Cognitive Behavioral Therapy for Insomnia in the Digital Age
Cognitive behavioral therapy for insomnia (CBT-I) is the treatment of choice for insomnia; however, it is not widely used due to a lack of experienced therapists and its relatively high clinical cost. Recently, Internet and mobile CBT-I have been developed to replace face-to-face CBT-I, and research on this topic has been increasing. In addition, attempts have been made to use wearable devices for sleep–wake estimation. Studies on digital CBT-I thus far have shown favorable treatment effects in general, but the problem of a high dropout rate has not been sufficiently improved. In addition, more sophisticated technology is needed to develop fully automated digital CBT-I. As part of efforts to maximize the treatment effectiveness of future insomnia patients, research and development of mobile and Internet CBT-I and improvement of sleep tracker accuracy and validation studies are needed.
KeywordsSleep Insomnia Cognitive behavioral therapy for insomnia Internet Mobile application Wearable device
This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2017R1D1A1B03032431). This research was supported by Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education (NRF-2013R1A1A2059105).
- 4.Chung KF, Yeung WF, Ho FY, Yung KP, Yu YM, Kwok CW. Cross-cultural and comparative epidemiology of insomnia: the Diagnostic and statistical manual (DSM), International classification of diseases (ICD) and International classification of sleep disorders (ICSD). Sleep Med. 2015;16(4):477–82.PubMedCrossRefPubMedCentralGoogle Scholar
- 13.Pillai V, Anderson JR, Cheng P, Bazan L, Bostock S, Roth TA, et al. The anxiolytic effects of cognitive behavior therapy for insomnia: preliminary results from a web-delivered protocol. J Sleep Med Disord. 2015;2(2):a-7.Google Scholar
- 25.Thorndike FP, Ritterband LM, Gonder-Frederick LA, Lord HR, Ingersoll KS, Morin CM. A randomized controlled trial of an internet intervention for adults with insomnia: effects on comorbid psychological and fatigue symptoms. J Clin Psychol. 2013;69(10):1078–93.PubMedPubMedCentralCrossRefGoogle Scholar
- 37.Koffel E, Kuhn E, Petsoulis N, Erbes CR, Anders S, Hoffman JE, et al. A randomized controlled pilot study of CBT-I Coach: feasibility, acceptability, and potential impact of a mobile phone application for patients in cognitive behavioral therapy for insomnia. Health Inf J. 2016.Google Scholar
- 39.Chen Y-X, Chen H-C, Chen L-X, Hu J-W, Shie C-K, Lin Y-S, et al., editors. Enhancing adherence to cognitive behavioral therapy for insomnia through machine and social persuasion. In: Green Computing and Communications (GreenCom), 2013 (IEEE and Internet of Things (iThings/CPSCom), IEEE International Conference on and IEEE Cyber, Physical and Social Computing; 2013: IEEE).Google Scholar
- 44.Baig MM, Antonescu-Turcu A, Ratarasarn K. Impact of sleep telemedicine protocol in management of sleep apnea: A 5-year VA experience. Telemed J E Health. 2016.Google Scholar
- 54.Android rules S. Korean market in 2013: data: Yonhap News. http://english.yonhapnews.co.kr/business/2014/01/21/30/0501000000AEN20140121001000320F.html.
- 57.Espie CA, Emsley R, Kyle SD, Gordon C, Drake CL, Siriwardena AN, et al. Effect of digital cognitive behavioral therapy for insomnia on health, psychological well-being, and sleep-related quality of life: a randomized clinical trial. JAMA Psychiatry. 2018.Google Scholar
- 58.Cohn SP. Privacy and confidentiality in the nationwide health information network. http://www.ncvhshhsgov/060622lth.tm (2006).