Cognitive Behavioral Therapy for Insomnia to Address Insomnia Symptoms in People With Multiple Sclerosis

Cognitive Behavioral Therapy for Insomnia to Address Insomnia Symptoms in People With Multiple Sclerosis

The purpose of this study is to learn if cognitive behavioral therapy for insomnia (CBT-I) will improve sleep quality, fatigue, and quality of life in individuals with multiple sclerosis (MS) with symptoms of insomnia.

Inclusion Criteria:

• Diagnosis of MS by physician
• Report of difficulty falling asleep, maintaining sleep, or waking up too early at least 3 nights/week for the past 6 months,
• ≥10 on Insomnia Severity Index
• English speaking
• Core at least 24 on the Mini-Mental State Exam (MMSE) to indicate reduced risk of dementia

Exclusion Criteria:

• Known untreated sleep disorder (such as sleep apnea or restless leg syndrome)
• >4 on STOP BANG indicating high risk of sleep apnea
• Increased risk of restless leg syndrome on Restless Legs Syndrome (RLS) Diagnosis Index
• Nervous system disorder other than MS
• Relapse and/or corticosteroid use in past 8 weeks