Protocol Name 130
Gross Indication 130
Specific Indication 130
Contraindications 130
Rationale for Intervention 131
Step by Step Description of Procedures 132
Possible Modifications/Variants 137
Proof of Concept/Supporting Data 138
References 138
Recommended reading 139
Chapter 12. Cognitive Restructuring: Cognitive Therapy for Catastrophic Sleep Beliefs 142
Protocol Name 142
Gross Indication 142
Specific Indication 142
Contraindications 142
Rationale for Intervention 143
Step by Step Description of Procedures 143
Possible Modifications/Variants 149
Proof of Concept/Supporting Data/Evidence Base 149
Reference 149
Recommended Reading 149
Chapter 13. Intensive Sleep Retraining: Conditioning Treatment for Primary Insomnia 150
Protocol Name 150
Gross Indication 150
Specific Indication 150
Contraindications 150
Rationale for Intervention 151
Step by Step Description of Procedures 151
Possible Modifications/Variants 152
Proof of Concept/Supporting Data/Evidence Base 153
References 154
Chapter 14. Mindfulness-Based Therapy for Insomnia 156
Protocol Name 156
Gross Indication 156
Specific Indication 156
Contraindications 156
Rationale For Intervention 156
Step by Step Description of Procedures 157
Possible Modifications/Variants 162
Proof of Concept/Supporting Data/Evidence Base 162
References 163
Recommended Reading 164
Chapter 15. Brief Behavioral Treatment of Insomnia 166
Protocol Name 166
Gross Indication 166
Specific Indication 166
Contraindications 166
Rationale for Intervention 166
Step by Step Description of Procedures 169
Possible Modifications/Variants 170
Proof of Concept/Supporting Data/Evidence Base 171
Proof of Concept/Supporting Data/Evidence Base 172
References 172
Recommended Reading 172
Chapter 16. Using Bright Light and Melatonin to Reduce Jet Lag 174
Protocol Name 174
Gross Indication 174
Specific Indication 174
Contraindications 174
Rationale for Intervention 175
Step by Step Description of Procedures 175
Possible Modifications/Variants 178
Proof of Concept/Supporting Data/Evidence Base 179
References 179
Recommended Reading 180
Chapter 17. Using Bright Light and Melatonin to Adjust to Night Work 182
Protocol Name 182
Gross Indication 182
Specific Indication 182
Contraindications 182
Rationale for Intervention 183
Step by Step Description of Procedures 183
Possible Modifications/Variants 185
Proof of Concept/Supporting Data/Evidence Base 186
References 186
Recommended reading 188
Part II. BSM Protocols for Adherence and Treatment of Intrinsic Sleep Disorders 190
Chapter 18. Motivational Enhancement Therapy 192
Protocol Name 192
Gross Indication 192
Specific Indication 192
Contraindications 192
Rationale for Intervention 193
Step by Step Description of Procedures 193
Possible Modifications with Variants 203
Proof of Concept/Supporting Data/Evidence Base 203
References 204
Recommended reading 204
Chapter 19. Exposure Therapy for Claustrophobic Reactions to Continuous Positive Airway Pressure 206
Protocol Name 206
Gross Indication 206
Specific Indication 206
Contraindications 206
Rationale for Intervention 207
Step by Step Description of Procedures 208
Possible Modifications/Variants 213
Proof of Concept/Supporting Data/Evidence Base 213
References 215
Recommended Reading 216
Chapter 20. Sleep Apnea Self-Management Program 218
Protocol Name 218
Gross Indication 218
Specific Indication 218
Contraindications 218
Rationale for Intervention 218
Step by Step Description of Procedures 220
Possible Modifications/Variants 229
Proof of Concept/Supporting Data/Evidence Base 230
References 231
Recommended Reading 232
Chapter 21. Cognitive Behavioral Therapy to Increase Adherence to Continuous Positive Airway 234
ProtocOl Name 234
Gross Indication 234
Specific Indication 234
Contraindications 235
Rationale for Intervention 235
Step by Step Description of Procedures 235
Educational Materials 237
References 237
Chapter 22. Cognitive Behavioral Therapy to Increase Adherence to Continuous Positive Airway 238
Protocol Name 238
Gross Indication 238
Specific Indication 238
Contraindications 239
Step by Step Description of Procedures 239
Case Study: One Patient’s Journey in Learning to Use CPAP 242
References 244
Chapter 23. The Avoidance of the Supine Posture during Sleep for Patients with Supine-related Sleep Apnea 246
Protocol Name 246
Gross Indication 246
Specific Indications 246
Contraindications 247
Rationale for Intervention 247
Step by Step Description of Procedures 248
Possible Modifications/Variants 251
Proof of Concept/Supporting Data/Evidence Base 252
Summary 255
References 256
Recommended Reading 258
Chapter 24. Scheduled Sleep Periods as an Adjuvant Treatment for Narcolepsy 260
Protocol Name 260
Gross Indication 260
Specific Indication 260
Contraindications 260
Rationale for Intervention 260
Step by Step Description of Procedures 261
Possible Modifications/Variants 261
Proof of Concept/Supporting Data/Evidence Base 261
References 262
Part III. BSM Protocols for Pediatric Sleep Disorders 264
Chapter 25. Brief Parent Consultation to Prevent Infant/Toddler Sleep Disturbance 268
Protocol Name 268
Gross Indication 268
Specific Indication 268
Contraindications 268
Rationale for Intervention 269
Step by Step Description of Procedures 270
Possible Modifications/Variants 275
Proof of Concept/Supporting Data/Evidence Base 276
References 277
Recommended Reading 277
Chapter 26. Unmodified Extinction for Childhood Sleep Disturbance 280
Protocol Name 280
Gross Indication 280
Specific Indication 280
Contraindication 281
Rationale for Intervention 281
Step by Step Description of Procedures 282
Possible Modifications 285
Proof of Concept/Supporting Data/Evidence Base 285
References 285
Recommended Reading 286
Chapter 27. Graduated Extinction: Behavioral Treatment for Bedtime Problems and Night Wakings in Young Children 288
Protocol Name 288
Gross Indication 288
Specific Indication 288
Contraindications 289
Rationale for Intervention 289
Step by Step Description of Procedures 290
Possible Modifications/Variants 295
Proof of Concept/Evidence Base 295
References 296
Recommended Reading 296
Chapter 28. Extinction with Parental Presence 298
Protocol Name 298
Gross Indication 298
Specific Indication 298
Contraindications 299
Rationale for Intervention 299
Step by Step Description of Procedures 300
Possible Modifications/Variants 305
Proof of Concept/Supporting Data/Evidence Base 305
References 305
Recommended readings 306
Chapter 29. Bedtime Fading with Response Cost for Children with Multiple Sleep Problems 308
Protocol Name 308
Gross Indication 308
Specific Indication 309
Contraindications 309
Rationale for Intervention 309
Step by Step Description of Procedures 310
Possible Modifications/Variants 312
Proof of Concept/Supporting Data/Evidence Base 313
References 314
Chapter 30. The Bedtime Pass 316
Name of Protocol 316
Gross Indication 316
Specific Indication 316
Contraindications 317
Rationale for Intervention 317
Step by Step Description of Procedures 318
Possible Modifications/Variants 319
Proof of Concept/Supporting Data/Evidence Base 320
References 321
Recommended Reading 321
Chapter 31. The Excuse-Me Drill: A Behavioral protocol to Promote Independent Sleep Initiation Skills and Reduce Bedtime Problems in Young Children 322
Protocol Name 322
Gross Indication 322
Specific Indication 322
Contraindications 323
Rationale for Intervention 323
Step by Step Description of Procedures 325
Possible Modifications/Variants 329
Proof of Concept/Supporting Data/Evidence Base 330
References 330
Recommended Reading 332
Chapter 32. Day Correction of Pediatric Bedtime Problems 334
Protocol Name 334
Gross Indication 334
Specific Indication 334
Contraindications 334
Rationale for Intervention 335
Step by Step Description of Procedures 335
Possible Modifications/Variants 337
Proof of Concept/Supporting Data/Evidence Base 339
Acknowledgment 339
References 339
Recommended Reading 340
Chapter 33. Graduated Exposure Games to Reduce Children’s Fear of the Dark 342
Protocol Name 342
Gross Indication 342
Specific Indication 342
Contraindications 342
Rationale for Intervention 343
Step by Step Description of Procedures 343
Possible Modifications/Variations 345
Proof of Concept/Supporting Data 345
References 346
Recommended Reading 346
Chapter 34. Scheduled Awakenings: A Behavioral Protocol for Treating Sleepwalking and Sleep Terrors in Children 348
Protocol Name 348
Gross Indication 348
Specific Indication 348
Contraindications 349
Rationale for Intervention 349
Step by Step Description of Procedures 350
Possible Modifications/Variants 354
Proof of Concept/Supporting Data/Evidence Base 354
References 354
Recommended Reading 355
Chapter 35. Imagery Rehearsal Therapy for Adolescents 356
Protocol Name 356
Gross Indication 356
Specific Indication 356
Contraindications 357
Rationale for Intervention 357
Step by Step Description of Procedures 359
Possible Modifications/Variants 362
Proof of Concept/Supporting Data/Evidence Base 363
References 363
Recommended Reading 365
Chapter 36. Moisture Alarm Therapy for Primary Nocturnal Enuresis 366
Protocol Name 366
Gross Indication 366
Specific Indication 366
Contraindications 366
Rationale for Intervention 367
Step by Step Description of Procedures 367
Possible Modifications/Variants 371
Proof of Concept/Supporting Data/Evidence Base 372
References 372
Recommended Reading 373
Chapter 37. Promoting Positive Airway Pressure Adherence in Children Using Escape Extinction within a Multi-Component Behavior Therapy Approach 374
Protocol Name 374
Gross Indication 374
Specific Indication 374
Contraindications 375
Rationale for Intervention 376
Step by Step Description of Procedures 377
Possible Modifications/Variants 384
Proof of Concept/Supporting Data/Evidence Base 386
References 388
Recommended Reading 389
Chapter 38. Using Motivational Interviewing to Facilitate Healthier Sleep-Related Behaviors in Adolescents 390
Protocol Name 390
Gross Indication 390
Specific Indication 390
Contraindications 390
Rationale for Intervention 391
Principles of MI 392
Step by Step Description of Procedures 393
Possible Modifications/Variants 401
Proof of Concept/Supporting Data/Evidence Base 402
References 402
Recommended Reading 403
Index 406
A 406
B 406
C 406
D 407
E 407
F 408
G 408
I 408
J 409
L 409
M 409
N 410
O 410
P 410
R 410
S 411
T 412
U 412
W 412
Y 412
Z 412

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