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Insomnia A Clinical Guide to Assessment and Treatment

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ISBN-10: 0306477505

ISBN-13: 9780306477508

Edition: 2004

Authors: Charles M. Morin, Colin A. Espie

List price: $159.99
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This book describes a concise and up-to-date treatment program for insomnia intended for a range of health care providers. In a user-friendly manner it provides empirically-derived and clinically useful treatment procedures, comprising a cost-effective program that can be applied to large numbers of adults with insomnia. This program fits readily into managed care (U.S.) and local health co-operative systems (U.K.), particularly as it offers an alternative to pharmacotherapy. Chapters cover an introduction to sleep and its disturbance, as well as clear-cut assessment and treatment approaches. Most of the chapters are formatted for consistency and provide regular features in addition to the…    
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Book details

List price: $159.99
Copyright year: 2004
Publisher: Springer
Publication date: 6/30/2003
Binding: Hardcover
Pages: 190
Size: 6.10" wide x 9.17" long x 0.75" tall
Weight: 0.990

The Basics of Sleep
The Nature and Organization of Sleep
Biopsychosocial Determinants of Sleep
Circadian and Homeostatic Factors
Age and Maturation
Medical Conditions and Drugs
Psychosocial Factors
Lifestyle and Environmental Factors
Sleep Needs
The Functions of Sleep
Evaluating Individual Sleep Needs
The Consequences of Sleep Deprivation
Total Sleep Deprivation
Partial Sleep Deprivation
Insomnia, Sleep Loss, and Daytime Functioning
Impact of Insomnia on Psychological Well Being
Impact of Insomnia on Physical Health
Clinical Features of Insomnia
Clinical Presentation
Concomitant Laboratory Findings and Clinical Features
Polysomnographic (PSG) Findings
Fatigue and Sleepiness
Psychological Profile
Neuropsychological Findings
Course and Prognosis
Insomnia as a Symptom or a Syndrome
Differential Diagnosis between Primary and Secondary Insomnia
Subtypes of Primary Insomnia
Does Your Patient Suffer from Insomnia?
Assessment and Differential Diagnosis of Insomnia
The Assessment of Insomnia
The Sleep History
The Sleep Diary
Informant Report
Actigraphy and Other Behavioral Devices
Daytime Sleepiness
Predisposing, Precipitating and Perpetuating Factors
Differential Diagnosis of Insomnia
Normal Aging
Sleep Related Breathing Disorder
Restless Legs Syndrome and Periodic Limb Movement Disorder
Circadian Disorders
Sleep Problems Associated with Medical/Psychiatric Disorders
Extrinsic Sleep Disorders
Clinical Formulation of the Sleep Problem
Sleep Hygiene and Relaxation Therapy
Rationale for Sleep Hygiene
Practical Instructions for Using Sleep Hygiene Advice
Room Temperature
Body Temperature
Air Quality
Mattress and Pillows
Rationale for Relaxation Therapy
Practical Instructions for Using Relaxation Therapy
Bedtime Wind-Down
Relaxation Training
Implementation Issues
Clinical Vignette
Sleep Scheduling
Rationale for Sleep Scheduling
Practical Instructions for Using Sleep Scheduling
Restrict Your Time Spent in Bed
Establish Your Rising Time
Establish Your "Threshold Time" for Bed
Go to Bed Only When You Feel Sleepy
Follow a 7-Night-per-Week Schedule
Observe the 15-Minute Rule
Make Adjustments to Your New Schedule
Make the Connection between Bed and Sleep
Avoid Daytime Naps
Implementation Issues
Cognitive Therapy
The Role of Dysfunctional Cognitions in Insomnia
Rationale and Objectives
Principles and Practice of Cognitive Therapy
Identifying Dysfunctional Sleep Cognitions
Challenging Dysfunctional Sleep Cognitions and Changing them with More Rational Substitutes
Practical Recommendations for Changing Beliefs and Attitudes About Sleeplessness
Keep Realistic Expectations
Revise Attributions about the Causes of Insomnia
Don't Blame Sleeplessness for All Daytime Impairments
Do not Catastrophise after a Poor Night's Sleep
Don't Place Too Much Emphasis on Sleep
Develop Some Tolerance to the Effects of Sleep Loss
Never Try to Sleep
Clinical Vignettes
Vignette 1
Vignette 2
Vignette 3
Implementation Issues
Supporting Evidence
Other Cognitive Approaches
Paradoxical Intention
Cognitive Control
Sleep Medications
Types of Medications Used for Insomnia
Benzodiazepine-Receptor Agents
Herbal and Dietary Supplements
Clinical Benefits, Risks, and Limitations
Indications and Contra-Indications
Clinical Guidelines on the Appropriate Use of Sleep Medication
Combining Psychological and Pharmacological Approaches
Clinical Guidelines for Hypnotic Discontinuation
The Natural History of Hypnotic-Dependent Insomnia
A Step-by-Step Approach to Discontinue Hypnotics
Clinical and Practical Issues
Evidence for Efficacy of Hypnotic Discontinuation Programs
Clinical and Treatment Implementation Issues
Treatment Implementation Formats: Individual, Group, and Brief Consultations Models
Treatment Parameters: Frequency, Timing, and Duration of Treatment
Strategies to Promote Compliance
Treatment of Special Populations
Outline Plan for a Sleep History Assessment Comprising Content Areas and Suggested Interview Questions
Sleep Diary
The Insomnia Severity Index
The Epworth Sleepiness Scale
The Pre-Sleep Arousal Scale
The Sleep Disturbance Questionnaire
Sleep Hygiene Practice Scale
Caffeine Knowledge Quiz
Transcript of a Relaxation Therapy Session (12-Minute Duration)
The Sleep Behavior Self-Rating Scale
Summary of the Sleep Scheduling Treatment Program
Calculating Current Sleep Requirement for Sleep Restriction
Self-Monitoring Form of Sleep-Related Thoughts
Dysfunctional Beliefs and Attitudes about Sleep Scale
Example of an Automatic Thought Record Used for Cognitive Therapy
The Glasgow Content of Thoughts Inventory
The Glasgow Sleep Effort Scale
A Medication Withdrawal Schedule Form