![]() Sleep diaries, collected daily over several days provide a comprehensive assessment of self-reported insomnia symptoms 22. Previous studies have shown CBTi to be effective on insomnia severity and subjective sleep quality, with medium to large effect sizes 12, 16– 19 using mostly self-report questionnaires, such as the Insomnia Severity Index (ISI) 20 or the Pittsburgh Sleep Quality Index (PSQI) 21. The effectiveness of CBTi on insomnia severity has been extensively investigated. Given its long-term efficacy, the first-line of treatment for chronic insomnia is cognitive-behavioral therapy for insomnia (CBTi) 12, 13, a multimodal psychological intervention aimed at modifying maladaptive thinking and behaviors that contribute to the perpetuation of insomnia 14, 15. Current pharmacotherapeutic treatments are associated with greater risk of tolerance, dependence, drug abuse 10, 11. It is associated with poorer physical and mental health outcomes and an important societal financial burden 7– 9, thereby representing a major health issue. ![]() Chronic insomnia affects more than 10% of the population 4– 6. ![]() In secondary analyses, we pooled data from both groups to observe changes after CBTi.Ĭhronic insomnia is defined by self-reported complaints of difficulty falling asleep and/or maintaining sleep, occurring at least 3 times per week for more than 3 months, and is accompanied by daytime functioning complaints 1, such as fatigue, lack of energy, mood disruption, and often, cognitive complaints 2, 3. Our main analysis investigated changes in sleep and cognition after 3 months (treatment versus wait-list group). We also assessed ISI one year after CBTi in both groups. At 6 months post-randomization, we collected similar data from the wait-list group after CBTi. To this end, we conducted a multimodal investigation of sleep and cognition including subjective measures of sleep difficulties (Insomnia Severity Index (ISI), sleep diaries) and cognitive functioning (Sahlgrenska Academy Self-reported Cognitive Impairment Questionnaire), objective assessments of sleep (polysomnography recording, cognition (attention and working memory tasks), and sleep-state misperception measures, collected at baseline and at 3-months post-randomization. Learn more about what to expect in CBT-I sessions here.Methods We performed a randomized controlled trial with a treatment group and a wait-list control group to assess changes in insomnia symptoms after CBTi (8 sessions/3 months) in 62 participants with chronic insomnia. ![]() Gradually employing techniques to correct sleep problems.Targeting issues and methods to treat the insomnia particular to your case.Screening for medical issues and assessing sleep by a qualified provider.Insomnia treatment has three major steps: The most typical type of insomnia entails lying in bed, worrying about not sleeping, and finding it increasingly hard to fall asleep – this pattern of insomnia is highly treatable. If clients stick to a strict sleep regimen as planned with their therapist, their insomnia may even improve within just a few days. Most individuals are able to resolve their insomnia within nine sessions or less, without medications. Studies have shown that CBT-I improves sleep and daytime functioning by 70-80%, improves mood, and reduces co-morbid concerns like depression. In CBT-I, your therapist will screen and analyze your sleep habits, develop a treatment plan tailored to your particular experience of insomnia, and help you build specific skills to reduce both existing symptoms of insomnia and anxiety around sleep. Cognitive Behavioral Therapy for Insomnia (CBT-I) What is cognitive behavioral therapy for insomnia?Ĭognitive behavioral therapy for insomnia (or CBT-I) is a type of talk therapy and the top recommended treatment for insomnia by the American College of Physicians.
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