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Cancer is the leading cause of death in the United States. The
improvement of screening procedures and treatments have led to
higher survival rates, and consequently to an increased number of
individuals who fear that their cancer might come back. Fear of
cancer recurrence (FCR) is defined as the fear, worry, or concern
that cancer may come back or progress. FCR has been found to be the
number one unmet need of cancer survivors. High levels of FCR are
associated with greater psychological distress, impaired
functioning, decreased quality of life, and increased medical
consultations, psychotropic usage and health-care costs. It is
therefore crucial to offer these patients an appropriate and
effective treatment. The books first propose a theoretical model of
FCR that identifies the five main targets of intervention in this
program: 1) cognitive interpretation; 2) behavioural avoidance; 3)
cognitive avoidance; 4) reassurance and control seeking; 5)
intolerance of uncertainty. Then, each target is discussed and
specific cognitive-behavioural therapy strategies are suggested
that focus on each of them based on the best available empirical
evidence for the treatment of anxiety disorders (e.g., generalized
anxiety disorder) and cancer-related anxiety. This book will be of
interest to clinicians working with cancer patients such as
psychologists and other health care providers as well as cancer
patients and survivors. Graduate students in clinical health
psychology, and connecting disciplines such as psycho-oncology,
psychiatry, nursing, social work, rehabilitation, spiritual care,
and sexology might also find this text of value.
Insomnia and fatigue are two of the most frequent consequences
after traumatic brain injury (TBI). About 30% of individuals suffer
from chronic insomnia, an additional 20% have symptoms of insomnia,
and up to 75% have significant and persistent fatigue. There is a
strong empirical basis for the effectiveness of
cognitive-behavioral interventions for the management of insomnia
and fatigue in the general population and in other patient
populations, and emerging research shows that these interventions
seem applicable with similar benefits to people with TBI. Insomnia
and Fatigue After Traumatic Brain Injury: A CBT Approach to
Assessment and Treatment is written by a team of four
scientist-practitioners in psychology who are experts in sleep
medicine, cognitive-behavioral therapy for insomnia, and traumatic
brain injury (TBI). Together they have authored this assessment and
intervention manual for insomnia and fatigue, intended for
clinicians working with the TBI population. Based on
cognitive-behavioral principles, the manual integrates
evidence-based interventions and techniques used by expert
clinicians working with these populations. Throughout the
development process, there has been an ongoing integration of the
best available research, specialized clinical expertise, and
knowledge transfer expertise: all of these perspectives were used
to choose, revise, and format the content of the manual as to
ensure that it would be most useful for the target audience.
Handbook of Sleep Disorders in Medical Conditions reviews the
current knowledge on the nature and manifestations of sleep
disorders associated with a variety of common medical conditions,
including epilepsy, traumatic brain injury and dementia. It also
provides clinical guidelines on how to assess and treat them with
pharmacological and non-pharmacological interventions. Although the
general principles of sleep medicine may be applied to some extent
to patients with comorbid medical conditions, this book makes the
case that an adaptive approach is warranted when considering the
particularities of each condition. In addition, clinicians must
also be cautious when prescribing sleep medications as some
pharmacological agents are known to exacerbate symptoms associated
with the medical condition, such as cognitive deficits (i.e.
difficulties with memory and attention) in cancer patients
experiencing chemo brain, or in persons with neurologic conditions
(e.g. mild cognitive impairment, dementia, stroke, brain injury). A
differential approach to evaluating and treating sleep is thus
warranted.
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