About this trial
Parasomnias are unwanted events during sleep. These refer to sleep terrors, sleepwalking, sleep eating, nightmares, and movement during REM sleep. There are few systematic behavioral treatments for these problems and individuals with them often receive little education about self-management. This research examines and evaluates the effectiveness of a 4 week online course providing education and guidance about managing parasomnias. The primary outcomes are improvement in parasomnia frequency and distress. The secondary outcomes are improvements in work and social adjustment, mood, anxiety, stress level, fatigue, sleepiness, insomnia, and cognitive interference.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
physician referred for parasomnia
meet criteria for parasomnia on the Structured Clinical Interview for Sleep Disorders (SCISD-R)
age >= 18 years
parasomnia duration >= 6 months
Disqualifiers
currently taking one of Lithium, Thioridazine, Chlorpromazine, Perphenazine, Methaqualone, Amitriptyline, Selective Serotonin Re-Uptake Inhibitors, Serotonin and Norepinephrine Re-Uptake inhibitors, or Zopiclone
seizure or major neurological disorder
untreated sleep apnea, restless legs syndrome, or narcolepsy
Trial design
Parallel
Treatments tested in this trial
Parasomnia Education
BehavioralWeek 1: education about types of parasomnias and their causes Week 2: safety planning, relaxation training and imagery rehearsal therapy Week 3: Lucid dreaming, imagery rehearsal therapy, scheduled awakenings Week 4: cognitive therapy, review
Sleep Hygiene Control
BehavioralWeek 1: safety planning Week 2: caffeine, cannabis, alcohol, nicotine Week 3: exercising, napping, eating before bed Week 4: noise, light, temperature
Treatment groups
Trial outcomes
Primary outcomes
self-reported parasomnia severity
sleep diary recorded parasomnia severity rating (from 0 to 3, with 3 being most severe)
self-reported parasomnia frequency
frequency of parasomnia events per week (0 to 100)
Secondary outcomes
Secondary measures
general fatigue (Multi-Dimensional Fatigue Inventory, General Fatigue subscale); scores range from 4 (low fatigue) to 20 (high fatigue)
Sleepiness
Epworth Sleepiness Scale; scores range from 0 (low sleepiness) to 24 (high sleepiness)
Insomnia Severity
Insomnia Severity Index; scores range from 0 (absent) to 21 (high)
NREM parasomnia symptoms
Paris Arousal Disorders Severity Scale; scores range from 0 (absent or low severity) to 50 (high severity)
Sponsors and contacts
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