Journal
NEUROTHERAPEUTICS
Volume 18, Issue 1, Pages 32-43Publisher
SPRINGER
DOI: 10.1007/s13311-021-01029-2
Keywords
Sleep; Insomnia; Treatment; Non-pharmacological; Cognitive behavioral therapy; Comorbidity
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Insomnia is a common sleep problem that often co-occurs with psychiatric and medical conditions, but cognitive behavioral therapy for insomnia (CBT-I) has been shown to be effective in various populations.
Insomnia is a prevalent sleep problem associated with a constellation of negative health-related outcomes and significant socioeconomic burden. It commonly co-occurs with psychiatric and medical conditions, which may further exacerbate these comorbid conditions and hinder treatment response. There is much empirical evidence to support the clinical efficacy of non-pharmacological treatment for insomnia, especially cognitive behavioral therapy for insomnia (CBT-I), in managing insomnia in a wide range of populations. This article reviews the research on the efficacy of CBT-I for primary insomnia and insomnia comorbid with other psychiatric and medical conditions, the empirical evidence regarding different CBT-I treatment modalities, the implementation of CBT-I across different age groups, and some initial evidence on the sequential combination of insomnia treatments. A brief overview of other non-pharmacological treatment with regard to complementary alternative medicine is also provided.
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