Cognitive behavioral therapy for the management of poor sleep in insomnia disorder

Abstract:

Insomnia disorder is a common complaint of sleep disruption that impacts daytime performance and reduces quality of life. Insomnia is generally characterized by subjective reports of difficulty obtaining adequate sleep accompanied by daytime impairment. This review provides a brief overview of the classification, epidemiology, etiology, and models of the development of adult insomnia. The contemporary evidence base for cognitive behavioral therapy in insomnia is then reviewed, with a focus on sleep and daytime functioning. The review concludes with a discussion of emerging therapies, based on psychological/behavioral principles.

Keywords::

• insomnia
• sleep
• cognitive behavioral therapy
• treatment
• psychological intervention
• review

Acknowledgments

This research was supported by the National Health and Medical Research Council (NHMRC; Australia), NeuroSleep (grant APP1060992).

Disclosure

Professor Colin Espie has conducted research for and is Clinical and Scientific Director of Sleepio Limited. He has consulted for Boots UK and Novartis, has participated in speaking engagements for UCB and Novartis; and has used actigraphs supplied at no charge by Philips Respironics in research studies. Dr Kyle has conducted research for Sleepio Limited. The authors report no other conflicts of interest in this work.