Evaluation Of A Rapid Behavioural Treatment For Sleep Onset Insomnia
Funder
National Health and Medical Research Council
Funding Amount
$268,500.00
Summary
Chronic insomnia is a prevalent health problem that affects 5-10% of the population. It is associated with significant physical and mental health problems as well as lowered quality of life. By far the most common treatment for insomnia continues to be sleeping tablets despite the problems of drug dependence, daytime impairment and long term loss of effect. It is also despite the evidence that behavioural therapies are more effective in the long term. In clinical experiments stimulus control the ....Chronic insomnia is a prevalent health problem that affects 5-10% of the population. It is associated with significant physical and mental health problems as well as lowered quality of life. By far the most common treatment for insomnia continues to be sleeping tablets despite the problems of drug dependence, daytime impairment and long term loss of effect. It is also despite the evidence that behavioural therapies are more effective in the long term. In clinical experiments stimulus control therapy (SCT) is consistently the most effective of the behavioural therapies. However, SCT is difficult to carry out over the 4-6 week period necessary for effective treatment. If the treatment process could be shortened, it may increase the number of successful treatments. We have developed a laboratory procedure which includes the effective elements of SCT. These elements include sleep restriction and the experience of one rapid sleep onset each night. Our procedure involves some sleep deprivation and the experience of many (over 40) rapid sleep onsets over just one day. Therefore, it condenses 40 nights of the re-training benefits of SCT into just one day. A preliminary study has shown this procedure to be as effective as normal SCT. However, with no follow-up therapy to the procedure the initial gains tended to diminish with time. Our proposal is to test and extend the possible benefits of this new treatment procedure. We will compare it with the standard SCT as well as combine it with SCT. We feel that the greatest benefit may be to use the laboratory procedure as a kick start to SCT, which will by-pass the most difficult first 2--3 weeks of SCT. This will greatly reduce the time as well as absolutely improve the outcome. In further studies the laboratory procedure may be transferred to the patient s home, thereby further increasing its effectiveness. We feel the proposal will lead to a significant improvement in the non-drug treatment of insomnia.Read moreRead less
Comparing Light And Cognitive-behavior Therapies For The Treatment Of Sleep Maintenance Insomnia In Older Adults
Funder
National Health and Medical Research Council
Funding Amount
$383,961.00
Summary
Chronic insomnia affects more than 1 million Australians over 55 years of age. The most common treatment is sleeping pills despite their negative side effects. Our proposal is to compare non-drug cognitive-behaviour treatment with a new therapy of evening bright light, the combination of the two expected to be superior to either therapy alone. The project aims to improve the treatment of chronic insomnia in older adults leading to improved quality of life and reduced health care costs.
Establishing The Physiological And Sleep Disruption Characteristics Of Wind Farm Versus Traffic Noise Disturbances In Sleep
Funder
National Health and Medical Research Council
Funding Amount
$1,357,652.00
Summary
Good sleep is essential for normal daytime functioning and health. Wind farm noise includes audible and unusually low frequency sound components, including infrasound, that could potentially disturb sleep through chronic sleep disruption and/or insomnia. This project will, for the first time, directly evaluate the sleep and physiological disturbance characteristics of wind farm noise compared to traffic noise reproduced in a specialised and carefully controlled laboratory environment.
A Novel Intervention Targeting Insomnia To Prevent Major Depressive Disorder In The Community
Funder
National Health and Medical Research Council
Funding Amount
$1,258,316.00
Summary
In this project we want to see if we can prevent depression by improving insomnia. We will invite people with elevated depression symptoms to undertake a novel self help program to reduce insomnia, and then see if their risk for developing clinical depression is reduced 9 and 18 months later. As far as we know, this approach has not previously been tried. The merit of the project is that we have tangible symptoms (sleep problems) with which to engage individuals in a prevention strategy.
Hyper-sensitivity Of The Circadian System To Light In Delayed Sleep Phase Disorder
Funder
National Health and Medical Research Council
Funding Amount
$378,858.00
Summary
Delayed Sleep Phase Disorder (DSPD) is a circadian rhythm sleep disorder characterized by a difficulty in initiating sleep at night and difficulty in waking at times required for work or school. It is associated with excessive daytime sleepiness, reduced academic and work performance, increased anxiety and depression and reduced quality of life. This study examines increased sensitivity of the brain's 24-hour biological clock to light as a cause of the abnormal timing of sleep in DSPD.
Randomised Sham-controlled Trial Of Acupuncture For Post-menopausal Hot Flushes
Funder
National Health and Medical Research Council
Funding Amount
$499,828.00
Summary
This clinical trial will test whether needle acupuncture is more effective than a sham needle control acupuncture in relieving post-menopausal women's hot flush symptoms.
Researching Effective Sleep Treatments (Project REST): A Partner-Assisted Intervention To Improve Adherence In Cognitive Behavioural Therapy For Insomnia
Funder
National Health and Medical Research Council
Funding Amount
$1,130,307.00
Summary
Insomnia is highly prevalent and predicts many other mental and physical problems. While very good behavioural treatments exist for insomnia, not everyone is able to comply with the difficult behaviour changes required to improve. Bed partners often influence sleep behaviours, and thus, can play a helpful role in the treatment of insomnia, if they are taught how. We will test the first intervention ever developed integrating the partner into insomnia treatment as a means of improving outcomes.
National Centre For Sleep Health Services Research - Positioning Primary Care At The Centre Of Sleep Health Management
Funder
National Health and Medical Research Council
Funding Amount
$2,497,978.00
Summary
Poor sleep and sleep disorders have a negative impact on health, productivity and safety of Australians. Disturbingly, current sleep health services and policy fail to meet best practice health care despite increasing expenditure. New methods are needed to better match sleep service demands to resources. This CRE brings together the expertise needed to redesign, test and translate into practice more efficient clinical methods to better manage sleep health problems nationally and internationally.