Treating arousals during sleep using behavioral self-management

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Found that self-management training was associated with increased sleep efficiency, reduced number of arousals and minutes awake after sleep onset during the 1st 3rd of the night, reported improvements in the sleep quality, and less daytime sleepiness for a 58-yr-old female S. These effects were documented using laboratory and home sleep recordings and self-reports over a 5-yr period. The results suggest 2 important leads for the further development of strategies for treating the complaint of insomnia. First, multicomponent strategies to modify a variety of daytime and nighttime variables based on individual behavioral analyses may be needed. Second, maintaining improvement in sleep and daytime behavior may require that clients learn problem-solving and self-management skills, with an emphasis on experiencing a greater sense of control over factors related to good and poor sleep. (4 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved)

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