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”