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This presentation was given by Grant O’Sullivan, Health Educator, VAC/GMHC, at the AFAO HIV Educators Conference 2010.
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Grant O’Sullivan
Health Educator
VAC/GMHC
Tossing & Turning Insomnia GroupFor same-sex attracted men
8 weekly 2.5 hour sessions + 3-month Booster Session
Cognitive Behavioural Therapy (adapted from Say Good Night to Insomnia, Gregg D Jacobs)
Sleep Diaries and Homework
Facilitated by Psychologists/ Students
3 groups; 19 participants
Recruitment (in-house referrals, advertising)
EvaluationInsomnia Severity Index (Morin, 1993)
How satisfied /dissatisfied are you with your current sleep pattern?Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
0 1 2 3 4
Pre-Course
18.32
Clinical Insomnia (moderate severity)
Post-Course
8.08
Sub-Threshold Insomnia
Booster
7.75
Sub-Threshold Insomnia
Evaluation (Cont)Depression Anxiety and Stress Scale (DASS)
(Lovibond & Lovibond, 1993)
I found it difficult to work up the initiative to do things 0 1 2 3(Did not apply (Applied to me veryTo me at all) much or most of the
time)
Pre-Course
Depression
15.68 (Moderate)
Anxiety 12.21 (Moderate)
Stress 25.26 (Severe)
Post-Course
7.00 (Normal)
7.56 (Mild)
14.11 (Mild)
Booster
8.60 (Normal)
7.00 (Normal)
15.20 (Mild)
Will50 Years OldHIV PositiveRuptured spleen (early 90’s)Daily Imovane (Sleep), Cipramil (Depression)Carer role for partner who had lost sight due
to HIVSaid he wants “to fall asleep at any
opportunity”
Jack57 Years OldHIV PositiveDiabetes10 years of sleeping tabletsFormally addicted to Temazepam, currently
addicted to Imovane (½ to 2 tablets daily)Medicated for Diabetes, Renal Disease, Gout,
& DigestionHistory of Depression (10 years of anti-
depressants)
Will & Jack’s DataInsomnia Severity Index
Will Jack Group
Pre 20 (mod) 10 (sub) 18.32 (mod)
Post 16 (mod) 10 (sub) 8.08 (sub)
Boost 9 (sub) 5 (no) 7.75 (no)
Will & Jack’s DataDepression
Will Jack Group
Pre 12 (mild) 2 (norm) 15.68 (mod)
Post 8 (norm) 2 (norm) 7.00 (norm)
Boost 0 (norm) 2 (norm) 8.60 (norm)
Will & Jack’s DataAnxiety
Will Jack Group
Pre 2 (normal) 12 (mod) 12.21 (mod)
Post 0 (normal) 8 (mild) 7.56 (mild)
Boost 4 (normal) 6 (normal) 7.00 (norm)
Will & Jack’s DataStress
Will Jack Group
Pre 28 (severe) 16 (mild) 25.26 (mod)
Post 22 (mod) 12 (normal) 14.11 (normal)
Boost 6 (normal) 8 (normal) 15.20 (mild)
Will Now Empowerment
Sleep ApnoeaDigestive tract deviation
Improved energy, less stress, less fatigue, improved socialising
Undetectable viral load, highest ever CD4 count
Jack NowSleep
Not worried about waking up any more, rarely has bad sleep anymore
Less stress, feels less guilty having time for self
Gout is much better as is health in general“People say I look better, healthier”“I don’t know why but I’m enjoying life that
bit more”
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