Insomnia in times of COVID-19: guidelines for Cognitive-Behavioral Assessment and Intervention

Contenido principal del artículo

Horacio Balam Álvarez García
Isaías Vicente Lugo-González
Ana Leticia Becerra Gálvez

Resumen

The confinement derived from the health contingency due to COVID 19 has brought with it an increase in psychological disorders such as stress, anxiety and insomnia. Despite the existence of action guidelines for each of the conditions, the presence of constant environmental factors does not allow a convenient evaluation and intervention. That is why this article aims to provide guidelines for evaluation and action from an ideographic perspective. The cognitive-behavioral techniques with more evidence are analyzed and a guide to evaluation instruments adapted to the Mexican context is provided. Finally, the emphasis is placed on the importance of individual analysis in the context of confinement for the adequate choice of intervention techniques.

Detalles del artículo

Cómo citar
Álvarez García, H. B., Lugo-González, I. V., & Becerra Gálvez, A. L. (2022). Insomnia in times of COVID-19: guidelines for Cognitive-Behavioral Assessment and Intervention. Journal of Behavior, Health & Social Issues, 14(1), 26–32. https://doi.org/10.22201/fesi.20070780e.2022.14.1.78769
Biografía del autor/a

Horacio Balam Álvarez García, Clínica de Trastornos de Sueño. Facultad de Medicina. UNAM

ESTUDIANTE DEL PROGRAMA DE MAESTRÍA Y DOCTORADO EN PSICOLOGÍA. UNAM FES IZTACALA.

DOCTORADO EN PSICOLOGÍA Y SALUD

Citas

Altena, E., Baglioni, C., Espie, C. A., Ellis, J., Gavriloff, D., Holzinger, B., & Riemann, D. (2020). Dealing with sleep problems during home confinement due to the COVID‐19 outbreak: Practical recommendations from a task force of the European CBT‐I Academy. Journal of Sleep Research, e13052. https://doi.org/10.1111/jsr.13052

Alvarez , D., Berrozpe, E., Castellino , L., González, L., Lucero, C., Magg, S., Grupo de Trabajo de Medicina del Sueño de la, S. (2016). Insomnio: Actualización en estrategias diagnosticas y terapeuticas. Neurologia Argentina, 8(3), 201 - 209.

American Academy Sleep Medicine. (2014). International Clasification of Sleep Disorders (ICSD-3) 3rd ed. Darien, JL.: American Aacademy of Sleep Medicine.

Assefa, S. Z., Diaz-abad, M., Wickwire, E., & Scharf, S. (2015). The Functions of Sleep. Neuroscience, 155-171. doi: 10.3934/Neuroscience.2016.1.67

Baldwin, W. (2000). Information no one else knows: The value of self-report. En A. Stone, J. Turkkman, C. Bachrach, J. Jobe, H. Kurtzman & V. Cain (Coords.) The Science of Self-Report. Implications for Research and Practice (pp. 3-7). New York: Tylor & Francis

Bao, Y., Sun, Y., Meng, S., Shi, J., & Lu, L. (2020). 2019-nCoV epidemic: address mental health care to empower society. Lacent, 395, e37-e38. https://doi.org/10.1016/S0140-6736(20)30309-3

Bouscoulet, L., Vazquez-Garcia, J., Muiño, A., Marquez, M., Lopez, M., Montes de Oca, M.Perez-Padilla, R. (2008). Prevalence of Sleep Related Symptoms in Four Latin American Cities. Journal Clinical Sleep Medicine, 4 (6): 579-585. DOI: 10.5664/jcsm.27353

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395, 912–920. doi:10.1016/s0140-6736(20)30460-8

Caqueo-Urízar, A., Urzúa, A., Aragón-Caqueo, D., Charles, C., El-Khatib, Z., Otu, A., & Yaya, S. (2020). Mental health and the COVID-19 pandemic in Chile. Psychological Trauma: Theory, Research, Practice and Policy, 10. https://doi.org/10.1037/tra0000753

Cortés-Álvarez, N. Y., Piñeiro-Lamas, R., & Vuelvas-Olmos, C. R. (2020). Psychological Effects and Associated Factors of COVID-19 in a Mexican Sample. Disaster Medicine and Public Health Preparedness, 14(3), 413–424. https://doi.org/10.1017/dmp.2020.215.

Cheung, J., Jarrin, D., Ballot, O., Bharwani, A., & Morin, C. (2019). A systematic review of cognitive behavioral therapy for insomnia implemented in primary care and community settings. Sleep Medicine Reviews, 44, 23-36. https://doi.org/10.1016/j.smrv.2018.11.001

Deuschle, M., Schredl, M., Schilling, C., Wüst, S., Frank, J., Witt, S. H., Rietschel, M., Buckert, M., Meyer-Lindenberg, A., & Schulze, T. G. (2010). Association between a serotonin transporter length polymorphism and primary insomnia. Sleep, 33(3), 343–347. https://doi.org/10.1093/sleep/33.3.343

Díaz de León-Martínez, L., de la Sierra-de la Vega, L., Palacios-Ramírez, A., Rodriguez-Aguilar, M., & Flores-Ramírez, R. (2020). Critical review of social, environmental and health risk factors in the Mexican indigenous population and their capacity to respond to the COVID-19. The Science of the Total Environment, 733, 139357. https://doi.org/10.1016/j.scitotenv.2020.139357

Douglas, M., Katikireddi, S. V., Taulbut, M., McKee, M., & McCartney, G. (2020). Mitigating the wider health effects of covid-19 pandemic response. BMJ, 369. 1-6. https://doi.org/10.1136/bmj.m1557

Drummond, S. e. (2013). Neural correlates of working memory performance in primary insomnia. Sleep, 36. https://doi.org/10.5665/sleep.2952

Froxán, M., De Pascual, R., Ávila, I. & Alonso-Vega, J. (2020). Evolución histórica del análisis funcional. En M. Froxán (Coord.) Análisis Funcional de la Conducta Humana. Conceptos, metodología y aplicaciones (pp.26-52). España: Pirámide.

Germain, A., & Buysse, D. (2011). Brief Behavioral Treatment of Insomnia. En M. Perlis, M. Aloia, & B. Kuhn, Behavioral Treatments for Sleep Disorders. A Comprehensive Primer of Behavioral Sleep Medicine Interventions (págs. 143-150). Elsevier Inc.

González-Cossío, S., & de la Orta-López, D. (2016). Insomnio Agudo. En A. Poblano, & U. Jiménez-Correa, Trastornos del sueño en casos clínicos. Visión clínica y de investigación (págs. 5-51). Editorial Académica Española.

González, R. L. P., Martínez, A. R. J., Hernández, G, M. A., & De la Roca-Chiapas, J. M. (2020). Psychological Distress and Signs of Post-Traumatic Stress in Response to the COVID-19 Health Emergency in a Mexican Sample. Psychology Research and Behavior Management, 13, 589-597. http://doi.org/10.2147/PRBM.S259563

Jiménez-Correa, U., Haro, R., Poblano, A., Arana-Lechuga, Y., Terán-Pérez, G., González-Robles, O., & Velázquez-Moctezuma, J. (2009). Mexican Version of the Epworth Sleepiness Scale. The Open Sleep Journal, 2, 6-10. https://doi.org/10.2174/1874620900902010006

Jiménez-Genchi, A., & Caraveo-Anduaga, J. (2017). Crude and Adjusted Prevalence of Sleep Complaints in Mexico City. Sleep Science, 10(3), 113–121. https://doi.org/10.5935/1984-0063.20170020

Jiménez-Genchi, A., Monteverde-Maldonado, E., Nenclares-Portocarrero, A., Esquivel-Adame, G., & Vega-Pacheco, A. (2008). Confiabilidad y análisis factorial de la versión en español del índice de calidad de sueño de Pittsburgh en pacientes psiquiátricos. Gaceta Médica México, 144(6), 491-496. https://www.medigraphic.com/pdfs/gaceta/gm-2008/gm086e.pdf

Kavanau, J. (1997). Memory, sleep and the evolution of mechanisms of synaptic efficacy maintenance. Neuroscience, 79: 7-44. https://doi.org/10.1016/S0306-4522(96)00610-0

Killgore, W. (2010). Effects of sleep deprivation on cognition. Prog Brain Res, 185:105-29.

Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, H., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, Z. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e204006–12. http://doi.org/doi:10.1001/jamanetworkopen.2020.3976

Li, S., Yilin, W., Jia, X., Nan, Z., & Tingshao, Z. (2020). The Impact of COVID-19 Epidemic Declaration on Psychological Consequences: A Study on Active Weibo Users. International Journal of Environmental Research and Public Health, 17(6), 2032. https://doi.org/10.3390/ijerph17062032

Marelli, S., Castelnuovo, A., Somma, A., Castronovo, V., Mombelli, S., Bottoni, D., & Ferini-Strambi, L. (2020). Impact of COVID-19 lockdown on sleep quality in university students and administration staff. Journal of Neurology, 1-8. https://doi.org/10.1007/s00415-020-10056-6

Medrano-Martinez, P., & Ramos-Platon, M. J. (2016). Alteraciones cognitivas y emocionales en el insomnio crónico. Revista de Neurología, 62 (4), 170-178.

Morin, C. M., & Carrier, J. (2020). The acute effects of the COVID-19 pandemic on insomnia and psychological symptoms. Sleep Medicine. https://doi.org/10.1016/j.sleep.2020.06.005

Morin, C., & Espie, C. (2003). Insomnia A Clinical Guide to Assessment and Treatment, US: Kluwer Academic/Plenum Publishers.

Orellana, C. I., & Orellana, L. M. (2020). Predictores de síntomas emocionales durante la cuarentena domiciliar por pandemia de COVID-19 en El Salvador. Actualidades en Psicología, 34(128), 103-120. https://doi.org/10.15517/AP.V34I128.41431

Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901–907. https://doi.org/10.1016/j.bbi.2020.05.026

Ramírez-Ortiz, J., Fontecha-Hernández, J., & Escobar-Córdoba, F (2020). Efectos del aislamiento social en el sueño durante la pandemia COVID-19. https://doi.org/10.1590/SciELOPreprints.801

Sateia M. J. (2014). International classification of sleep disorders-third edition: highlights and modifications. Chest, 146(5), 1387–1394. https://doi.org/10.1378/chest.14-0970

Simpson, N., & Manber, R. (2020). Treating Insomnia during the COVID-19 Pandemic: Observations and Perspectives from a Behavioral Sleep Medicine Clinic. Behavioral Sleep Medicine, 1-3.https://doi.org/10.1080/15402002.2020.1765781

Spielman, A., Caruso, L., & Glovinsky, P. (1987). A behavioral perspective on insomnia treatment. Psychiatric Clinics North America, (10), 541-553.

Stanton, R., To, Q. G., Khalesi, S., Williams, S. L., Alley, S. J., Thwaite, T. L., ... & Vandelanotte, C. (2020). Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. International Journal of Environmental Research and Public Health, 17(11), 4065. https://doi.org/10.3390/ijerph17114065

World Health Organization. (2020). Coronavirus disease (COVID-2019) situation reports. World Health Organization. Recuperado el 29 de 07 de 2020, de https://www.who.int/emergencies/diseases/nove-lcoronavirus-2019/situation-reports.

Zhao, X., Lan, M., Li, H., & Yang, J. (2021). Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model. Sleep Medicine, 77, 339–345. https://doi.org/10.1016/j.sleep.2020.05.

Zhang, Y., & Ma, Z. (2020). Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 17(7), 2381. https://doi.org/10.3390/ijerph17072381