Cognitive Behavioral Therapy for Insomnia to Address Insomnia Symptoms in People With Multiple Sclerosis

University of Kansas Medical Center43 enrolled

Overview

The purpose of this study is to learn if cognitive behavioral therapy for insomnia (CBT-I) will improve sleep quality, fatigue, and quality of life in individuals with multiple sclerosis (MS) with symptoms of insomnia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Insomnia

Interventions

Cognitive Behavioral Therapy for InsomniaBEHAVIORAL

Involves attending 1 hour long sessions weekly for 6 weeks. Sessions will be one-on-one or in a group.

ControlBEHAVIORAL

Involves attending 1 hour long sessions weekly for 6 weeks. Sessions will involve stretching and thinking games.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosis of MS by physician * Report of difficulty falling asleep, maintaining sleep, or waking up too early at least 3 nights/week for the past 6 months, * ≥10 on Insomnia Severity Index * English speaking * Core at least 24 on the Mini-Mental State Exam (MMSE) to indicate reduced risk of dementia Exclusion Criteria: * Known untreated sleep disorder (such as sleep apnea or restless leg syndrome) * \>4 on STOP BANG indicating high risk of sleep apnea * Increased risk of restless leg syndrome on Restless Legs Syndrome (RLS) Diagnosis Index * Nervous system disorder other than MS * Relapse and/or corticosteroid use in past 8 weeks

Locations (1)

University of Kansas Medical Center

Kansas City, Kansas, United States

Outcomes

Primary Outcomes

Insomnia Severity Index (ISI)

The ISI consists of 7 questions, each rated on a 0-4 scale. The range of scores on the ISI is 0-28, with a score of ≥ 10 suggesting clinical insomnia. The lower the score the less severe insomnia.