- Basic premise: The interaction between cognitive and behavioral factors is the key mechanism involved in the perpetuation of insomnia.
- Essence of therapy: Cognitive-behavioral therapy for insomnia focuses on teaching techniques to modify sleep disruptive behaviors and cognitions that interfere with normal sleep and contribute to insomnia.
- Length: approx. 6 sessions
For further information about the “strong” 2015 EST rating, read the systematic review that led to this decision here.
Other Treatment Resources
- Hyperarousal and insomnia (Bonnet & Arand, 1997)
- A neurobiological model of insomnia (Buysse et al., 2011)
- Cognitive-behavioral therapy for primary insomnia (Edinger & Means, 2005)
- A cognitive model of insomnia (Harvey, 2002)
- Insomnia, psychiatric disorders, and the transdiagnostic perspective (Harvey, 2008)
- The delivery of behavioral sleep medicine to college students (Kloss et al., 2011)
- Sleep patterns and predictors of disturbed sleep in a large population of college students (Lund et al., 2010)
- Nonpharmacologic treatment of chronic insomnia: An American Academy of Sleep Medicine review (Morin et al., 1999)
- Chronic insomnia (Morin & Benca, 2012)
- Self-reported sleep disturbance as a prodromal symptom in recurrent depression (Perlis et al., 1997)
- The hyperarousal model of insomnia: A review of the concept and its evidence (Riemann et al., 2010)
- Clinical guideline for the evaluation and management of chronic insomnia in adults (Schutte-Rodin et al., 2008)
- Who is a candidate for cognitive-behavioral therapy for insomnia? (Smith & Perlis, 2006)
- A behavioral perspective on insomnia treatment (Spielman, Caruso, & Glovinsky, 1987)
Meta-analyses and Systematic Reviews
- Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age (Irwin, Cole, & Nicassio, 2006)
- Nonpharmacological interventions for insomnia: A meta‐analysis of treatment efficacy (Morin, Culbert, & Schwartz, 1994)
- Identifying effective psychological treatments for insomnia: a meta‐analysis (Murtagh & Greenwood, 1995)
- A meta-analysis on the treatment effectiveness of cognitive behavioral therapy for primary insomnia (Okajima, Komada, & Inoue, 2011)
Clinical Trials
- A randomized controlled trial of cognitive behavioral therapy for insomnia: An effective treatment for comorbid insomnia and depression (Ashworth et al., 2015)
- An open trial of cognitive therapy for chronic insomnia (Harvey et al., 2007)
- Randomized placebo-controlled trial of cognitive behavioral therapy and armodafinil for insomnia after cancer treatment (Roscoe et al., 2015)
Video Repository
Smartphone Apps
- CBT-i Coach (US Dept of Veterans Affairs)
Books Available for Purchase Through External Sites
- Quiet Your Mind and Get to Sleep: Solutions to Insomnia for those with Depression, Anxiety, or Chronic Pain (Carney & Manber)
- No More Sleepless Nights (Hauri & Linde)
- Sleeping Through the Night: How Infants, Toddlers, and Their Parents Can Get a Good Night’s Sleep (Mindell)
- Sleepio (an online sleep improvement program; Espie, Kyle, & Sheaves)
Measures, Handouts and Worksheets
- Sleep Timing Questionnaire (Monk et al.)
- Fatigue Severity Scale (Krupp et al.)
- Consensus Sleep Diary (Carney et al.)
- Epworth Sleepiness Scale (Johns)
- Pittsburgh Sleep Quality Index (Buysse et al.)
- Insomnia Severity Index (Bastien, Vallières, & Morin)
- Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16; Morin, Vallières, & Ivers)
- Sleep Hygiene Index (Mastin, Bryson, & Corwyn)
- The Sleep Condition Indicator (Espie et al.)
Training Materials and Workshops
- Principles and Practice of Sleep Medicine (Kryger, Roth, & Dement)
- Insomnia: A Clinical Guide to Assessment and Treatment (Morin & Espie)
- Cognitive Behavioral Treatment of Insomnia: A Session by Session Guide (Perlis et al.)
- Insomnia: Principles and Management (Szuba, Kloss, & Dinges)
Related Diagnosis
Insomnia
EST Status
N/A
2015 EST Status
Strong
2015 EST Report Link
https://onlinelibrary.wiley.com/doi/abs/10.1111/cpsp.12348
1998 EST Status
Strong