Cognitive behavioral therapy in insomnia
DOI:
https://doi.org/10.25118/2236-918X-5-5-4Keywords:
Psychotherapy, cognitive behavioral therapy, insomniaAbstract
Insomnia is the most frequent sleep disorder in the general population. Different models have been proposed to explain the occurrence of insomnia (e.g., Spielman’s model, the neurocognitive model, and the psychobiological inhibition model, among others). Knowing these models contributes to a better understanding of the mechanisms to be evaluated and treated. Psychotherapy has been widely investigated. In particular, cognitive behavioral therapy for insomnia has had its effectiveness demonstrated in several studies, and is recommended for individuals with insomnia. Different approaches, such as stimulus control, sleeprestriction, cognitive therapy, and mindfulness-based cognitive therapy, have been used, with good results. Nonetheless, some individuals do not adequately respond to those approaches – an aspect that deserves the attention of professionals and researchers.
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Lichstein KL, Taylor DJ, McCrae CS, Ruiter ME. Insomnia: epidemiology and risk factors. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 5th ed. Philadelphia: Elsevier Saunders; 2011. p. 827-37.
Bootzin RR. Stimulus control treatment for insomnia. In: Proceedings 80th Annual Convention of the American Psychological Association; 1972; Honolulu, Hawaii, USA. p. 395-6.
Morin CM, Bootzin RR, Buysse DJ, Edinger JD, Espie CA, Lichstein KL. Psychological and behavioral treatment of insomnia: update of the recent evidence (1998-2004). Sleep. 2006;29:1398-419.
Spielman AJ, Caruso L, Glovinsky P. A behavioral perspective on insomnia. Psychiatr Clin North Am. 1987;10:541-53.
Spielman AJ, Saskin P, Thorpy MJ. Treatment of chronic insomnia by restriction of time in bed. Sleep. 1987;10:45-56.
Perlis ML, Giles E, Mendelson WB, Bootzin RR, Wyatt JK. Psychophysiological insomnia: the behavioural model and a neurocognitive perspective. J Sleep Res. 1997;6:179-88.
Perlis ML, Smith MT, Orff HJ, Andrews PJ, Giles DE. The mesograde amnesia of sleep may be attenuated in subjects with primary insomnia. Physiol Behav. 2001;74:71-6.
Harvey AG. A cognitive model of insomnia. Behav Res Ther, 2002;40:869-93.
Wicklow A, Espie CA. Intrusive thoughts and their relationship to actigraphic measurement of sleep: towards a cognitive model of insomnia. Behav Res Ther. 2000;38:679-93.
Espie CA, Broomfield NM, MacMahon MA, Macphee LM, Taylor LM. The attentionintention-effort pathway in the development of psychophysiologic insomnia: a theoretical review. Sleep Med Rev. 2006;10:215-45.
Lundh LG, Broman JE. Insomnia as an interaction between sleep-interfering and sleep-interpreting processes. J Psychosom Res. 2000;49:299-310.
Geiger-Brown JM, Rogers VE, Liu W, Ludeman EM, Downton KD, Diaz-Abad M. Cognitive behavioral therapy in persons with comorbid insomnia: a meta-analysis. Sleep Med Rev. 2014;23C:54-67.
Mitchell MD, Gehrman P, Perlis M, Umscheid CA. Comparative effectiveness of cognitive behavioraltherapy for insomnia: a systemati c review. BMC Fam Pract. 2012;13:40.
Morin CM, Culbert JP, Schwartz SM. Nonpharmacological interventi ons for insomnia: a meta-analysis of treatment effi cacy. Am J Psychiatry. 1994;151:1172-80.
Morin CM, Vallières A, Guay B, Ivers H, Savard J, Mérett e C, et al. Cogniti ve behavioral therapy, singly and combined with medicati on, for persistent insomnia: a randomized controlled trial. JAMA. 2009;301:2005-15.
Morin CM. Psychological and behavioral treatments for insomnia I: approaches and effi cacy. In: Kryger MH, Roth T, Dement WC, editors. Principles and practi ce of sleep medicine. 5th ed. Philadelphia: Elsevier Saunders; 2011. p. 866- 83.
Murtagh DR, Greenwood KM. Identi fying eff ecti ve psychological treatments for insomnia: a meta-analysis. J Consult Clin Psychol. 1995;63:79-89.
Pech M, O’Kearney R. A randomized controlled trial of problem-solving therapy compared to cogniti ve therapy for the treatment of insomnia in adults. Sleep. 2013;36:739-49.
Koff el EA, Koff el JB, Gehrman PR. A metaanalysis of group cogniti ve behavioral therapy for insomnia. Sleep Med Rev. 2015;19:6-16.
Bowen S, Witkiewitz K, Clifasefi SL, Grow J, Chawla N, Hsu SH, et al. Relati ve effi cacy of mindfulness-based relapse preventi on, standard relapse preventi on, and treatment as usual for substance use disorders: a randomized clinical trial. JAMA Psychiatry. 2014;71:547-56.
Kocovski NL, Fleming JE, Hawley LL, Ho MH, Antony MM. Mindfulness and acceptancebased group therapy and traditi onal cogniti ve behavioral group therapy for social anxiety disorder: mechanisms of change. Behav Res Ther. 2015;70:11-22.
Kristeller JL, Wolever RQ. Mindfulness-based eati ng awareness training for treati ng binge eati ng disorder: the conceptual foundati on. Eat Disord. 2011;19:49-61.
Ong JC, Shapiro SL, Manber R. Combining mindfulness meditati on with cogniti ve-behavior therapy for insomnia: a treatment-development study. Behav Ther. 2008;39:171-82.
Ong J, Sholtes D. A mindfulness-based approach to the treatment of insomnia. J Clin Psychol. 2010;66:1175-84.
Ong JC, Manber R, Segal Z, Xia Y, Shapiro S, Wyatt JK. A randomized controlled trial of mindfulness meditati on for chronic insomnia. Sleep. 2014;37:1553-63.
Black DS, O’Reilly GA, Olmstead R, Breen EC, Irwin MR. Mindfulness meditati on and improvement in sleep quality and dayti me impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern Med. 2015;175:494-501.
Zhang JX, Liu XH, Xie XH, Zhao D, Shan MS, Zhang XL, et al. Mindfulness-based stress reducti on for chronic insomnia in adults older than 75 years: a randomized, controlled, single-blind clinical trial. Explore (NY). 2015;11:180-5.
Britt on WB, Haynes PL, Fridel KW, Bootzin RR. Mindfulness-based cogniti ve therapy improves polysomnographic and subjecti ve sleep profi les in anti depressant users with sleep complaints. Psychother Psychosom. 2012;81:296-304.
Okajima I, Nakajima S, Ochi M, Inoue Y. Reducing dysfuncti onal beliefs about sleep does not signifi cantly improve insomnia in cogniti ve behavioral therapy. PLoS One. 2014;9:e102565.
Sánchez-Ortuño MM, Edinger JD. Internight sleep variability: its clinical signifi cance and responsiveness to treatment in primary and comorbid insomnia. J Sleep Res. 2012;21:527-34.
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