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Cognitive-Behavioral Therapy for Insomnia

  • M. L. Perlis
  • M. T. Smith
  • C. Jungquist
  • S. Nowakowski
  • H. Orff
  • J. Soeffing
Chapter
  • 1.8k Downloads
Part of the Current Clinical Neurology book series (CCNEU)

Abstract

The most common cognitive-behavioral therapies for primary insomnia are: sleep hygiene education, stimulus control, sleep restriction, relaxation training, and cognitive therapy out of which stimulus control therapy is the most well validated and is considered “the gold standard” for the behavioral treatment of insomnia. In practice, most behavioral sleep medicine clinicians adopt a multicomponent approach which usually contains stimulus control, sleep restriction, and sleep hygiene therapy. Adjunctive interventions include phototherapy, relaxation therapy, and cognitive restructuring. CBT can be combined with pharmacological methods, but it has been shown more effective than medication on the long term.

Keywords

Cognitive-behavioral therapy Cognitive restructuring Relaxation therapy Phototherapy Stimulus control Sleep hygiene Sleep restriction consolidation 

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • M. L. Perlis
    • 1
  • M. T. Smith
    • 1
  • C. Jungquist
    • 1
    • 3
  • S. Nowakowski
    • 4
  • H. Orff
    • 4
  • J. Soeffing
    • 2
  1. 1.Behavioral Sleep Medicine Service, Department of PsychiatryUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.UR Sleep Research LaboratoryUniversity of Rochester Medical centerRochesterUSA
  3. 3.Pain Treatment Clinic, Canandaigua VACanandaiguaUSA
  4. 4.UR Sleep Research LaboratoryRochesterUSA

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