Advertisement

Sleep Behavior Management

  • Sidney D. Nau
  • John H. Koewler
  • James K. Walsh
Part of the Critical Issues in Psychiatry book series (CIPS)

Abstract

We have used an educationally oriented treatment program termed “sleep behavior management” (SBM) in the treatment of insomnia. The program emphasizes factors known to influence sleep and their integration into an individual’s life-style. SBM is a structured treatment, with active patient involvement and carefully selected behaviors. The basic premise of SBM is the interdependence of sleep and waking behaviors. Although sleep cannot be directly controlled, substantial influence over it can be obtained by manipulating waking behavior. Patients are taught to systematically implement sleep behavior principles to improve sleep quality and quantity. At the end of therapy, independent management of sleep behavior is possible and expected.

Keywords

Relaxation Training Sleep Behavior Nighttime Awakening American Sleep Disorder Association Sleep Hygiene Instruction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Recommended Readings

  1. Coates, T. J., Thoresen, C. E. (1977). How to sleep better: A drug free program for overcoming insomnia. Englewood Cliffs, NJ: Prentice-Hall. A patient-oriented manual for self-management of insomnia.Google Scholar
  2. Lacks, P. (1987). Behavioral treatment for persistent insomnia. New York: Pergamon Press. A recent manual of behavior therapy techniques for insomnia designed for the practitioner.Google Scholar
  3. Spielman, A. J. (1986). Assessment of insomnia. Clinical Psychology Review, 6, 11–25. A review of behavioral assessment for insomnia with interesting theoretical comments.Google Scholar
  4. Spielman, A. J., Caruso, L. S., Glovinsky, P. B. (1987). A behavioral perspective on insomnia treatment. Psychiatric Clinics of North America, 10, 541–553. A discussion of the behavioral point of view and behavior therapies for insomnia.Google Scholar

References

  1. Benson, H. (1975). The relaxation response. New York: Morrow.Google Scholar
  2. Bootzin, R. R. (1972). Stimulus control treatment for insomnia (Summary). Proceedings of the 80th Annual Convention of the American Psychological Association, 1, 395–396.Google Scholar
  3. Borkovec, T. D., Weerts, T. C. (1976). Effects of progressive relaxation on sleep disturbance: An electroencephalographic evaluation. Psychosomatic Medicine, 38, 173–180.PubMedGoogle Scholar
  4. Craighead, W. E., Kazdin, A. E., Mahoney, M. J. (1981). Behavior modification: Principles, issues and applications ( 2nd ed. ). Boston: Houghton Mifflin, pp 159–160.Google Scholar
  5. Jacobsen, E. (1938). Progressive relaxation. Chicago: University of Chicago Press.Google Scholar
  6. Zarcone, V. P. (1989). Sleep hygiene. In M. H. Kryger, T. Roth, W. C. Dement (Eds.), Principles and practice of sleep medicine. Philadelphia: W. B. Saunders Co.Google Scholar

Copyright information

© Springer Science+Business Media New York 1991

Authors and Affiliations

  • Sidney D. Nau
    • 1
  • John H. Koewler
    • 1
  • James K. Walsh
    • 1
  1. 1.Sleep Disorders and Research CenterDeaconess HospitalSt. LouisUSA

Personalised recommendations