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

Daniel P Sullivan; Claire Bell; Mikaela D Bonham; Mark J Boschen; Paul R Martin

doi:10.1111/cp.12227

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

Journal article

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

Daniel P Sullivan, Claire Bell, Mikaela D Bonham, Mark J Boschen and Paul R Martin

Clinical Psychologist, Vol.24(3), pp.236-245

2020

DOI: https://doi.org/10.1111/cp.12227

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Abstract

clinical psychology

headache

insomnia

psychotherapy

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.

Details

Title: A retrospective chart review of adult insomnia and headaches in an Australian outpatient psychology training clinic: Prevalence and effects on psychological treatment response
Authors: Daniel P Sullivan (Corresponding Author) - Griffith University
Claire Bell - Griffith University
Mikaela D Bonham - Griffith University
Mark J Boschen - Griffith University
Paul R Martin - Griffith University
Publication details: Clinical Psychologist, Vol.24(3), pp.236-245
Publisher: Taylor & Francis
Date published: 2020
DOI: 10.1111/cp.12227
ISSN: 1742-9552; 1328-4207
Data Availability: Research data are not shared.
Organisation Unit: Thompson Institute
Language: English
Record Identifier: 991093698502621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Psychology; Psychology, Clinical

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