Therapeutic alternative for smoking patients suffering from primary insomnia

Marién Massiel Guerra Guerra

2019, Number 1

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Revista del Hospital Psiquiátrico de La Habana 2019; 16 (1)

Therapeutic alternative for smoking patients suffering from primary insomnia

Guerra GMM

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Language: Spanish
References: 22
Page: 46-62
PDF size: 442.70 Kb.

ABSTRACT

Introduction: Smoking is the main preventable cause of disease, disability and premature death. It is currently recognized as a risk factor for multiple conditions, however, few studies are collected in the scientific literature that demonstrate its incidence in sleep disorders.
Objective: Assess the application of an alternative therapeutic intervention based on the combination of smoking cessation treatment and cognitive behavioral therapy.
Method: A prospective, descriptive research was carried out, based on the assessment of an alternative therapeutic intervention, which was the result of the combination of a smoking cessation treatment with cognitive behavioral therapy for smoking patients affected with primary insomnia, who had already had pharmacological treatment and maintained persistence of the disorder.
Results: After the combined therapeutic intervention, 94.59% of the subjects studied improved their sleep quality. 83.78% achieved tobacco abstinence and 10.81% maintained a low physical dependence on nicotine. Furthermore, a positive correlation was found between the variables smoking abstinence and good sleepers. With the application of the treatment, 94.54% of patients were very satisfied.
Conclusions: The implemented therapeutic alternative contributes to the clinical improvement of both health conditions in unison. Likewise, its added value is the high durability of its benefits and that it has no side effects.

REFERENCES

Infomed. Insta OMS a prohibir publicidad y promoción del tabaco. Boletín al día. 2014 [acceso: 25/02/2017]. Disponible en: http://boletinaldia.sld.cu-aldia-2014/06/01
Organización Mundial de Salud. El atlas: los recursos de la salud mental en el mundo. Ginebra: OMS; 2010.
Martínez Hurtado M. Espacios sin humo. La Habana: Editorial Ciencias médicas; 2011.
Centers for Disease Control and Prevention (CDC). Unhealthy sleep-related behaviors-12 States, 2009. Morb Mortal Wkly Rep. 2011;60:233-8.
Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287:955.
Gutiérrez Rodríguez JJ, Alfaro Beracoechea L. Falta de sueño adecuado provoca estrés y baja productividad. Boletín al día. 2011 [acceso: 25/02/2017]. Disponible en: http://boletinaldia.sld.cu/aldia/2011/01/30
Báez GF, Flores NN, González TP, Horrisberger HS. Calidad del sueño en estudiantes de medicina. Revista de Posgrado de la Cátedra de Medicina. 2005;141:14-7.
González MR. Clínica Psiquiátrica Básica Actual. La Habana: Editorial Científico-Técnica; 1999.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. 4th ed. Washington, D.C.: American Psychiatric Association; 1994.
Heatherton TF, Kozlowski LT, Frecker RC, et al. The Fagerstrom Test of Nicotine Dependence: a revision of the Fagerstom Tolerance Questionnaire. British Journal of Addiction. 1991,86:1119-27.
Glover ED, Nilsson F, Westin A, Glover PN, Laflin MN, Persson B. Developmental history of The Glover-Nilsson smoking behavioral questionnaire. Am J Helath Behav. 2005;29(5):443-5.
Lin E, Goering PN, Lesage UN, Streiner DL. La valoración de epidemiólogos se necesita en el cuidado de salud mental. Psiquiatr Soc Epidemiol Psiquiátr. 2009;32:355-62.
Silva Darcourt HE, Laborde Daisson D. Tabaquismo. alternativas terapéuticas aplicadas a un grupo de adolescentes. PsicoHabana 2014. La Habana: Editorial Ciencias Médicas; 2015.
Junta de Andalucía. Plan Integral de Tabaquismo en Andalucía 2005-2010. Andalucía: Consejería de Salud. Sistema Sanitario Público de Andalucía; 2005.
III Encuesta Nacional de factores de riesgo y actividades preventivas de enfermedades no transmisibles. Cuba 2010-2011. La Habana: Editorial Científico Técnica; 2014.
Carlos Sierra J, Jiménez-Navarro C, Martín-Ortiz JD. Calidad del sueño en estudiantes universitarios: Importancia de la higiene del sueño. Salud Mental. 2002;25(6).
Santos-Silva R, Bittencourt LR, Pires ML, et al. Increasing trends of sleep complaints in the city of Sao Paulo, Brazil. Sleep Med. 2010;11:520-4.
Rosales E, Egoanil M, et al. Somnolencia y calidad del sueño en estudiantes de medicina de una universidad peruana. An. Fac. Médica. 2007;68(2).
Fernández ME, López SM, Cazaux A, Cambursano VH, Cortes JR. Insomnio: prevalencia en un hospital de la ciudad de Córdoba. Revista de la Facultad de Ciencias Médicas. 2012;69(4):191-6.
Salazar Diez M. Eficacia de la auriculoterapia y de la acupuntura corporal en el insomnio primario. Archivo Médico de Camagüey. 2005;9(5).
Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, et al. Terapia conductual breve reduce insomnio en pacientes deprimidos Journal of Clinical Psychiatry. 2011 [acceso: 25/02/2017];(8). Disponible en: http://boletinaldia.sld.cu/aldia/2011/04/25
Cintra Rodríguez JA, Rodríguez Morgado A, Reyes Quincose L, Cintra Rodríguez KA. Tratamiento tradicional del síndrome de abstinencia en pacientes que acudieron a la consulta de desadicción tabáquica. MEDICIEGO. 2012;18(1).