Grant O’Sullivan  Health Educator VAC/GMHC
Tossing & Turning Insomnia Group <ul><li>For same-sex attracted men </li></ul><ul><li>8 weekly 2.5 hour sessions + 3-month...
 
 
Evaluation <ul><li>Insomnia Severity Index  (Morin, 1993) </li></ul><ul><li>How satisfied /dissatisfied are you with your ...
Evaluation (Cont) <ul><li>Depression Anxiety and Stress Scale (DASS)  (Lovibond & Lovibond, 1993) </li></ul><ul><li>I foun...
Will <ul><li>50 Years Old </li></ul><ul><li>HIV Positive </li></ul><ul><li>Ruptured spleen (early 90’s) </li></ul><ul><li>...
Jack <ul><li>57 Years Old </li></ul><ul><li>HIV Positive </li></ul><ul><li>Diabetes </li></ul><ul><li>10 years of sleeping...
Will & Jack’s Data <ul><li>Insomnia Severity Index </li></ul><ul><li>Will Jack Group </li></ul><ul><li>Pre 20  (mod) 10  (...
Will & Jack’s Data <ul><li>Depression </li></ul><ul><li>Will Jack Group </li></ul><ul><li>Pre 12  (mild) 2  (norm) 15.68  ...
Will & Jack’s Data <ul><li>Anxiety </li></ul><ul><li>Will Jack Group </li></ul><ul><li>Pre 2  (normal) 12  (mod) 12.21  (m...
Will & Jack’s Data <ul><li>Stress </li></ul><ul><li>Will Jack Group </li></ul><ul><li>Pre 28  (severe) 16  (mild) 25.26  (...
Will Now  <ul><li>Empowerment </li></ul><ul><ul><li>Sleep Apnoea </li></ul></ul><ul><ul><li>Digestive tract deviation </li...
Jack Now <ul><li>Sleep </li></ul><ul><ul><li>Not worried about waking up any more, rarely has bad sleep anymore </li></ul>...
 
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The impact of an insomnia treatment group

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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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The impact of an insomnia treatment group

  1. 1. Grant O’Sullivan Health Educator VAC/GMHC
  2. 2. Tossing & Turning Insomnia Group <ul><li>For same-sex attracted men </li></ul><ul><li>8 weekly 2.5 hour sessions + 3-month Booster Session </li></ul><ul><li>Cognitive Behavioural Therapy (adapted from Say Good Night to Insomnia , Gregg D Jacobs) </li></ul><ul><li>Sleep Diaries and Homework </li></ul><ul><li>Facilitated by Psychologists/ Students </li></ul><ul><li>3 groups; 19 participants </li></ul><ul><li>Recruitment (in-house referrals, advertising) </li></ul>
  3. 5. Evaluation <ul><li>Insomnia Severity Index (Morin, 1993) </li></ul><ul><li>How satisfied /dissatisfied are you with your current sleep pattern? </li></ul><ul><li>Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied </li></ul><ul><li>0 1 2 3 4 </li></ul>Pre-Course 18.32 Clinical Insomnia (moderate severity) Post-Course 8.08 Sub-Threshold Insomnia Booster 7.75 Sub-Threshold Insomnia
  4. 6. Evaluation (Cont) <ul><li>Depression Anxiety and Stress Scale (DASS) (Lovibond & Lovibond, 1993) </li></ul><ul><li>I found it difficult to work up the initiative to do things </li></ul><ul><li>0 1 2 3 </li></ul><ul><li>(Did not apply (Applied to me very </li></ul><ul><li>To me at all) much or most of the time) </li></ul>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)
  5. 7. Will <ul><li>50 Years Old </li></ul><ul><li>HIV Positive </li></ul><ul><li>Ruptured spleen (early 90’s) </li></ul><ul><li>Daily Imovane (Sleep), Cipramil (Depression) </li></ul><ul><li>Carer role for partner who had lost sight due to HIV </li></ul><ul><li>Said he wants “to fall asleep at any opportunity” </li></ul>
  6. 8. Jack <ul><li>57 Years Old </li></ul><ul><li>HIV Positive </li></ul><ul><li>Diabetes </li></ul><ul><li>10 years of sleeping tablets </li></ul><ul><li>Formally addicted to Temazepam, currently addicted to Imovane (½ to 2 tablets daily) </li></ul><ul><li>Medicated for Diabetes, Renal Disease, Gout, & Digestion </li></ul><ul><li>History of Depression (10 years of anti-depressants) </li></ul>
  7. 9. Will & Jack’s Data <ul><li>Insomnia Severity Index </li></ul><ul><li>Will Jack Group </li></ul><ul><li>Pre 20 (mod) 10 (sub) 18.32 (mod) </li></ul><ul><li>Post 16 (mod) 10 (sub) 8.08 (sub) </li></ul><ul><li>Boost 9 (sub) 5 (no) 7.75 (no) </li></ul>
  8. 10. Will & Jack’s Data <ul><li>Depression </li></ul><ul><li>Will Jack Group </li></ul><ul><li>Pre 12 (mild) 2 (norm) 15.68 (mod) </li></ul><ul><li>Post 8 (norm) 2 (norm) 7.00 (norm) </li></ul><ul><li>Boost 0 (norm) 2 (norm) 8.60 (norm) </li></ul>
  9. 11. Will & Jack’s Data <ul><li>Anxiety </li></ul><ul><li>Will Jack Group </li></ul><ul><li>Pre 2 (normal) 12 (mod) 12.21 (mod) </li></ul><ul><li>Post 0 (normal) 8 (mild) 7.56 (mild) </li></ul><ul><li>Boost 4 (normal) 6 (normal) 7.00 (norm) </li></ul>
  10. 12. Will & Jack’s Data <ul><li>Stress </li></ul><ul><li>Will Jack Group </li></ul><ul><li>Pre 28 (severe) 16 (mild) 25.26 (mod) </li></ul><ul><li>Post 22 (mod) 12 (normal) 14.11 (normal) </li></ul><ul><li>Boost 6 (normal) 8 (normal) 15.20 (mild) </li></ul>
  11. 13. Will Now <ul><li>Empowerment </li></ul><ul><ul><li>Sleep Apnoea </li></ul></ul><ul><ul><li>Digestive tract deviation </li></ul></ul><ul><li>Improved energy, less stress, less fatigue, improved socialising </li></ul><ul><li>Undetectable viral load, highest ever CD4 count </li></ul>
  12. 14. Jack Now <ul><li>Sleep </li></ul><ul><ul><li>Not worried about waking up any more, rarely has bad sleep anymore </li></ul></ul><ul><li>Less stress, feels less guilty having time for self </li></ul><ul><li>Gout is much better as is health in general </li></ul><ul><li>“ People say I look better, healthier” </li></ul><ul><li>“ I don’t know why but I’m enjoying life that bit more” </li></ul>

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