Drug therapy has been highly recommended and supported by well-designed research that shows its effectiveness.Ĭonversely, the implementation of CBT (i.e., the systematic application of the principles and learning techniques
The treatment of choice for narcolepsy consists of prescribing stimulants to control EDS and antidepressants to treat parasomnias and associated cataplexy. Furthermore, narcolepsy is associated with an increased risk of work-related and transit accidents, sexual dysfunctions, neuropsychological alterations (increased reaction time, decreased executive functions), and an overall significant reduction in quality of life. Because this disease is chronic, patients and their families have trouble coping with it. ĭifferent consequences of narcolepsy have been described. These symptoms include excessive daytime sleepiness (EDS i.e., sudden sleep attacks during the day), cataplexy (i.e., the loss of muscle tone during intense emotions), sleep paralysis (i.e., feeling unable to move when waking up), hypnagogic hallucinations (i.e., active hallucinations prior to the onset of sleep), and dream pattern alterations as well as secondary symptoms that accompany the disorder, such as automatic behaviors and cognitive deficits. Narcolepsy consists of a set of core symptoms known by many authors as the "narcoleptic tetrad". One study reported that this disease affects 1 in 2000 people. Narcolepsy is a sleep disorder that significantly affects overall patient functioning. Structure of therapy sessions.10ģ.6.Ğffectiveness of multicomponent treatments.10Ĥ. What is necessary to know regarding Cbt-N?.9ģ.5.1.Ĝharacteristics of CBT-N.9ģ.5.2. on behalf of Brazilian Association of Sleep.ģ.2.3. Peer review under responsibility of Brazilian Association of Sleepġ984-0063/© 2014 Published by Elsevier B.V. Methodology.3ģ.ĝiscussion.3ģ.1.Ğxplanatory psychological models of narcolepsy.3ģ.2.Ĝonsensus, expert reviews, and clinical evidence.3ģ.2.1.Ĝonsensus in Latin America.3ģ.2.2.Ĝonsensus in Europe.3Į-mail address: (H.A. on behalf of Brazilian Association of Sleep.ġ. Three additional studies were identified that evaluated the effectiveness of cognitive behavioral measures and multicomponent treatments for which treatment protocols have been proposed. Nineteen studies were found in which the need-for-treatment guidelines identified the use of CBT for narcolepsy. The current paper outlines the need for CBT applications for narcolepsy by generalizing the application of multicomponent treatments and performing studies that extrapolate the results obtained from multicenter studies. Currently, 6 reviews have been published on narcolepsy, and expert consensus was reached with regard to the importance of CBT as an adjunct treatment for narcolepsy. Despite a growing interest in this topic, most studies since 2007 have reviewed CBT applications for other sleep disorders. Sleep medicine in general and psychology in particular have recently developed cognitive behavioral treatment for narcolepsy (CBT-N). Pandi Perumald' Carlos SchenkeĪBehavioral Sleep Medicine Group, Cooperative University of Colombia, School of Psychology, Envigado, Colombia bSleep Disorders Clinic, National Autonomous University of Mexico, Mexico City, Mexico cSleep Disorders Group, University of Granada, Granada, Andalusia, Spain dSomnogen, New York, United StatesĮSleep Disorders Clinic, University of Minnesota, Minneapolis, United StatesĬognitive behavioral treatment Narcolepsy Behavior modification Clinical formulation Non-pharmacological treatment Hernan Andres Marin Agudeloa'*, Ulises Jimenez Correab, Juan Carlos Sierrac, Q1 S.R. Three additional studies were identified that evaluated the effectiveness of cognitive behavioral measures and multicomponent treatments for which treatment protocols have been proposed.Ĭognitive behavioral treatment for narcolepsy: Why use only limited pharmacological approaches? The current paper reviews the need for CBT applications for narcolepsy by generalizing the application of multicomponent treatments and performing studies that extrapolate the results obtained from multicenter studies. Currently, 6 reviews have been published on narcolepsy, with an expert consensus being reached that CBT represented an important adjunctive treatment for the disease. Abstract of research paper on Clinical medicine, author of scientific article - Hernán Andrés Marín Agudelo, Ulises Jiménez Correa, Juan Carlos Sierra, Seithikurippu R.
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