Cognitive-Behavioral Therapy Approaches for Insomnia
- Edward J. Stepanski PhD
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There are many specific treatment approaches for insomnia that fall under the general category of cognitive-behavioral therapy (CBT). Therapies in this area have common elements: patients gain more control on sleep by modifying their sleep-wake schedules, learning relaxation skills, changing sleep-related habits, and/or learning to decrease worry about sleep. These skills can be taught in different ways. The specific CBT approach most likely to be effective in a particular patient presumably depends on the etiology of their insomnia. However, attempts to match patients to particular behavioral therapies have met with limited success. One study did show that patients with increased muscle tension benefited more from electromyograph (EMG) biofeedback, and patients without this tension did better with electroencephalograph (EEG)-based biofeedback (1). However, another study that attempted to match patients to treatment modalities, based on aspects of clinical history, actually found that patients did worse when receiving the predicted “correct” treatment than those receiving the “incorrect” treatment (2). The recent trend has been to provide a CBT program that combines different behavioral treatments and cognitive therapy. As all patients are receiving several different treatments, this approach does not require any matching of treatment types to patient’s characteristics.
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- Cognitive-Behavioral Therapy Approaches for Insomnia
- Book Title
- Primary Care Sleep Medicine
- Book Subtitle
- A Practical Guide
- pp 37-45
- Print ISBN
- Online ISBN
- Series Title
- Current Clinical Practice
- Humana Press
- Copyright Holder
- Humana Press Inc.
- Additional Links
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- Editor Affiliations
- 1. Department of Family Practice, University of Colorado School of Medicine
- 2. Comprehensive Center for Sleep Medicine Department of Pulmonary, Critical Care, and Sleep Medicine, Mount Sinai School of Medicine
- Author Affiliations
- 3. Supportive Oncology Services, Inc. Accelerated Community Oncology Research Network, Memphis, TN
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