scholarly journals A scoping review of insomnia treatments for people living with HIV

2021 ◽  
Vol 1 (1) ◽  
pp. 61-73
Author(s):  
Joyal Miranda ◽  
Souraya Sidani ◽  
Jose Côté ◽  
Suzanne Fredericks
Keyword(s):  
Scoping Review ◽  
Behavioral Interventions ◽  
Cognitive Behavioral ◽  
People Living With Hiv ◽  
Sleep Quantity ◽  
Behavioral Treatments ◽  
Cognitive Behavioral Interventions ◽  
Living With Hiv ◽  
Larger Sample ◽  
Effective Treatments

Abstract To date, little is known in terms of viable treatments for insomnia in people living with HIV. The primary aim of this scoping review is to identify non-pharmacological treatments for insomnia in people living with HIV (PLWH). A framework by Arksey and O’Malley was used to guide the conduct of this scoping review. Seven studies were identified. Three of the studies used cognitive-behavioral type of treatments versus physical or alternative types of treatment. The most effective treatments with the largest effect sizes were found to be cognitive-behavioral treatments for the sleep outcomes of sleep quantity (1.11-1.91) and sleep quality (1.11-1.91). This review found that cognitive behavioral interventions were found to be the most effective treatments for insomnia for PLWH. Further research would benefit from larger sample size studies in addition to focusing on the determinants of insomnia in PLWH in order to further provide a treatment that is focused on the needs of PLWH.    

Insomnia—Behavioral Treatments

2020 ◽  
pp. 118-133
Author(s):  
Sheila N. Garland ◽  
Ivan Vargas ◽  
Michael A. Grandner ◽  
Michael L. Perlis
Keyword(s):  
Behavioral Interventions ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Concurrent Use ◽  
Behavioral Treatments ◽  
Cognitive Behavioral Interventions ◽  
Cognitive Perspectives ◽  
Delivery Models ◽  
Beliefs And Attitudes

Insomnia is a disorder with significant psychiatric comorbidity. This chapter provides an overview of how to assess and treat insomnia in patients with comorbid psychiatric disorders using cognitive behavioral interventions. First, the authors review the theoretical framework for the behavioral and cognitive perspectives regarding the etiology of chronic insomnia. They then provide a step-by-step guide for the assessment of insomnia, including the use of validated measures and the necessary components of a semi-structured clinical interview needed to identify predisposing, precipitating, and perpetuating factors while at the same time paying attention to possible comorbidities and differential diagnostic possibilities that may better explain the patient’s difficulty. How to treat insomnia using cognitive behavioral therapy for insomnia (CBT-I) techniques of stimulus control therapy and sleep restriction therapy with formal cognitive restructuring in order to target arousal, dysfunctional behaviors and maladaptive thoughts, beliefs, and attitudes is explained. The authors discuss a number of contemporary issues with the delivery of CBT-I including the concurrent use of sleeping medications, the limitations and side effects of CBT-I, and alternative CBT-I delivery models. Further, the chapter examines the efficacy and effectiveness data for CBT-I in patients with psychiatric comorbidities. Lastly, the chapter presents a case example of CBT-I delivery in a patient with insomnia and comorbid major depressive disorder. The authors conclude with recommendations for future research.

Impact of cognitive-behavioral interventions on weight loss and psychological outcomes: A meta-analysis.

2018 ◽  
Vol 37 (5) ◽  
pp. 417-432 ◽  
Author(s):  
Ariane Jacob ◽  
Gregory Moullec ◽  
Kim L. Lavoie ◽  
Catherine Laurin ◽  
Tovah Cowan ◽  
...  
Keyword(s):  
Weight Loss ◽  
Behavioral Interventions ◽  
Meta Analysis ◽  
Psychological Outcomes ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Interventions

scholarly journals Quality of life in people living with HIV-associated neurocognitive disorder: A scoping review study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251944
Author(s):  
Kate Alford ◽  
Stephanie Daley ◽  
Sube Banerjee ◽  
Jaime H. Vera
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Scoping Review ◽  
Chronic Conditions ◽  
Healthy Aging ◽  
Cognitive Disorder ◽  
World Health ◽  
People Living With Hiv ◽  
Living With Hiv

Quality of life (QoL) is recognized as an essential end point in the disease management of chronic conditions such as HIV with calls to include good QoL as a ‘fourth 90’ in the 90-90-90 testing and treatment targets introduced by World Health Organization in 2016. Cognitive impairments impact a broad spectrum of experiences and are a common issue effecting people living with HIV (PLWH). Despite this, few studies have examined QoL in PLWH who also have a cognitive disorder. This study aimed to synthesize and describe what is known about QoL in those living with HIV-associated neurocognitive disorders (HAND). A scoping review of peer-reviewed literature was conducted to identify how QoL has been investigated and measured in PLWH with HAND, and how PLWH with HAND report and describe their QoL. We searched PsychInfo, Medline, Scopus, and Web of Science along with hand-searching reference lists from relevant studies found. Included studies were those published in English after 1st January 2003 which included PLWH with cognitive impairment not due to other pre-existing conditions. Fifteen articles met criteria for inclusion. Two studies measured QoL as a primary aim, with others including QoL assessment as part of a broader battery of outcomes. The MOS-HIV and SF-36 were the most commonly used measures of overall QoL, with findings generally suggestive of poorer overall QoL in PLWH with HAND, compared to PLWH without cognitive impairment. Studies which examined dimensions of QoL focused exclusively on functionality, level of independence, and psychological QoL domains. There is a considerable dearth of research examining QoL in PLWH with HAND. The initiatives which advocate for healthy aging and improved QoL in PLWH must be extended to include and understand the experiences those also living with cognitive impairment. Research is needed to understand the broad experiential impacts of living with these two complex, chronic conditions, to ensure interventions are meaningful to patients and potential benefits are not missed.

scholarly journals Synthesizing evidence on nutrition challenges among people living with HIV/AIDS in sub- Saharan Africa: a protocol for a scoping review

2019 ◽  
Vol 6 (7) ◽  
pp. 3173 ◽  
Author(s):  
Tafadzwa Dzinamarira ◽  
Moreblessing Chipo Mashora
Keyword(s):  
Health Outcomes ◽  
Scoping Review ◽  
Sub Saharan Africa ◽  
Future Research ◽  
People Living With Hiv ◽  
Nutritional Management ◽  
Sub Saharan ◽  
Living With Hiv ◽  
Improve Health ◽  
Hiv Aids

Background: Good nutritional status is highly significant for individuals who are infected with HIV. However, they still face a number of nutritional challenges. The proposed scoping review will map literature on the nutritional challenges facing people living with HIV/AIDS (PLWH) and guide future research in nutritional management to improve health outcomes for PLWH. Here we outline a scoping review protocol designed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P 2015 Guidelines).Methods: The Arksey and O’Malley’s 2005 scoping methodological framework further improved by Levac et al. 2010 will guide the search and reporting. Searches will be conducted for eligible articles from MEDLINE (PubMed), MEDLINE, CINAHL, Academic Search Complete and ISI Web of Science (Science Citation Index) electronic databases. Two independent reviewers will conduct the search guided by an inclusion and exclusion criteria. Quality appraisal of the included articles will be conducted guided by the mixed methods appraisal tool 2018 version. We will employ NVivo version 12 for thematic content analysis.Conclusions: The findings of this review will guide future research in nutritional management to improve health outcomes for PLWH in sub-Saharan African. This review will be disseminated electronically in a published peer reviewed article and in print.

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