Primary insomnia, defined as difficulty initiating or maintaining sleep three nights per week for at least 3 months with related distress, is estimated to occur in 10–15% of primary care patients (American Psychiatric Association, 2013, pp. 362–368; Ram, Seirawan, Kumar, & Clark, 2010). A much larger proportion of the population, up to 50%, experience at least occasional inability to sleep, if not fully established insomnia, making sleep problems a major source of distress for the primary care population. The number of primary care visits that included insomnia as a reason for the medical visit increased by 13% from 1999 to 2010, and the number of prescriptions for sleep medications increased by 266% (Ford et al., 2014). With this large increase in mind, as well as concerns about routine use of sleep medications, behavioral interventions are an attractive alternative.


Sleep Insomnia Hygiene Sleeplessness Restlessness Sleeping Awake Night Nap 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Family and Community MedicineMedical College of WisconsinMilwaukeeUSA

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