Key Project Outcome
Observational studies have consistently found that people with narcolepsy and idiopathic hypersomnia experience poor health-related quality of life, particularly with depression. It is currently unknown if an adjunctive therapy using cognitive and behavioral strategies can effectively reduce depressive symptoms and improve health-related quality of life.
The findings from this study provide preliminary support for using a novel cognitive-behavior therapy for hypersomnia (CBT-H) as an adjunctive therapy aimed at improving psychosocial skills to manage the symptoms of hypersomnia. Specifically, CBT-H was found to reduce depressive symptoms and improve self-efficacy, which refers to the ability to achieve a desired goal, even when the situation is unpredictable or stressful. In addition, there were indications that CBT-H is capable of reducing excessive daytime sleepiness, which is the primary symptom of both narcolepsy and idiopathic hypersomnia. Finally, the findings support the use of a telehealth model for delivery and assessment, which is scalable and can enhance participant accessibility and engagement. These findings lay the groundwork for future studies to conduct rigorous testing of CBT-H with an eye towards a comprehensive care model using an adjunctive behavioral treatment with standard medical care for people with narcolepsy and idiopathic hypersomnia.
JOURNAL OF CLINICAL SLEEP MEDICINE
Developing a cognitive behavioral therapy for hypersomnia using teleheath: a feasibility study