A secondary analysis investigating the efficacy of a digital, interactive cognitive behavioral therapy program for insomnia (CBTi) demonstrated the positive impacts of the program for patients with insomnia or a high risk of co-morbid insomnia and sleep apnea (COMISA).
Although cognitive behavioral therapy is an effective treatment for insomnia in the general population, it is not in the dialysis population who have “unique pathophysiologic considerations,” according to investigators. Insomnia affects half of patients on dialysis. It is tied with adverse cardiac and cerebrovascular events and appears difficult to treat.