The Effect of Cognitive Behavioral Therapy for Insomnia on Type 2 Diabetes Health Outcomes

Launched by UNIVERSITY OF KANSAS MEDICAL CENTER · Oct 18, 2018

Keywords

ClinConnect Summary

Insomnia is a common sleep disorder, with three main symptoms: difficulty in initiating sleep, difficulty in maintaining sleep, and/or waking up early without ability to return to sleep. Insomnia can contribute to metabolic dysfunction, which can lead to type 2 diabetes (T2D). Diabetes self-care behavior (DSCB) is important in attaining and maintaining glycemic control, which worsens as a result of fatigue. People with insomnia usually suffer from fatigue, which negatively influences quality of life. However, the additive effect of insomnia symptoms on diabetes outcomes and health status in...

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Eligibility criteria

• Inclusion Criteria:
• • Age between 40 to 75 years
• • Self-reported diagnosis of type 2 diabetes
• • Insomnia Severity Index \>10 and self-reported symptoms of insomnia at least 3 nights/week for the past 3 months for insomnia and type 2 diabetes group
• • Insomnia Severity Index ≤10 for type 2 diabetes only group
• • Able to attend 6 sessions
• • Able to understand and follow verbal commands in English
• • Able to travel to our lab
• Exclusion Criteria:
• • Self-reported neurological diseases (e.g. Alzheimer's disease, Parkinson's disease, Traumatic Brain Injury, Stroke, Multiple Sclerosis)
• • Stop-Bang \> 4 indicating severe risk of sleep apnea
• • Failure to pass Restless Leg Syndrome Diagnostic Index
• • Severe pain ≥ 7 out of 10 on Brief Pain Inventory
• • Severe symptom level of depression scores ≥ 21 on Beck Depression Inventory
• • Severe symptom level of anxiety scores ≥ 15 on Generalized Anxiety Scale-7
• • Pregnant women
• • Self-reported following medical issues: Chronic Fatigue Syndrome, Fibromyalgia, and Rheumatic Diseases
• • Speech deficits or significant auditory impairment
• • Night-shift work
• • Self-reported Bipolar and Seizure Disorders
• • Heavy alcohol drinker (≥15 drinks per week for men and ≥ 8 drinks per week for women)
• • Dialysis/blindness/trans-femoral amputation