Insomnia

What is it?

Many of us have a poor night of sleep from time to time… this is normal. However, some people struggle with sleep on a regular basis and face serious challenges to get by with their days.

There is a continuum from the occasional sleep difficulty to chronic insomnia disorder. Insomnia disorder involves persistent difficulties falling asleep, staying asleep, or both. This has clear impacts on daytime functioning, such as fatigue, concentration or memory problems, and poor mood.

What can we do about it?

When we are facing occasional sleep problems, simple tips can be helpful to prevent any worsening and to fast track the return to better sleep.

When insomnia problems get more serious, regular and persist over time, treatment is required. Before turning to sleeping pills, the recommended first treatment for insomnia disorder is cognitive behavioral therapy for insomnia (CBT-I).

CBT- I

  • Is based on over 35 years of research and clinical experience

  • Works by:

o Breaking down sleep-related habits and thought patterns that maintain insomnia over time

o Progressive and personalized adjustments of the sleep schedule to naturally strengthen sleep quality

o Learning about how sleep works and what strategies can be used to combat difficulties falling or staying alseep

  • Does not involve any sleeping pill

  • Offers better long-term benefits than sleeping pills

Where can I get CBT-I?

Research projects offering free access to CBT-I

Improving sleep to protect brain health in adults aged 60 and over

This research project evaluates how an online sleep intervention, inspired from CBT-I, improves sleep, mental wellbeing, and brain health. It involves a 10-week program with modules that will teach you strategies aiming at fostering good sleep quality and better mental health.

To participate, you need to:

  • Be at least 60 years of age

  • Have internet access at home

  • Be living in Quebec or Ontario

  • Have sleep and memory complaints and be interested in improving your sleep

    OR

  • Have no sleep or memory difficulty

For questions, please contact:

MONTREAL

(514) 340-3540 ext. 4790

e-COSMOS@criugm.qc.ca

OTTAWA

(613) 722-6521 ext. 6095

e-cosmos@uottawa.ca

Researchers: Thien Thanh Dang-Vu, M.D., Ph.D., Rébecca Robillard, Ph.D. & Sylvie Belleville, Ph.D.

REB#2023010

iCANSleep Study

The iCANSleep research study was developed by the Sleep, Health, and Wellness Lab at Memorial University of Newfoundland. We are investigating innovative ways to deliver an insomnia treatment, Cognitive Behavioural Therapy for Insomnia (CBT-I), to cancer survivors. The iCANSleep app is specifically tailored to the unique needs of cancer survivors. We are currently testing the feasibility and acceptability of the iCANSleep app; it is not available on the app store yet. Once our testing is complete, we will have a fully developed insomnia treatment app for cancer survivors on both iOS and android OS devices to access on the app store for free.

To participate, you need to:

  • Have ever been diagnosed with cancer

  • Have difficulty falling or staying asleep

  • Are over 18 years old

  • Are an iPhone user

  • Live in Canada

  • Have completed all treatments or have been considered clinically stable for at least 3 months

For questions, please contact:

icansleepapp@gmail.com

Principal Investigator: Sheila Garland, PhD.

Novel methods to increase access and facilitate CBT-I in the context of depression

This research aims to better understand the effect of an intervention based on CBT-I on sleep, mental health, heart rate, and brain activity. This study also investigates if using a wearable sleep devices during the insomnia intervention may improve outcomes and satisfaction.

To participate, you need to:

  • Be between 18 and 65 years of age

  • Experiencing symptoms of insomnia and depression

For questions, please contact:

613-722-6521 ext.6493

CBTiA@theroyal.ca  

Principal Investigator: Rébecca Robillard, Ph.D.

REB#2022030

Measuring Insomnia Treatment Response in Breast Cancer

We are currently looking for cancer survivors who have struggled with insomnia to participate in Cognitive Behavioural Therapy for Insomnia (CBT-I). Before and after treatment, participants will also complete cognitive assessments and use the Cerebra Sleep System, an in-home polysomnography, to measure sleep. The purpose of this study is to understand how a new measure of sleep depth and quality changes in response to CBT-I in breast cancer survivors. We are also interested in how these changes in sleep are related to changes in cognitive functioning. CBT-I is a multicomponent treatment designed to address behaviors and thoughts that are known to influence the development and maintenance of sleep difficulties. CBT-I is the recommended treatment for chronic insomnia and has been shown to improve sleep in the general population and in cancer survivors.

To participate, you need to:

  • Have been diagnosed with stage I-III breast cancer

  • Have difficulty falling or staying asleep

  • Have received and completed all treatments (not including hormonal therapies) at least 6 months prior to today

  • Live in or around St. John’s, NL

For questions, please contact:

Sleep, Health, & Wellness Lab at (709) 864-4897 or sleeplab@mun.ca

Principal Investigator: Sheila Garland, PhD.


Other resources for CBT-I

Books

Evidence-based digital self-help tools and websites

Additional resources are available at: https://www.researchsleep.ca/public-patients-caregivers

Since CBT-I is often offered by trained psychologists, you can also contact your province's psychologists college.

Click HERE to access the list of Provincial and Territorial regulatory bodies.