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Title: Cognitive-Behavioral Therapy for Insomnia

Citation Type: Book, Section

Publication Year: 2023

DOI: 10.1007/978-3-031-29368-9_22

Abstract: Insomnia is characterized by persistent difficulty with sleep initiation, duration, consolidation, or quality. It is considered to be chronic when these symptoms occur at least three nights a week for at least three months. Studies have reported mixed results about the prevalence of insomnia in the US population; however, conservative estimates indicate that 10% of adults live with chronic insomnia. Treatments for chronic insomnia take the form of medication, lifestyle changes, and/or behavioral treatment regimens. Cognitive-Behavioral Therapy for Insomnia, or CBT-I, is considered to be the first-line behavioral treatment for insomnia by multiple professional organizations because of its short-term and long-term efficacy without the health risks associated with sleep medication. It follows a highly structured protocol including a combination of five core skills: stimulus control, sleep restriction, sleep hygiene, relaxation training, and cognitive therapy. This chapter provides an overview of the diagnostic features of insomnia, its etiology, and mechanisms to assess if CBT-I treatment may be appropriate for patients. An overview of CBT-I, including a description of and empirical support for each core treatment component, is provided, followed by a case vignette illustrating the CBT-I techniques in practice and suggested resources for both clinicians and patients.

Url: https://link.springer.com/chapter/10.1007/978-3-031-29368-9_22

User Submitted?: No

Authors: Hall, Daniel L.; Gorman, Mark J.; Finkelstein-Fox, Lucy; Wieman, Sarah; Mizrach, Helen; Park, Elyse R.

Editors: E. Sprich, Susan; Petersen, Timothy; Wilhelm, Sabine

Pages: 327-342

Volume Title: The Massachusetts General Hospital Handbook of Cognitive Behavioral Therapy

Publisher: Humana Cham

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Volume:

Edition:

Data Collections: IPUMS Health Surveys - MEPS

Topics: Health

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