Insomnia is a key risk factor for depression and mental disorders, both in general and during peripartum. Covid-19 pandemic outbreak was associated with an alarming increase of insomnia symptoms. This case report aims to describe a digital Cognitive Behavioral Therapy for Insomnia (CBT-I) intervention adapted for pregnancy during the pandemic situation. This article describes the case of a 38 years old woman with significant problems in initiating and maintaining sleep. The intervention was conducted online. The assessment included a clinical psychological interview, semi-structured interview about sleep, sleep diaries and validated questionnaires. Adapted CBT-I protocol was performed including 5 sections lasting 45 minutes each. The case-report description follows CAse REport (CARE) guidelines. The intervention was effective in reducing insomnia symptoms as highlighted by questionnaires and sleep diaries. Furthermore, results showed positive findings with regard to depression symptomatology, stress levels and difficulties in emotion regulation. These positive results were confirmed at post-partum follow ups. Evidence-based CBT-I protocol was applied with relevant benefits for the patient. Furthermore, it was stressed the importance of considering emotions during psychotherapy. High-quality clinical trials evaluating the efficacy of adapted CBT-I in large samples of expecting mothers are suggested to guide changes in gynecological primary care for pregnancy, especially for the post-pandemic time.
L’insonnia è un fattore di rischio per la depressione e i disturbi mentali. La pandemia dovuta al Covid-19 è stata associata a un allarmante aumento dell’insonnia. Questo caso clinico ha lo scopo di descrivere un intervento digitale di terapia cognitivo comportamentale per l’insonnia (CBT-I) adattato per la gravidanza durante la pandemia. Viene descritto il caso di una donna di 38 anni con insonnia. La valutazione ha previsto un colloquio clinico psicologico, un’intervista semi-strutturata sul sonno, diari del sonno e questionari. È stato eseguito un protocollo CBT-I comprendente 5 sessioni di 45 minuti ciascuna. L’intervento eseguito è stato efficace nel ridurre i sintomi dell’insonnia e ha mostrato risultati positivi per quanto riguarda la sintomatologia depressiva, i livelli di stress e le difficoltà nella regolazione delle emozioni. Questi risultati sono stati confermati anche ai follow-up. I risultati a favore dell’efficacia della CBT-I per l’insonnia in gravidanza sono stati confermati, evidenziando inoltre, l’importanza di considerare le emozioni durante il trattamento. Si suggeriscono futuri studi clinici di alta qualità che valutino l’efficacia della CBT-I adattata in grandi campioni di madri in gravidanza per guidare i cambiamenti nell’assistenza ginecologica primaria per la gravidanza, specialmente nel periodo post-pandemico
Bacaro V., Baglioni C. (2021). Insomnia during pregnancy and the covid-19 pandemic: A case report. PSICOTERAPIA COGNITIVA E COMPORTAMENTALE, 27(3), 335-350 [10.14605/PCC2732105].
Insomnia during pregnancy and the covid-19 pandemic: A case report
Bacaro V.;
2021
Abstract
Insomnia is a key risk factor for depression and mental disorders, both in general and during peripartum. Covid-19 pandemic outbreak was associated with an alarming increase of insomnia symptoms. This case report aims to describe a digital Cognitive Behavioral Therapy for Insomnia (CBT-I) intervention adapted for pregnancy during the pandemic situation. This article describes the case of a 38 years old woman with significant problems in initiating and maintaining sleep. The intervention was conducted online. The assessment included a clinical psychological interview, semi-structured interview about sleep, sleep diaries and validated questionnaires. Adapted CBT-I protocol was performed including 5 sections lasting 45 minutes each. The case-report description follows CAse REport (CARE) guidelines. The intervention was effective in reducing insomnia symptoms as highlighted by questionnaires and sleep diaries. Furthermore, results showed positive findings with regard to depression symptomatology, stress levels and difficulties in emotion regulation. These positive results were confirmed at post-partum follow ups. Evidence-based CBT-I protocol was applied with relevant benefits for the patient. Furthermore, it was stressed the importance of considering emotions during psychotherapy. High-quality clinical trials evaluating the efficacy of adapted CBT-I in large samples of expecting mothers are suggested to guide changes in gynecological primary care for pregnancy, especially for the post-pandemic time.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
