CBT-ICognitive Behavioral Therapy for Insomnia
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Understanding partners' perceptions of CBT-I is particularly important as sleep is increasingly recognized as a dyadic process in romantic relationships, prompting researchers to encourage clinicians to incorporate partners into psychotherapy for insomnia (Rogojanski, Carney, & Monson, 2013).
CBT-I targets these habits that perpetuate insomnia and should be discontinued."
Cheng said, referring to the ability of CBT-I to address both disorders.
CBT-I can be a lot of work, but it is safe and quite effective, getting to the underlying issues at the root of the insomnia rather than attempting to bombard it away with hypnotic drugs.
The research by Penn Medicine researchers found that while CBT-I is the gold standard of care, MBSR is an additional treatment approach that can also help improve sleep for cancer patients.
Most also have insomnia, and four studies of CBT-I for depression, in combination with medication, are nearing completion.
RCTs have reported significant improvements in late-life insomnia with CBT-I. (26), (27) Reviews and meta-analyses have also concluded that cognitive-behavioral treatments are effective for treating insomnia in older adults.
CBT-I was associated with better self-reported sleep quality and reduced insomnia symptoms compared with controls 6 months after therapy, according to data presented at the annual meeting of the Associated Professional Sleep Societies.
The effectiveness of CBT-I appears to be solid, as four studies on the therapy are expected to be published in the months ahead.
The study report said that the participant who received CBT-I reported significantly decreased sleep latency and wake after sleep onset, significantly reduced pain, and increased sleep efficiency.
Cognitive-behavioral therapy for insomnia (CBT-I) can be effective, regardless of whether chronic insomnia is primary or secondary to psychiatric, substance dependence, or psychophysiologic causes.1 In fact, with a response rate of 70% to 80%,2 CBT-I can be as effective as medication in the short term and even more effective in the long term.
At the end of the behavioral therapy, mindfulness-based stress reduction (MBSR) was inferior to cognitive-behavioral therapy for insomnia (CBT-I) in terms of the difference in Insomnia Severity Index.