Insomnia and Fatigue after Traumatic Brain Injury

Insomnia and fatigue are two of the most frequent consequences after traumatic brain injury (TBI). About 30% of individuals suffer from chronic insomnia, an additional 20% have symptoms of insomnia, and up to 75% have significant and persistent fatigue. There is a strong empirical basis for the effectiveness of cognitive-behavioral interventions for the management of insomnia and fatigue in the general population and in other patient populations, and emerging research shows that these interventions seem applicable with similar benefits to people with TBI. Insomnia and Fatigue After Traumatic Brain Injury: A CBT Approach to Assessment and Treatment is written by a team of four scientist-practitioners in psychology who are experts in sleep medicine, cognitive-behavioral therapy for insomnia, and traumatic brain injury (TBI). Together they have authored this assessment and intervention manual for insomnia and fatigue, intended for clinicians working with the TBI population. Based on cognitive-behavioral principles, the manual integrates evidence-based interventions and techniques used by expert clinicians working with these populations. Throughout the development process, there has been an ongoing integration of the best available research, specialized clinical expertise, and knowledge transfer expertise: all of these perspectives were used to choose, revise, and format the content of the manual as to ensure that it would be most useful for the target audience.

Autorentext

Dr. Marie-Christine Ouellet is associate professor of psychology at Université Laval in Québec City (Canada) and a researcher at the Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS). She completed her Ph.D. in Clinical Psychology at Laval University, specializing on insomnia and fatigue associated with traumatic brain injury. She completed her clinical training in neuropsychology and clinical psychology at the Montreal Neurological Institute, the Douglas Mental Health University Institute, and the Institut de réadaptation en déficience physique de Québec. Her present research program is supported by grants from the Fonds de Recherche du Québec-Santé and the Canadian Institutes of Health Research and pertains mainly to psychopathology (particularly depression, anxiety, insomnia, and fatigue) associated with traumatic brain injury in younger and older adults.

Inhalt

PART I: Essential Background

1. Insomnia and Fatigue Following Traumatic Brain Injury: Prevalence, Correlates Evolution, and Treatment Options

2. Assessment of Insomnia and Fatigue Following Traumatic Brain Injury

3. CBT Interventions for Insomnia and Fatigue in the Context of TBI: Rationale, Adaptations, and Clinical Challenges

   PART II: Practical Tools

4. Assessment Tools for Post-TBI Insomnia

5. Assessment Tools for Post-TBI Fatigue

6. Intervention Tools for Post-TBI Insomnia

7. Intervention Tools for Post-TBI Fatigue

8. Detailed Treatment Plan