Cognitive Behavioral Therapy for Chronic Insomnia

  title={Cognitive Behavioral Therapy for Chronic Insomnia},
  author={James M. Trauer and Mary Y Y Qian and Joseph S. Doyle and Shantha M. W. Rajaratnam and David Cunnington},
  journal={Annals of Internal Medicine},
Insomnia is a prevalent condition, with 5% to 15% of adults meeting formal diagnostic criteria for chronic insomnia (15) (now termed insomnia disorder [6]) and one third reporting dissatisfaction with sleep. Insomnia is associated with both medical and psychiatric comorbidity, being linked to anxiety; depression (7); chronic health problems, such as hypertension (8, 9) and type 2 diabetes (10); health care use; nonmotor vehicle accidents; pain (11); and use of medication and alcohol (1215… 
Nonpharmacologic Management of Chronic Insomnia.
Insomnia affects 10% to 30% of the population with a total cost of $92.5 to $107.5 billion annually and is more common in women, especially following menopause and during late pregnancy, and in older adults.
Cognitive-Behavioral Therapy for Insomnia: An Effective and Underutilized Treatment for Insomnia
  • J. Rossman
  • Psychology, Medicine
    American journal of lifestyle medicine
  • 2019
CBT-i produces results that are equivalent to sleep medication, with no side effects, fewer episodes of relapse, and a tendency for sleep to continue to improve long past the end of treatment.
Treating Insomnia in Patients With Comorbid Psychiatric Disorders: A Focused Review
Despite its known negative effects on physical and mental health, insomnia is an often-ignored condition. Insomnia is both a risk factor for, and a symptom of, several psychiatric disorders and a
Treatment of Insomnia
Psychological and Behavioral Interventions for Managing Insomnia Disorder: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians
Evidence on psychological and behavioral interventions for insomnia disorder is reported, enhancing previous reports by providing a comprehensive evaluation of psychological and Behavioral interventions across all delivery modes with a primary emphasis on global outcomes.
Assessing and Treating Insomnia Related to Alcohol Use Disorders
  • K. Brower
  • Psychology, Medicine
    Current Addiction Reports
  • 2016
Sleep will improve in most patients with sobriety, which remains the first line of treatment, Nevertheless, insomnia may also be thought of as a comorbid disorder with AUDs, requiring its own treatment for many patients.
Clinical Management of Insomnia Disorder
The central feature of insomnia disorder is dissatisfaction with sleep quantity or quality, associated with difficulty falling asleep, maintaining sleep, or early morning awakening, thought to underlie most cases of chronic insomnia.
Non-pharmacological Approaches for Management of Insomnia.
The research on the efficacy of CBT-I for primary insomnia and insomnia comorbid with other psychiatric and medical conditions, the empirical evidence regarding different CBt-I treatment modalities, the implementation of CBB-I across different age groups, and some initial evidence on the sequential combination of insomnia treatments are reviewed.
Selecting a pharmacotherapy regimen for patients with chronic insomnia
The purpose of this perspective is to delineate the limitations encountered in implementing cognitive behavioral therapy (CBT) and to review the pharmacological treatments designed to target the different phenotypes of insomnia.
Mindfulness-Based Cognitive Therapy for Insomnia
Evidence from several single arm studies and one randomized controlled trial indicates that MBCT is effective for improving sleep, particularly in individuals with symptoms of depression and a history of major depressive disorder.


Efficacy of brief behavioral treatment for chronic insomnia in older adults.
It is found that BBTI is a simple, efficacious, and durable intervention for chronic insomnia in older adults that has potential for dissemination across medical settings.
Cognitive and behavioural therapy for insomnia (CBT-I) in psychiatric populations: A systematic review
Cognitive behavioural therapy for insomnia (CBT-I) is now recommended as the first line of treatment of primary insomnia, and research reviewed below indicates that CBT-I in patients with co-morbid depression, anxiety, post-traumatic stress disorder (PTSD), and substance abuse disorders is generally effective.
Clinical guideline for the evaluation and management of chronic insomnia in adults.
This clinical guideline is to provide clinicians with a practical framework for the assessment and disease management of chronic adult insomnia, using existing evidence-based insomnia practice parameters where available, and consensus-based recommendations to bridge areas where such parameters do not exist.
Cognitive behavioral therapy for patients with primary insomnia or insomnia associated predominantly with mixed psychiatric disorders: a randomized clinical trial.
A fixed 4-session "dose" of CBT produced similar benefits for patients with primary and those with comorbid insomnia across most measures examined, suggesting CBT appears to be a viable psychological insomnia therapy.
Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial.
Interventions based on CBT are superior to zopiclone treatment both in short- and long-term management of insomnia in older adults, and at 6 months, patients receiving CBT had better sleep efficiency using polysomnography than those taking zopicLone.
Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial.
Behavioral and pharmacological approaches are effective for the short-term management of insomnia in late life; sleep improvements are better sustained over time with behavioral treatment.
A randomized controlled trial of cognitive behavioral therapy for insomnia: an effective treatment for comorbid insomnia and depression.
Targeting insomnia through CBT-I is efficacious for treating comorbid insomnia and depression, and should be considered an important adjunct therapy for patients with depression whose symptoms have not remitted through antidepressant treatment.
A meta-analysis of group cognitive behavioral therapy for insomnia.