{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:34:58Z","timestamp":1777890898979,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,2,10]],"date-time":"2016-02-10T00:00:00Z","timestamp":1455062400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation: An International, Interdisciplinary Journal"],"published-print":{"date-parts":[[2016,2,10]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Individuals with traumatic brain injury (TBI) often develop sleep disorders post-injury. The most common one is insomnia, which can exacerbate other post-injury symptoms, including fatigue, impaired cognition, depression, anxiety, and pain. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a manualized treatment that effectively treats insomnia with secondary effects on cognition, mood, and pain in various populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>This paper reviews the use of CBT-I for three participants with TBI of different severities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Pre- and post-treatment assessments of insomnia, fatigue, depression, anxiety, and pain were conducted. Mood was further assessed at follow-up. Minimal clinically important difference (MCID) scores derived from the research literature were used to establish clinically meaningful symptom improvement on self-report questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The reduction in insomnia severity scores for all three participants were not large enough to be considered a clinically significant improvement following CBT-I, although trends toward improvement were observed. However, all participants showed clinically significant reductions in anxiety at post-treatment; the effects persisted for 2 participants at follow-up. Reductions in depression symptoms were observed for 2 participants at post-treatment, and treatment effects persisted for 1 participant at follow-up. One participant endorsed clinically significant improvements in fatigue and pain severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>We conclude that CBT-I may provide secondary benefits for symptoms commonly experienced by individuals with TBI, especially mood disturbances.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/nre-151296","type":"journal-article","created":{"date-parts":[[2016,2,18]],"date-time":"2016-02-18T08:28:59Z","timestamp":1455784139000},"page":"59-69","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Can Cognitive Behavioral Therapy for Insomnia also treat fatigue, pain, and\u00a0mood symptoms in individuals with  traumatic brain injury? \u2013 A multiple case report"],"prefix":"10.1177","volume":"38","author":[{"given":"William","family":"Lu","sequence":"first","affiliation":[{"name":"Rusk Rehabilitation, New York University Langone Medical Center, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason W.","family":"Krellman","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel P.","family":"Dijkers","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,2,10]]},"reference":[{"key":"ref001","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref002","doi-asserted-by":"publisher","DOI":"10.1002\/ana.21836"},{"key":"ref003","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awm109"},{"key":"ref004","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(96)90196-3"},{"issue":"4","key":"ref005","first-page":"639","volume":"22","author":"Belza B. 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