Feb 28, 2013

Sleep Misperception

There is a subgroup of chronic insomnia sufferers who consistently report extended periods of little or no sleep with no evidence of objective sleep disturbance and without the level of daytime impairment commensurate with the degree of sleep deficits reported. This is the defining characteristic for the diagnosis of Paradoxical Insomnia in the International Classification … + read more

Feb 21, 2013

Sleeper Activity: Sleep Diary

Sleeper Activity: Sleep Diary: Instructions for completing a sleep diary, one of the essential tools in the assessment and treatment planning for insomnia.

Feb 20, 2013

Sleep & Circadian Functioning

Allison Harvey has published an important article in the 2011 edition of Annual Review of Clinical Psychology titled “Sleep and circadian functioning: Critical mechanisms in the mood disorders.” She identifies seven lines of research which bear on the relationship between sleep and mood disorders: sleep disturbance is a risk factor and early warning signal of … + read more

Feb 12, 2013

Four Conceptual Models for Insomnia

I think of insomnia from 4 different and overlapping perspectives. First, the Spielman 3P model, a model of progression from normal sleep to chronic insomnia via predisposing, precipitating and perpetuating factors. This model is useful for describing the course of the insomnia and focuses treatment on those behaviors that are identified as perpetuating sleeplessness. Second, … + read more

Feb 05, 2013

Sleep Hygiene and Beyond

Healthy sleep hygiene practices are a necessary but generally not sufficient part of insomnia treatment. They are also an essential part of a clinical inquiry into sleep difficulties. A recently published Sleep Hygiene Practice Scale (Yang, Lin & Hsu. 2010. Hygiene practices in good sleepers and patients with insomnia. Journal of Health Psychology, 15, 147 … + read more

Jan 31, 2013

Sleeper Activity: Sleep Time Line

Jan 30, 2013

Sleep Diary

In the February, 2012 issue of Sleep, Colleen Carney and a group of sleep specialists completed the 7 year task of generating a standard sleep diary and instructions for the assessment of insomnia. Actually they generated 2 forms, a short form completed daily in the morning and a long form completed daily in the morning and at … + read more

Jan 23, 2013

Benzodiazepine Discontinuation: Two Meta-Analyses

Parr, et al. (2008) and Voshaar, et al. (2006) conducted meta-analyses of treatment approaches to assist benzodiazepine (BZD) discontinuation. Both reviews included the results of 22 studies; Parr examined a total of 32 studies while Vooshaar examined a total of 29 studies, so there is considerable overlap in their data. Compared to routine care, a … + read more

Jan 22, 2013

Stress and Sleep

An article in the June, 2011 issue of Sleep  helps us understand the impact that different kinds of stress have on sleep architecture. In this study Linghui Yang and colleagues trained mice with either a signaled escapable shock (SES), where they could move off of the shock grid, or a signaled inescapable shock (SIS), where … + read more

Jan 18, 2013

Insomnia and Fitness

This video describes the results of a study on the relationship between fitness and insomnia.

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