A retrospective chart review of adult insomnia and headaches in an Australian outpatient psychology training clinic: Prevalence and effects on psychological treatment response

Loading...
Thumbnail Image
File version
Accepted Manuscript (AM)
Author(s)
Sullivan, Daniel P
Bell, Clare
Bonham, Mikaela D
Boschen, Mark J
Martin, Paul R
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
2020
Size
File type(s)
Location
License
Abstract

Objectives: Sleep dysfunction and headaches are common and disabling conditions which are frequently comorbid with psychiatric disorders. Furthermore, there is a growing body of literature linking sleep dysfunction to the frequency and intensity of headaches. This study retrospectively examined the prevalence of insomnia and headache frequency, and their effects on general psychological treatment outcomes in a sample of patients attending a university psychology outpatient clinic in metropolitan Queensland, Australia. Methods: Outcome Questionnaire 45 data were extracted for 69 adult patients who presented to the Griffith University Psychology Clinic (Mount Gravatt, QLD) in 2018, and who consented to the use of their deidentified data for research purposes. Results: The prevalence of frequent insomnia and headaches in the week of patients' initial session were 47.8 and 23.2%, respectively. Additionally, there was a correlation, rs =.26, p =.02 between frequency of insomnia and headaches at the initial session. Frequent insomnia (odds ratio [OR] = 4.62, p <.01), headaches (OR = 3.82, p =.055, pbootstrapped =.04), and comorbid insomnia and headaches (OR = 7.25, p =.02) were strong predictors of inadequate treatment response, adjusting for age, sex, and number of therapy sessions. Effect sizes achieved by students were large (d = 0.9), and similar to those found in studies of fully qualified therapists. Conclusions: Our study demonstrates clinicians should be aware that sleep and headache problems may complicate psychological treatment of other problems, and that presence of these factors should warrant specific targeted attention early in treatment.

Journal Title
Clinical Psychologist
Conference Title
Book Title
Edition
Volume
Issue
Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
© 2020 Blackwell Verlag GmbH. This is the peer reviewed version of the following article: A retrospective chart review of adult insomnia and headaches in an Australian outpatient psychology training clinic: Prevalence and effects on psychological treatment response, Clinical Psychologist, 2020, which has been published in final form at https://doi.org/10.1111/cp.12227. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
Rights Statement
Item Access Status
Note
This publication has been entered in Griffith Research Online as an advanced online version.
Access the data
Related item(s)
Subject
Psychology
Cognitive and computational psychology
Applied and developmental psychology
Clinical and health psychology
Persistent link to this record
Citation
Sullivan, DP; Bell, C; Bonham, MD; Boschen, MJ; Martin, PR, A retrospective chart review of adult insomnia and headaches in an Australian outpatient psychology training clinic: Prevalence and effects on psychological treatment response, Clinical Psychologist, 2020
Collections