Cognitive-Behavioural Therapy for Type 1 Narcolepsy Comorbid With Sleep and Psychiatric Disturbances: A Case Report

IF 1.5 4区心理学 Q3 PSYCHOLOGY, CLINICAL

Behaviour Change Pub Date : 2022-03-29 DOI:10.1017/bec.2022.4

I. Zečević

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引用次数: 0

Abstract

There is currently a lack of clinical research that would strongly support the application of CBT in the treatment of narcolepsy type 1. Despite that, there are several guidelines that suggest some techniques should be routinely applied. Currently, there is still a lack of results on what to do with patients who have comorbid sleep and psychiatric disorders or other psychosocial comorbidities and problems. This case study concerns a 27-year-old female who had narcolepsy type 1 and history of sleep, psychosocial, and psychiatric problems. Her main problems included cataplexy, daily tiredness and sleepiness, a problem with daily physical activity, and problems in her psychosocial functioning. The patient received 7 session of CBT treatment based on recommended techniques for patients with hypersomnia. Self-reported measure of sleep, anxiety, and depression were collected at the start and 1-month post-treatment. Objective psychological measures recorded positive changes in post-treatment assessment of CBT effect on her sleep pattern, significant reduction of cataplexy, depressive and anxiety symptoms, daily activity, and tiredness during the day.

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认知行为疗法治疗伴睡眠和精神障碍的1型发作性睡病1例

目前缺乏临床研究有力支持CBT在1型发作性睡病治疗中的应用。尽管如此，还是有一些指导方针建议一些技术应该常规应用。目前，关于如何处理患有睡眠和精神疾病共病或其他社会心理共病和问题的患者，仍然缺乏结果。本案例研究涉及一名27岁的女性，她患有1型发作性睡病，并有睡眠、社会心理和精神问题史。她的主要问题包括中风、日常疲劳和困倦、日常身体活动问题以及心理社会功能问题。患者接受了7个疗程的CBT治疗，以推荐的睡眠过度患者技术为基础。在治疗开始和治疗后1个月收集睡眠、焦虑和抑郁的自我报告测量。客观的心理测量记录了CBT治疗后评估对患者睡眠模式的积极影响，显著减少了发作、抑郁和焦虑症状、日常活动和白天疲劳。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behaviour Change PSYCHOLOGY, CLINICAL-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.