An Integrative Model for the Analysis and Treatment of Insomnia
Scandinavian Journal of Behaviour TherapyPublished 1 January 2000
Lars‐Gunnar Lundh
Citations11
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TL;DR
An integrative cognitive-behavioural model for the analysis and treatment of insomnia is described, which focuses both on a reduction of sleep-interfering arousal processes and on a modification ofSleep-interpreting processes.
Abstract
The present paper describes an integrative cognitive-behavioural model for the analysis and treatment of insomnia. According to the theoretical model, insomnia is the result of an interaction between sleep-interfering processes (e.g. various kinds of arousal, and processes whereby various stimuli, behaviours and cognitive activities lead to arousal) and sleep-interpreting processes (sleep-related beliefs, attributions, attitudes, etc.). It is argued that insomnia involves various combinations of such processes, and that treatment should be based on a cognitive-behavioural analysis of how these processes combine in each particular case of insomnia. The treatment model focuses both on a reduction of sleep-interfering arousal processes (e.g. by replacing willful goal-directed control strategies with skills of mindful observation and acceptance) and on a modification of sleep-interpreting processes (by means of behavioural experiments and psychoeducative interventions).
Keywords
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