It is very common to have patients with occasional to frequent restless nights followed by increased sleepiness during the day, and subsequent performance issues. In addition to the immediate impact of excessive daytime sleepiness and dysfunction, there is potential to develop chronic insomnia. There is also considerable data that links chronic insomnia to increased risk for diabetes, obesity, hypertension, plus an impact on the personal safety of an individual with chronic insomnia.
Cognitive behavioral therapy (CBT) is an accepted intervention to treat adults with insomnia. The American Academy of Sleep Medicine and American College of Physicians have both published position statements and papers to support the efficacy of treatment for chronic insomnia with cognitive and behavioral interventions, which includes behavioral interventions such as sleep restriction, stimulus control and education to improve their sleep habits, also known as sleep hygiene. CBT focuses on what we think about our sleep, which can develop into self-fulfilling outcomes that have the power to sabotage sleep onset and the maintenance of sleep. Plus, CBT addresses negative behaviors that rob one of sleep, such as inappropriate use of caffeine, tobacco, alcohol, sleep aids, bedtime rituals, work patterns, and ruminating or dwelling on negative occurrences while lying awake in bed.
As the complexities of patient care expand, specialization has become increasingly import to all aspects of medical practice. Currently, the scope of cognitive and behavioral therapies includes providers who have completed graduate level didactic training in behavioral sleep medicine to include CBT-I. This may include psychologists, master’s level clinical social workers, physicians, nurse practitioners and physician assistants. A recent trend shows more registered sleep technologists have pursued graduate-level degrees in fields related to health psychology to include training in CBT-I.
In the rest of this article from the Q4 2018 issue of A2Zzz, Kathryn Hansen looks deeper into the importance of continuing education.
This article is one of four designated CEC articles in this issue of A2Zzz. AAST members who read A2Zzz and claim their credits online by the deadline can earn 2.00 AAST Continuing Education Credits (CECs) per issue – for up to 8.00 AAST CECs per year. AAST CECs are accepted by the Board of Registered Polysomnographic Technologists (BRPT) and the American Board of Sleep Medicine (ABSM).
To earn AAST CECs, carefully read the four designated CEC articles and claim your credits online. You must go online to claim your credits by the deadline of March 1, 2019.
After the successful completion of this educational activity, your certificates will be available in the My CEC Portal acknowledging the credits earned.
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