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Cognitive Behavioral Therapy for Insomnia

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Clinical Handbook of Insomnia

Abstract

In this chapter we provide an overview of how chronic insomnia is assessed and treated using cognitive behavioral treatments. In addition, we provide some (1) “information” which reviews the cognitive and behavioral theories regarding the etiology of chronic insomnia that set up the rationale for treatment approaches and (2) information on the efficacy of cognitive behavioral therapy (CBT) for insomnia and (3) recent innovations in the delivery of CBT for insomnia, such as brief interventions developed for medical and community settings and use of technology. The former is provided so that the reader may appreciate the principles on which CBT is founded. The latter is provided so that the reader may appreciate the extent to which CBT for insomnia has been empirically validated, studied, and disseminated.

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References

  1. Spielman AJ, Caruso LS, Glovinsky PB. A behavioral perspective on insomnia treatment. Psychiatr Clin North Am. 1987;10(4):541–53.

    CAS  PubMed  Google Scholar 

  2. Perlis ML, Giles DE, Mendelson WB, Bootzin RR, Wyatt JK. Psychophysiological insomnia: the behavioural model and a neurocognitive perspective. J Sleep Res. 1997;6(3):179–88.

    Article  CAS  PubMed  Google Scholar 

  3. Bonnet MH, Arand DL. Hyperarousal and insomnia: state of the science. Sleep Med Rev. 2010;14(1):9–15.

    Article  PubMed  Google Scholar 

  4. Harvey CJ, Gehrman P, Espie CA. Who is predisposed to insomnia: a review of familial aggregation, stress-reactivity, personality and coping style. Sleep Med Rev. 2014;18(3):237–47.

    Article  PubMed  Google Scholar 

  5. Drake CL, Friedman NP, Wright Jr KP, Roth T. Sleep reactivity and insomnia: genetic and environmental influences. Sleep. 2011;34(9):1179–88.

    PubMed  PubMed Central  Google Scholar 

  6. Hall M, Buysse DJ, Dew MA, Prigerson HG, Kupfer DJ, Reynolds 3rd CF. Intrusive thoughts and avoidance behaviors are associated with sleep disturbances in bereavement-related depression. Depress Anxiety. 1997;6(3):106–12.

    Article  CAS  PubMed  Google Scholar 

  7. Harvey AG. A cognitive model of insomnia. Behav Res Ther. 2002;40(8):869–93.

    Article  CAS  PubMed  Google Scholar 

  8. Edinger JD, Wohlgemuth WK, Radtke RA, Marsh GR, Quillian RE. Cognitive behavioral therapy for treatment of chronic primary insomnia: a randomized controlled trial. JAMA. 2001;285(14):1856–64.

    Article  CAS  PubMed  Google Scholar 

  9. Morin CM, Blais F, Savard J. Are changes in beliefs and attitudes about sleep related to sleep improvements in the treatment of insomnia? Behav Res Ther. 2002;40(7):741–52.

    Article  CAS  PubMed  Google Scholar 

  10. Lichstein KL, Rosenthal TL. Insomniacs’ perceptions of cognitive versus somatic determinants of sleep disturbance. J Abnorm Psychol. 1980;89(1):105–7.

    Article  CAS  PubMed  Google Scholar 

  11. Nicassio PM, Mendlowitz DR, Fussell JJ, Petras L. The phenomenology of the pre-sleep state: the development of the pre-sleep arousal scale. Behav Res Ther. 1985;23(3):263–71.

    Article  CAS  PubMed  Google Scholar 

  12. Van Egeren L, Haynes SN, Franzen M, Hamilton J. Presleep cognitions and attributions in sleep-onset insomnia. J Behav Med. 1983;6(2):217–32.

    Article  PubMed  Google Scholar 

  13. Kuisk LA, Bertelson AD, Walsh JK. Presleep cognitive hyperarousal and affect as factors in objective and subjective insomnia. Percept Mot Skills. 1989;69(3 Pt 2):1219–25.

    Article  CAS  PubMed  Google Scholar 

  14. Watts FN, Coyle K, East MP. The contribution of worry to insomnia. Br J Clin Psychol. 1994;33(Pt 2):211–20.

    Article  PubMed  Google Scholar 

  15. Perlis ML, Smith MT, Andrews PJ, Orff H, Giles DE. Beta/gamma EEG activity in patients with primary and secondary insomnia and good sleeper controls. Sleep. 2001;24(1):110–7.

    CAS  PubMed  Google Scholar 

  16. Perlis ML, Merica H, Smith MT, Giles DE. Beta EEG activity and insomnia. Sleep Med Rev. 2001;5(5):363–74.

    Article  PubMed  Google Scholar 

  17. Perlis ML, Kehr EL, Smith MT, Andrews PJ, Orff H, Giles DE. Temporal and stagewise distribution of high frequency EEG activity in patients with primary and secondary insomnia and in good sleeper controls. J Sleep Res. 2001;10(2):93–104.

    Article  CAS  PubMed  Google Scholar 

  18. Merica H, Gaillard JM. The EEG of the sleep onset period in insomnia: a discriminant analysis. Physiol Behav. 1992;52(2):199–204.

    Article  CAS  PubMed  Google Scholar 

  19. Merica H, Blois R, Gaillard JM. Spectral characteristics of sleep EEG in chronic insomnia. Eur J Neurosci. 1998;10(5):1826–34.

    Article  CAS  PubMed  Google Scholar 

  20. Freedman RR. EEG power spectra in sleep-onset insomnia. Electroencephalogr Clin Neurophysiol. 1986;63(5):408–13.

    Article  CAS  PubMed  Google Scholar 

  21. Lamarche CH, Ogilvie RD. Electrophysiological changes during the sleep onset period of psychophysiological insomniacs, psychiatric insomniacs, and normal sleepers. Sleep. 1997;20(9):724–33.

    CAS  PubMed  Google Scholar 

  22. Wu YM, Pietrone R, Cashmere JD, et al. EEG power during waking and NREM sleep in primary insomnia. J Clin Sleep Med. 2013;9(10):1031–7.

    PubMed  PubMed Central  Google Scholar 

  23. Krystal AD, Edinger JD, Wohlgemuth WK, Marsh GR. NREM sleep EEG frequency spectral correlates of sleep complaints in primary insomnia subtypes. Sleep. 2002;25(6):630–40.

    PubMed  Google Scholar 

  24. Krystal AD, Edinger JD. Sleep EEG predictors and correlates of the response to cognitive behavioral therapy for insomnia. Sleep. 2010;33(5):669–77.

    PubMed  PubMed Central  Google Scholar 

  25. Monk TH, Reynolds CF, Kupfer DJ, et al. The Pittsburgh sleep diary. J Sleep Res. 1994;3(2):111–20.

    Article  CAS  Google Scholar 

  26. Carney CE, Buysse DJ, Ancoli-Israel S, et al. The consensus sleep diary: standardizing prospective sleep self-monitoring. Sleep. 2012;35(2):287–302.

    PubMed  PubMed Central  Google Scholar 

  27. Carskadon MA, Dement WC, Mitler MM, Guilleminault C, Zarcone VP, Spiegel R. Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia. Am J Psychiatry. 1976;133(12):1382–8.

    Article  CAS  PubMed  Google Scholar 

  28. Frankel BL, Coursey RD, Buchbinder R, Snyder F. Recorded and reported sleep in chronic primary insomnia. Arch Gen Psychiatry. 1976;33(5):615–23.

    Article  CAS  PubMed  Google Scholar 

  29. Coates TJ, Killen JD, George J, Marchini E, Silverman S, Thoresen C. Estimating sleep parameters: a multitrait—multimethod analysis. J Consult Clin Psychol. 1982;50(3):345–52.

    Article  CAS  PubMed  Google Scholar 

  30. Kales A, Bixler EO, Vela-Bueno A, Cadieux RJ, Soldatos CR, Kales JD. Biopsychobehavioral correlates of insomnia, III: polygraphic findings of sleep difficulty and their relationship to psychopathology. Int J Neurosci. 1984;23(1):43–55.

    Article  CAS  PubMed  Google Scholar 

  31. Kales A, Caldwell AB, Preston TA, Healey S, Kales JD. Personality patterns in insomnia. Theoretical implications. Arch Gen Psychiatry. 1976;33(9):1128–34.

    Article  CAS  PubMed  Google Scholar 

  32. Morin CM. Insomnia: psychological assessment and management. New York: Guilford Press; 1993.

    Google Scholar 

  33. Perlis M, Jungquist C, Smith MT, Posner D. Cognitive behavioral treatment of insomnia: a session by session guide. New York, NY: Springer; 2005.

    Google Scholar 

  34. Lichstein KL, Riedel BW, Wilson NM, Lester KW, Aguillard RN. Relaxation and sleep compression for late-life insomnia: a placebo-controlled trial. J Consult Clin Psychol. 2001;69(2):227–39.

    Article  CAS  PubMed  Google Scholar 

  35. Means MK, Lichstein KL, Epperson MT, Johnson CT. Relaxation therapy for insomnia: nighttime and day time effects. Behav Res Ther. 2000;38(7):665–78.

    Article  CAS  PubMed  Google Scholar 

  36. Friedman L, Benson K, Noda A, et al. An actigraphic comparison of sleep restriction and sleep hygiene treatments for insomnia in older adults. J Geriatr Psychiatry Neurol. 2000;13(1):17–27.

    Article  CAS  PubMed  Google Scholar 

  37. Lichstein KL, Wilson NM, Johnson CT. Psychological treatment of secondary insomnia. Psychol Aging. 2000;15(2):232–40.

    Article  CAS  PubMed  Google Scholar 

  38. Espie CA, Inglis SJ, Tessier S, Harvey L. The clinical effectiveness of cognitive behaviour therapy for chronic insomnia: implementation and evaluation of a sleep clinic in general medical practice. Behav Res Ther. 2001;39(1):45–60.

    Article  CAS  PubMed  Google Scholar 

  39. Chesson Jr AL, Anderson WM, Littner M, et al. Practice parameters for the nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine report. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep. 1999;22(8):1128–33.

    PubMed  Google Scholar 

  40. Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2008;4(5):487–504.

    PubMed  PubMed Central  Google Scholar 

  41. Stepanski EJ, Wyatt JK. Use of sleep hygiene in the treatment of insomnia. Sleep Med Rev. 2003;7(3):215–25.

    Article  PubMed  Google Scholar 

  42. Shoham-Salomon V, Rosenthal R. Paradoxical interventions: a meta-analysis. J Consult Clin Psychol. 1987;55(1):22–8.

    Article  CAS  PubMed  Google Scholar 

  43. Harvey AG, Payne S. The management of unwanted pre-sleep thoughts in insomnia: distraction with imagery versus general distraction. Behav Res Ther. 2002;40(3):267–77.

    Article  PubMed  Google Scholar 

  44. Barlow DH. Behavioral conception and treatment of panic. Psychopharmacol Bull. 1986;22(3):802–6.

    CAS  PubMed  Google Scholar 

  45. Barlow DH. Cognitive-behavioral approaches to panic disorder and social phobia. Bull Menninger Clin. 1992;56(2 Suppl A):A14–28.

    CAS  PubMed  Google Scholar 

  46. Barlow DH. Cognitive-behavioral therapy for panic disorder: current status. J Clin Psychiatry. 1997;58 Suppl 2:32–6. discussion 36–37.

    PubMed  Google Scholar 

  47. Haynes SN, Moseley D, McGowan WT. Relaxation training and biofeedback in the reduction of frontalis muscle tension. Psychophysiology. 1975;12(5):547–52.

    Article  CAS  PubMed  Google Scholar 

  48. Freedman R, Papsdorf JD. Biofeedback and progressive relaxation treatment of sleep-onset insomnia: a controlled, all-night investigation. Biofeedback Self Regul. 1976;1(3):253–71.

    Article  CAS  PubMed  Google Scholar 

  49. Borkovec TD, Fowles DC. Controlled investigation of the effects of progressive and hypnotic relaxation on insomnia. J Abnorm Psychol. 1973;82(1):153–8.

    Article  CAS  PubMed  Google Scholar 

  50. Afonso RF, Hachul H, Kozasa EH, et al. Yoga decreases insomnia in postmenopausal women: a randomized clinical trial. Menopause. 2012;19(2):186–93.

    Article  PubMed  Google Scholar 

  51. Khalsa SB. Treatment of chronic insomnia with yoga: a preliminary study with sleep-wake diaries. Appl Psychophysiol Biofeedback. 2004;29(4):269–78.

    Article  PubMed  Google Scholar 

  52. Irwin MR, Olmstead R, Carrillo C, et al. Cognitive behavioral therapy vs. Tai Chi for late life insomnia and inflammatory risk: a randomized controlled comparative efficacy trial. Sleep. 2014;37(9):1543–52.

    PubMed  PubMed Central  Google Scholar 

  53. Ong JC, Manber R, Segal Z, Xia Y, Shapiro S, Wyatt JK. A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep. Sep 2014;37(9):1553–63.

    Google Scholar 

  54. Lack LC, Wright HR. Treating chronobiological components of chronic insomnia. Sleep Med. 2007;8(6):637–44.

    Article  PubMed  Google Scholar 

  55. Auger RR, Burgess HJ, Emens JS, Deriy LV, Thomas SM, Sharkey KM. Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced Sleep-Wake Phase Disorder (ASWPD), Delayed Sleep-Wake Phase Disorder (DSWPD), Non-24-Hour Sleep-Wake Rhythm Disorder (N24SWD), and Irregular Sleep-Wake Rhythm Disorder (ISWRD). An Update for 2015: An American Academy of Sleep Medicine Clinical Practice Guideline. J Clin Sleep Med. 2015;11(10):1199–236.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Friedman L, Zeitzer JM, Kushida C, et al. Scheduled bright light for treatment of insomnia in older adults. J Am Geriatr Soc. 2009;57(3):441–52.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Suhner AG, Murphy PJ, Campbell SS. Failure of timed bright light exposure to alleviate age-related sleep maintenance insomnia. J Am Geriatr Soc. 2002;50(4):617–23.

    Article  PubMed  Google Scholar 

  58. Kyle SD, Morgan K, Spiegelhalder K, Espie CA. No pain, no gain: an exploratory within-subjects mixed-methods evaluation of the patient experience of sleep restriction therapy (SRT) for insomnia. Sleep Med. 2011;12(8):735–47.

    Article  PubMed  Google Scholar 

  59. Riedel BW, Lichstein KL. Strategies for evaluating adherence to sleep restriction treatment for insomnia. Behav Res Ther. 2001;39(2):201–12.

    Article  CAS  PubMed  Google Scholar 

  60. Patel SR, Malhotra A, White DP, Gottlieb DJ, Hu FB. Association between reduced sleep and weight gain in women. Am J Epidemiol. 2006;164(10):947–54.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Spiegel K, Tasali E, Leproult R, Van Cauter E. Effects of poor and short sleep on glucose metabolism and obesity risk. Nat Rev Endocrinol. 2009;5(5):253–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Ye YY, Zhang YF, Chen J, et al. Internet-based cognitive behavioral therapy for insomnia (ICBT-i) improves comorbid anxiety and depression-A meta-analysis of randomized controlled trials. PLoS One. 2015;10(11):e0142258.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Blom K, Jernelov S, Kraepelien M, et al. Internet treatment addressing either insomnia or depression, for patients with both diagnoses: a randomized trial. Sleep. 2015;38(2):267–77.

    PubMed  PubMed Central  Google Scholar 

  64. Manber R, Edinger JD, Gress JL, San Pedro-Salcedo MG, Kuo TF, Kalista T. Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disorder and insomnia. Sleep. 2008;31(4):489–95.

    PubMed  PubMed Central  Google Scholar 

  65. Morin CM, Bastien C, Guay B, Radouco-Thomas M, Leblanc J, Vallieres A. Randomized clinical trial of supervised tapering and cognitive behavior therapy to facilitate benzodiazepine discontinuation in older adults with chronic insomnia. Am J Psychiatry. 2004;161(2):332–42.

    Article  PubMed  Google Scholar 

  66. Lichstein KL, Nau SD, Wilson NM, et al. Psychological treatment of hypnotic-dependent insomnia in a primarily older adult sample. Behav Res Ther. 2013;51(12):787–96.

    Article  PubMed  Google Scholar 

  67. Hauri PJ. Can we mix behavioral therapy with hypnotics when treating insomniacs? Sleep. 1997;20(12):1111–8.

    CAS  PubMed  Google Scholar 

  68. Milby JB, Williams V, Hall JN, Khuder S, McGill T, Wooten V. Effectiveness of combined triazolam-behavioral therapy for primary insomnia. Am J Psychiatry. 1993;150(8):1259–60.

    Article  CAS  PubMed  Google Scholar 

  69. Morin CM, Colecchi C, Stone J, Sood R, Brink D. Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial. JAMA. 1999;281(11):991–9 [see comment].

    Article  CAS  PubMed  Google Scholar 

  70. Morin CM, Vallieres A, Guay B, et al. Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial. JAMA. 2009;301(19):2005–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Jacobs GD, Pace-Schott EF, Stickgold R, Otto MW. Cognitive behavior therapy and pharmacotherapy for insomnia: a randomized controlled trial and direct comparison. Arch Intern Med. 2004;164(17):1888–96.

    Article  PubMed  Google Scholar 

  72. Zavesicka L, Brunovsky M, Horacek J, et al. Trazodone improves the results of cognitive behaviour therapy of primary insomnia in non-depressed patients. Neuro Endocrinol Lett. 2008;29(6):895–901.

    CAS  PubMed  Google Scholar 

  73. Morin CM, Hauri PJ, Espie CA, Spielman AJ, Buysse DJ, Bootzin RR. Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review. Sleep. 1999;22(8):1134–56.

    CAS  PubMed  Google Scholar 

  74. Murtagh DR, Greenwood KM. Identifying effective psychological treatments for insomnia: a meta-analysis. J Consult Clin Psychol. 1995;63(1):79–89.

    Article  CAS  PubMed  Google Scholar 

  75. Smith MT, Perlis ML, Park A, et al. Comparative meta-analysis of pharmacotherapy and behavior therapy for persistent insomnia. Am J Psychiatry. 2002;159(1):5–11.

    Article  PubMed  Google Scholar 

  76. 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(11):1398–414.

    PubMed  Google Scholar 

  77. Johnson JA, Rash JA, Campbell TS, et al. A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for insomnia (CBT-I) in cancer survivors. Sleep Med Rev. 2015;27:20–8.

    Article  PubMed  Google Scholar 

  78. Trauer JM, Qian MY, Doyle JS, Rajaratnam SM, Cunnington D. Cognitive behavioral therapy for chronic insomnia: a systematic review and meta-analysis. Ann Intern Med. 2015;163(3):191–204.

    Article  PubMed  Google Scholar 

  79. Koffel EA, Koffel JB, Gehrman PR. A meta-analysis of group cognitive behavioral therapy for insomnia. Sleep Med Rev. 2015;19:6–16.

    Article  PubMed  Google Scholar 

  80. Wu JQ, Appleman ER, Salazar RD, Ong JC. Cognitive behavioral therapy for insomnia comorbid with psychiatric and medical conditions: a meta-analysis. JAMA Intern Med. 2015;175(9):1461–72.

    Article  PubMed  Google Scholar 

  81. 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. 2015;23:54–67.

    Article  PubMed  Google Scholar 

  82. Smith MT, Finan PH, Buenaver LF, et al. Cognitive-behavioral therapy for insomnia in knee osteoarthritis: a randomized, double-blind, active placebo-controlled clinical trial. Arthritis Rheumatol. 2015;67(5):1221–33.

    Article  PubMed  Google Scholar 

  83. Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part II: immunologic effects. J Clin Oncol. 2005;23(25):6097–106.

    Article  PubMed  Google Scholar 

  84. Rybarczyk B, Stepanski E, Fogg L, Lopez M, Barry P, Davis A. A placebo-controlled test of cognitive-behavioral therapy for comorbid insomnia in older adults. J Consult Clin Psychol. 2005;73(6):1164–74.

    Article  PubMed  Google Scholar 

  85. Clarke G, McGlinchey EL, Hein K, et al. Cognitive-behavioral treatment of insomnia and depression in adolescents: a pilot randomized trial. Behav Res Ther. 2015;69:111–8.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Trockel M, Karlin BE, Taylor CB, Manber R. Cognitive Behavioral Therapy for insomnia with Veterans: evaluation of effectiveness and correlates of treatment outcomes. Behav Res Ther. 2014;53:41–6.

    Article  PubMed  Google Scholar 

  87. Manber R, Carney C, Edinger J, et al. Dissemination of CBTI to the non-sleep specialist: protocol development and training issues. J Clin Sleep Med. 2012;8(2):209–18.

    PubMed  PubMed Central  Google Scholar 

  88. Karlin BE, Trockel M, Taylor CB, Gimeno J, Manber R. National dissemination of cognitive behavioral therapy for insomnia in veterans: therapist- and patient-level outcomes. J Consult Clin Psychol. 2013;81(5):912–7.

    Article  PubMed  Google Scholar 

  89. Edinger JD, Sampson WS. A primary care “friendly” cognitive behavioral insomnia therapy. Sleep. 2003;26(2):177–82.

    PubMed  Google Scholar 

  90. Germain A, Moul DE, Franzen PL, et al. Effects of a brief behavioral treatment for late-life insomnia: preliminary findings. J Clin Sleep Med. 2006;2(4):403–6.

    PubMed  Google Scholar 

  91. Buysse DJ, Germain A, Moul DE, et al. Efficacy of brief behavioral treatment for chronic insomnia in older adults. Arch Intern Med. 2011;171(10):887–95.

    Article  PubMed  PubMed Central  Google Scholar 

  92. Troxel WM, Germain A, Buysse DJ. Clinical management of insomnia with brief behavioral treatment (BBTI). Behav Sleep Med. Oct 2012;10(4):266–79.

    Google Scholar 

  93. Ellis JG, Cushing T, Germain A. Treating acute insomnia: a randomized controlled trial of a “single-shot” of cognitive behavioral therapy for insomnia. Sleep. 2015;38(6):971–8.

    PubMed  PubMed Central  Google Scholar 

  94. Mohr DC, Schueller SM, Montague E, Burns MN, Rashidi P. The behavioral intervention technology model: an integrated conceptual and technological framework for eHealth and mHealth interventions. J Med Internet Res. 2014;16(6):e146.

    Article  PubMed  PubMed Central  Google Scholar 

  95. Holmqvist M, Vincent N, Walsh K. Web- vs. telehealth-based delivery of cognitive behavioral therapy for insomnia: a randomized controlled trial. Sleep Med. 2014;15(2):187–95.

    Article  CAS  PubMed  Google Scholar 

  96. Ritterband LM, Thorndike FP, Gonder-Frederick LA, et al. Efficacy of an Internet-based behavioral intervention for adults with insomnia. Arch Gen Psychiatry. 2009;66(7):692–8.

    Article  PubMed  PubMed Central  Google Scholar 

  97. Ritterband LM, Bailey ET, Thorndike FP, Lord HR, Farrell-Carnahan L, Baum LD. Initial evaluation of an Internet intervention to improve the sleep of cancer survivors with insomnia. Psychooncology. 2012;21(7):695–705.

    Article  PubMed  Google Scholar 

  98. Espie CA, Kyle SD, Williams C, et al. A randomized, placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered via an automated media-rich web application. Sleep. 2012;35(6):769–81.

    Article  PubMed  PubMed Central  Google Scholar 

  99. Cheng SK, Dizon J. Computerised cognitive behavioural therapy for insomnia: a systematic review and meta-analysis. Psychother Psychosom. 2012;81(4):206–16.

    Article  PubMed  Google Scholar 

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Correspondence to Kelly Glazer Baron Ph.D., M.P.H., C.B.S.M. .

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Baron, K.G., Perlis, M.L., Nowakowski, S., Smith, M.T., Jungquist, C.R., Orff, H.J. (2017). Cognitive Behavioral Therapy for Insomnia. In: Attarian, H. (eds) Clinical Handbook of Insomnia. Current Clinical Neurology. Springer, Cham. https://doi.org/10.1007/978-3-319-41400-3_6

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