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Sleep Initiation and Maintenance Disorders: HELP
Articles by Allison T. Siebern
Based on 6 articles published since 2008

Between 2008 and 2019, Allison T. Siebern wrote the following 6 articles about Sleep Initiation and Maintenance Disorders.
+ Citations + Abstracts
1 Editorial Sleepiness and fatigue following traumatic brain injury: a clear relationship? 2012

Siebern, Allison T / Guilleminault, Christian. · ·Sleep Med · Pubmed #22608678.

ABSTRACT: -- No abstract --

2 Review Non-pharmacological treatment of insomnia. 2012

Siebern, Allison T / Suh, Sooyeon / Nowakowski, Sara. ·Stanford University School of Medicine, Sleep Medicine Center, Redwood City, California 94063, USA. asiebern@stanford.edu ·Neurotherapeutics · Pubmed #22935989.

ABSTRACT: Insomnia is one of the most common sleep disorders, which is characterized by nocturnal symptoms of difficulties initiating and/or maintaining sleep, and by daytime symptoms that impair occupational, social, or other areas of functioning. Insomnia disorder can exist alone or in conjunction with comorbid medical and/or psychiatric conditions. The incidence of insomnia is higher in women and can increase during certain junctures of a woman's life (e.g., pregnancy, postpartum, and menopause). This article will focus on an overview of cognitive behavioral therapy for insomnia, evidence of effectiveness for this treatment when insomnia disorder is experienced alone or in parallel with a comorbidity, and a review with promising data on the use of cognitive behavioral therapy for insomnia when present during postpartum and menopause.

3 Review Insomnia and its effective non-pharmacologic treatment. 2010

Siebern, Allison T / Manber, Rachel. ·Sleep Medicine Center, Stanford University School of Medicine, 450 Broadway Street, M/C 5704, Redwood City, CA 94063, USA. Asiebern@stanford.edu ·Med Clin North Am · Pubmed #20451034.

ABSTRACT: Emerging data underscores the public health and economic burden of insomnia evidenced by increased health risks; increased health care utilization; and work domain deficits (absenteeism and reduced productivity). Cognitive behavioral therapy for insomnia (CBTi) is a brief and effective non-pharmacologic treatment for insomnia that is grounded in the science of sleep medicine and the science of behavior change and psychological theory, and in direct comparisons with sleep medication in randomized control trials that demonstrate that CBTi has comparable efficacy with more durable long-term maintenance of gains after treatment discontinuation. The high level of empirical support for CBTi has led the National Institutes of Health Consensus and the American Academy of Sleep Medicine Practice Parameters to make the recommendation that CBTi be considered standard treatment. The aim of this report is to increase awareness and understanding of health care providers of this effective treatment option.

4 Article Dissemination of CBTI to the non-sleep specialist: protocol development and training issues. 2012

Manber, Rachel / Carney, Colleen / Edinger, Jack / Epstein, Dana / Friedman, Leah / Haynes, Patricia L / Karlin, Bradley E / Pigeon, Wilfred / Siebern, Allison T / Trockel, Mickey. ·Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94301-5597, USA. Rmanber@stanford.edu ·J Clin Sleep Med · Pubmed #22505869.

ABSTRACT: Strong evidence supports the efficacy of cognitive behavioral therapy for insomnia (CBTI). A significant barrier to wide dissemination of CBTI is the lack of qualified practitioners. We describe challenges and decisions made when developing a CBTI dissemination program in the Veterans Health Administration (VHA). The program targets mental health clinicians from different disciplines (psychiatry, psychology, social work, and nursing) with varying familiarity and experience with general principles of cognitive behavioral therapies (CBT). We explain the scope of training (how much to teach about the science of sleep, comorbid sleep disorders, other medical and mental health comorbidities, and hypnotic-dependent insomnia), discuss adaptation of CBTI to address the unique challenges posed by comorbid insomnia, and describe decisions made about the strategy of training (principles, structure and materials developed/recommended). Among these decisions is the question of how to balance the structure and flexibility of the treatment protocol. We developed a case conceptualization-driven approach and provide a general session-by-session outline. Training licensed therapists who already have many professional obligations required that the training be completed in a relatively short time with minimal disruptions to training participants' routine work responsibilities. These "real-life" constraints shaped the development of this competency-based, yet pragmatic training program. We conclude with a description of preliminary lessons learned from the initial wave of training and propose future directions for research and dissemination.

5 Article Clinical significance of night-to-night sleep variability in insomnia. 2012

Suh, Sooyeon / Nowakowski, Sara / Bernert, Rebecca A / Ong, Jason C / Siebern, Allison T / Dowdle, Claire L / Manber, Rachel. ·Stanford University School of Medicine, Department of Psychiatry and Behavioral Science, Stanford, CA 94301, USA. alysuh@stanford.edu ·Sleep Med · Pubmed #22357064.

ABSTRACT: OBJECTIVES: To evaluate the clinical relevance of night-to-night variability of sleep schedules and insomnia symptoms. METHODS: The sample consisted of 455 patients (193 men, mean age=48) seeking treatment for insomnia in a sleep medicine clinic. All participants received group cognitive behavioral therapy for insomnia (CBTI). Variability in sleep parameters was assessed using sleep diary data. Two composite scores were computed, a behavioral schedule composite score (BCS) and insomnia symptom composite score (ICS). The Insomnia Severity Index, the Beck Depression Inventory, and the Morningness-Eveningness Composite Scale were administered at baseline and post-treatment. RESULTS: Results revealed that greater BCS scores were significantly associated with younger age, eveningness chronotype, and greater depression severity (p<0.001). Both depression severity and eveningness chronotype independently predicted variability in sleep schedules (p<0.001). Finally, CBTI resulted in reduced sleep variability for all sleep diary variables except bedtime. Post-treatment symptom reductions in depression severity were greater among those with high versus low baseline BCS scores (p<0.001). CONCLUSIONS: Results suggest that variability in sleep schedules predict reduction in insomnia and depressive severity following group CBTI. Schedule variability may be particularly important to assess and address among patients with high depression symptoms and those with the evening chronotype.

6 Article CBT for insomnia in patients with high and low depressive symptom severity: adherence and clinical outcomes. 2011

Manber, Rachel / Bernert, Rebecca A / Suh, Sooyeon / Nowakowski, Sara / Siebern, Allison T / Ong, Jason C. ·Stanford University School of Medicine, Department of Psychiatry and Behavioral Science, Stanford, CA 94301-5597, USA. rmanber@stanford.edu ·J Clin Sleep Med · Pubmed #22171204.

ABSTRACT: STUDY OBJECTIVES: To evaluate whether depressive symptom severity leads to poorer response and perceived adherence to cognitive behavioral therapy for insomnia (CBTI) and to examine the impact of CBTI on well-being, depressive symptom severity, and suicidal ideation. DESIGN: Pre- to posttreatment case replication series comparing low depression (LowDep) and high depression (HiDep) groups (based on a cutoff of 14 on the Beck Depression Inventory [BDI]). PARTICIPANTS: 127 men and 174 women referred for the treatment of insomnia. INTERVENTIONS: Seven sessions of group CBTI. MEASUREMENTS AND RESULTS: Improvement in the insomnia severity, perceived energy, productivity, self-esteem, other aspects of wellbeing, and overall treatment satisfaction did not differ between the HiDep and LowDep groups (p > 0.14). HiDep patients reported lower adherence to a fixed rise time, restricting time in bed, and changing expectations about sleep (p < 0.05). HiDep participants experienced significant reductions in BDI, after removing the sleep item. Levels of suicidal ideation dropped significantly among patients with pretreatment elevations (p < 0.0001). CONCLUSION: Results suggest that pre- to post CBTI improvements in insomnia symptoms, perceived energy, productivity, self-esteem, and other aspects of well-being were similar among patients with and without elevation in depressive symptom severity. Thus, the benefits of CBTI extend beyond insomnia and include improvements in non-sleep outcomes, such as overall well-being and depressive symptom severity, including suicidal ideation, among patients with baseline elevations. Results identify aspects of CBTI that may merit additional attention to further improve outcomes among patients with insomnia and elevated depressive symptom severity.