Journal of Obstetric, Gynecologic & Neonatal Nursing
ResearchInsomnia Treatment Preferences During Pregnancy
Section snippets
Potential Treatments for Insomnia in Pregnancy
Among psychotherapeutic treatments, cognitive behavioral therapy for insomnia (CBT-I) is a nonpharmacologic, evidence-based treatment that combines elements of cognitive (e.g., challenging maladaptive beliefs about sleep) and behavioral (e.g., sleep restriction) therapy to treat insomnia. In a number of clinical trials, researchers indicated that CBT-I was effective to reduce symptoms of insomnia, and benefits continued for as long as 3 years posttreatment (Backhaus et al., 2001, Edinger
Methods
The study was a cross-sectional survey of women during pregnancy. We recruited participants in person between October 2014 and March 2015 from waiting rooms in low-risk maternity clinics and at a pregnancy and infant trade show in Calgary, Alberta, Canada. The inclusion criteria included pregnancy and ability to read and write in English. The project was approved by the Institutional Review Board at the University of Calgary.
Results
In total, 187 women completed the survey; one did not complete the demographics questionnaire, and an additional eight dropped out before they completed the sleep and mood questionnaires. Nine participants declined to report their ages, and four declined to report gestational ages. Most participants were White, employed, and married or common-law married; had median household incomes of CAN$90,000 to $100,000 per year; and were pregnant with their first children. Via three single-item yes/no
Discussion
Most participants in our study (51%) indicated that they preferred CBT-I as a treatment for insomnia over pharmacotherapy (12%) or acupuncture (37%). Our participants also perceived CBT-I to be the most credible treatment and expected it to be the most effective for them personally. The magnitude of this effect was particularly strong when we investigated differences between credibility (η2partial = .38) and personal reaction ratings (η2partial = .54) of CBT-I versus pharmacotherapy.
Acknowledgment
Supported by the Social Sciences and Humanities Research Council of Canada and the Alberta Children's Hospital Research Institute.
Ivan D. Sedov, MSc, is a graduate student in the Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
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Cited by (0)
Ivan D. Sedov, MSc, is a graduate student in the Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
Sherryl H. Goodman, PhD, is a professor in the Department of Psychology, Emory University and in the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA.
Lianne M. Tomfohr-Madsen, PhD, is an assistant professor in the Department of Psychology, University of Calgary and holds a professorship at the Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada.
The authors report no conflict of interest or relevant financial relationships.