Anxiety, Depression, and Sleep Disorders: Their Relationship and Reduction with Neurotherapy Page: 53
vii, 71 p. : ill.View a full description of this dissertation.
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protocols unless clinically contraindicated. As discussed by Cortoos et al. (2010), a high-beta
inhibit might turn out to be a primary contributor to the significantly reduced anxiety and
subsequent gains in sleep quality.
Future Studies
The current study investigated select MMPI-2 clinical scales that were derived from a
review of existing published data. Future studies may be able to derive a more comprehensive
prediction model using additional MMPI-2 clinical scales. In addition, there were surprisingly
few MMPI-2 studies that detailed the psychological characteristics of persons with insomnia.
Future studies are needed to build common psychological profiles of persons with disturbed
sleep. Doing so may also help practitioners refine therapeutic approaches to patients with
primary sleep complaints by guiding the selection of appropriate treatments.
Randomized controlled investigations are needed in general and to specifically determine
which components of the multi-modal treatment approach commonly used in
biofeedback/neurofeedback clinics and private practices contribute to observed changes in sleep,
depression, and anxiety. An additional valuable contribution of controlled outcome studies
would be to determine whether quantitative electroencephalography (QEEG)-guided
neurofeedback versus symptom-based neurofeedback, namely sensori-motor rhythm (SMR)-
neurofeedback, provides the best treatment efficacy for depression, anxiety, and sleep
disturbances. From a technical perspective, comparison of QEEG-guided neurofeedback with
and without 20 to 30 Hz inhibits may allow for further refinement of treatment protocols and
better illuminate the mechanism of action in observed changes following neurotherapy.53
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Fisher, Christopher, Alan. Anxiety, Depression, and Sleep Disorders: Their Relationship and Reduction with Neurotherapy, dissertation, August 2010; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc31533/m1/61/: accessed March 28, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .