Summary: Learn the role of sleep for recovering transplant patients, consequences of insufficient sleep and evidence-based approaches to falling and staying asleep. Difficulty falling asleep and/or staying asleep is common among transplant recipients. The usual solutions recommended – sleep hygiene, medication – are less effective than cognitive behavioral therapy for insomnia. Learn what defines a good night’s sleep and how to get it.
Presenter: Eric Zhou PhD, Dana-Farber Cancer Institute.
Meet Dr. Zhou: http://www.ericzhouphd.com/
To read the transcript, go to: https://www.bmtinfonet.org/video/managing-sleep-challenges-after-transplant
Highlights:
– Good sleep is not just about the number of hours we sleep, but about the quality of our sleep.
– Insomnia is one of the most common sleep disorders reported by transplant recipients. Despite its prevalence, it is frequently underreported and not routinely assessed by doctors.
– Medication simply masks a sleep problem – it does not address the underlying cause of poor sleep.
Presented at the 2021 Celebrating a Second Chance at Life Virtual Symposium, April 17-23, 2021
Presentation is 28 minutes long with 21 minutes of Q & A.
Key Points:
(02:13) There is great variability among individuals as to how much sleep each person needs.
(07:28) In one study of cancer patients, even minor improvements in sleep made significant improvements in survival rates.
(14:12) Roughly 20% of people take prescription or over-the-counter sleep medications in a given month. Long-term use of some of these medications may cause cognitive problems.
(15:50) Over-the counter sleep medications are not regulated and actual content can be quite different from what’s on the label.
(16:56) Medication does not cure insomnia. It simply masks the problem.
(17:46) The American College of Physicians and the European Sleep Society recommend cognitive behavioral therapy for insomnia (CBT-I) as the first line therapy for insomnia.
(18:12) Cognitive-behavioral therapy for insomnia (CBT-I) is the most promising intervention and it can help more quickly than people think. CBT-I is a different tool kit than CBT to treat other disorders.
(20:57) CBT-I first carefully tracks sleep data and patterns in order to help patients understand their sleep, before beginning treatment.
(21:59) Restricting the amount and time you sleep can improve quality of sleep.
(26.51) CBT-I providers can be found on the Society for Behavioral Medicine web site. There is also an online program called Somryst, that is available by prescription
Meet the speaker: http://www.ericzhouphd.com/
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