Psychological And Behavioral Treatment Of Insomnia: Update Of The Recent Evidence (1998–2004)
SLEEPPublished 1 November 2006Open access
Charles M. Morin, Richard R. Bootzin, Daniel J. Buysse, Jack D. Edinger, Colin A. Espie, Kenneth L. Lichstein
Citations1,304
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SJR score1.80
SNIP1.63
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Abstract
Background: The Regensburg Insomnia Scale (RIS) is a new self-rating scale to assess cognitive, emotional and behavioural aspects of psychophysiological insomnia (PI) with only ten items. A specific purpose of the new scale is the evaluation of the outcome of insomnia-specific cognitive behaviour therapy (CBT-I). Methods: Internal consistency of the RIS has been validated in 218 patients with PI. For determining sensitivity and specificity, this sample has been compared to 94 healthy controls. Sensitivity to change and pre-post cross-validation with the Pittsburgh Sleep Quality Index (PSQI) has been tested in a separate sample of 38 patients with PI undergoing CBT-I. Results: RIS distinguishes well between controls and patients with PI. Internal consistency was within a good range (Cronbach alpha = .890). RIS was sensitive for detecting improvements after CBT-I in sleep parameters and target symptoms such as sleep-related thinking. Conclusion: The RIS is a valid and feasible instrument for assessing psychological PI-symptoms and sleep parameters.
Keywords
PsychologySocial SciencesNeuroscience
Psychiatry ResearchThe Pittsburgh sleep quality index: A new instrument for psychiatric practice and research
34,698 Citations1989Daniel J. Buysse, Charles F. Reynolds +3 more
The clinimetric and clinical properties of the PSQI suggest its utility both in psychiatric clinical practice and research activities.
Clinical Psychology ReviewPsychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
11,814 Citations1988Aaron T. Beck, Robert A. Steer +1 more
Sleep Medicine ReviewsEpidemiology of insomnia: what we know and what we still need to learn
3,731 Citations2002Maurice M. Ohayon
The association between insomnia and major depressive episodes has been constantly reported: individuals with insomnia are more likely to have a major depressive illness and longitudinal studies have shown that the persistence of insomnia is associated with the appearance of a new depressive episode.
Journal of Psychosomatic ResearchThe multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue
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The Multidimensional Fatigue Inventory was tested for its psychometric properties in cancer patients receiving radiotherapy, patients with the chronic fatigue syndrome, psychology students, medical students, army recruits and junior physicians, and support the validity of the MFI.
JAMAEpidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
2,453 Citations1989Daniel E. Ford
Medical Entomology and ZoologyInsomnia: Psychological Assessment and Management
2,354 Citations1993Charles M. Morin
Journal of Consulting and Clinical PsychologyDefining empirically supported therapies.
2,328 Citations1998Dianne L. Chambless, Steven D. Hollon
JAMAEpidemiologic Study of Sleep Disturbances and Psychiatric Disorders
2,251 Citations1989Daniel E. Ford
As part of the National Institute of Mental Health Epidemiologic Catchment Area study, 7954 respondents were questioned at baseline and 1 year later about sleep complaints and psychiatric symptoms using the Diagnostic Interview Schedule.
Journal of Consulting and Clinical PsychologyDefining empirically supported therapies.
2,227 Citations1998Dianne L. Chambless, Steven D. Hollon
It is suggested that, in evaluating the benefits of a given treatment, the greatest weight should be given to efficacy trials but that these trials should be followed by research on effectiveness in clinical settings and with various populations and by cost-effectiveness research.
Biological PsychiatrySleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young Adults
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Prior insomnia remained a significant predictor of subsequent major depression when history of other prior depressive symptoms was controlled for, and complaints of 2 weeks or more of insomnia nearly every night might be a useful marker of subsequent onset of major depression.
SLEEPRecommendations for a Standard Research Assessment of Insomnia
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American Journal of PsychiatryNonpharmacological interventions for insomnia: a meta-analysis of treatment efficacy
1,106 Citations1994Charles M. Morin, J P Culbert +1 more
Stimulus control and sleep restriction were the most effective single therapy procedures, whereas sleep hygiene education was not effective when used alone.
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SLEEPNonpharmacologic Treatment of Chronic Insomnia
876 Citations1999Charles M. Morin, Peter Hauri +4 more
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American Journal of PsychiatryComparative Meta-Analysis of Pharmacotherapy and Behavior Therapy for Persistent Insomnia
861 Citations2002Michael T. Smith, Michael L. Perlis +5 more
Overall, behavior therapy and pharmacotherapy produce similar short-term treatment outcomes in primary insomnia.
American Journal of PsychiatryPrevalence, burden, and treatment of insomnia in primary care
694 Citations1997Gregory E. Simon, Michael VonKorff
While insomnia was associated with depressive disorder and chronic medical illness, adjustment for these factors only partially accounted for the association of insomnia with disability and with health care utilization.
JAMACognitive Behavioral Therapy for Treatment of Chronic Primary Insomnia
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The results suggest that CBT represents a viable intervention for primary sleep-maintenance insomnia and these improvements appear to endure through 6 months of follow-up.
Archives of Internal MedicineCognitive Behavior Therapy and Pharmacotherapy for Insomnia
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It is suggested that young and middle-age patients with sleep-onset insomnia can derive significantly greater benefit from CBT than pharmacotherapy and that CBT should be considered a first-line intervention for chronic insomnia.
Health PsychologyComparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age.
542 Citations2006Michael R. Irwin, Jason C. Cole +1 more
Both middle-aged adults and persons older than 55 years of age showed similar robust improvements in sleep quality, sleep latency, and wakening after sleep onset in this meta-analysis of randomized controlled trials.
Journal of Consulting and Clinical PsychologyIdentifying effective psychological treatments for insomnia: A meta-analysis.
522 Citations1995Douglas Murtagh, Kenneth M. Greenwood
It is indicated that psychological treatments produce considerable enhancement of both sleep patterns and the subjective experience of sleep, in terms of enhancing sleep onset.
Journal of Clinical OncologyRandomized Study on the Efficacy of Cognitive-Behavioral Therapy for Insomnia Secondary to Breast Cancer, Part I: Sleep and Psychological Effects
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Clinical Psychology ReviewCognitive behavior therapy for chronic insomnia occurring within the context of medical and psychiatric disorders
453 Citations2005Michael T. Smith, Mary I. Huang +1 more
CBT-I is a promising treatment for individuals with medical and psychiatric comorbidity and by improving sleep, CBT-I might also indirectly improve medical and psychological endpoints, although the literature reviewed here is limited by a paucity of randomized, controlled studies.
Insomnia: A Clinical Guide to Assessment and Treatment
408 Citations2007Charles M. Morin, Colin A. Espie
Behaviour Research and TherapyThe clinical effectiveness of cognitive behaviour therapy for chronic insomnia: implementation and evaluation of a sleep clinic in general medical practice
339 Citations2001Colin A. Espie, Stephanie J. Inglis +2 more
Results suggest that CBT administered by Health Visitors offers a clinically effective treatment for insomnia, and total sleep increased significantly during follow-up and 84% of patients initially using hypnotics remained drug-free.
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320 Citations2003Jack D. Edinger, William S. Sampson
ACBT is effective for reducing subjective sleep disturbance and insomnia symptoms in primary care patients and a sizeable proportion of these patients receiving this treatment achieved clinically significant improvements by their study endpoints.
Journal of Consulting and Clinical PsychologyInternet-Based Treatment for Insomnia: A Controlled Evaluation.
312 Citations2004Lars Ström, Richard Pettersson +1 more
Results showed statistically significant improvements in the treatment group on many outcome measures, including total sleep time, total wake time in bed, and sleep efficiency, however, improvements were also found in the control group.
Journal of Consulting and Clinical PsychologyCognitive-behavioral treatment of insomnia secondary to chronic pain.
253 Citations2000Shawn R. Currie, Keith G. Wilson +2 more
Journal of Consulting and Clinical PsychologyCognitive-Behavioral Therapy for Insomnia: Comparison of Individual Therapy, Group Therapy, and Telephone Consultations.
243 Citations2004Célyne Bastien, Charles M. Morin +3 more
CBT was effective in improving sleep parameters with all 3 methods of treatment implementation, and there was no significant difference across methods of implementation.
Journal of Consulting and Clinical PsychologyCognitive-behavior therapy for late-life insomnia.
235 Citations1993Charles M. Morin, Robert A. Kowatch +2 more
It is shown that late-life insomnia can be effectively treated with nonpharmacological interventions and that dysfunctional beliefs and attitudes about sleeplessness can be changed.
PubMedClinical and socioeconomic correlates of insomnia.
234 Citations2004James K. Walsh
Chronic insomnia is a common problem, often associated with negative waking mood or function and, in some cases, with increased daytime sleepiness and accident risk.
AddictionRandomized controlled trial of brief cognitive–behavioural interventions for insomnia in recovering alcoholics
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Recovering alcoholics with insomnia can achieve better sleep by applying cognitive-behavioural strategies, and individual therapy was associated with a higher rate of clinically significant improvement than self-help treatment conditions.
Behaviour Research and TherapyThe management of unwanted pre-sleep thoughts in insomnia: distraction with imagery versus general distraction
200 Citations2002Allison G. Harvey, Suzanna Payne
Investigating whether brief training in identifying and elaborating an interesting and engaging imagery task for use during the pre-sleep period can reduce unwanted pre- sleep cognitive activity and sleep onset latency found support for the first but not the second prediction.
Psychology and AgingPsychological treatment of secondary insomnia.
196 Citations2000Kenneth L. Lichstein, Nancy M. Wilson +1 more
Treated older adults with secondary insomnia showed significantly greater improvement on wake time during the night, sleep efficiency percentage, and sleep quality rating, and the authors hypothesize that treatment success was probably due in part to difficulty in diagnostic discrimination between primary and secondary insomnia.
Behaviour Research and TherapyCorrecting distorted perception of sleep in insomnia: a novel behavioural experiment?
179 Citations2003Nicole K. Y. Tang, Allison G. Harvey
Following the behavioural experiment, the Shown-Discrepancy Group estimated their SOL more accurately and reported less anxiety and preoccupation about sleep compared to the No-Demonstration Group.
American Journal of PsychiatryAn Open-Label Trial of Evidence-Based Cognitive Behavior Therapy for Nightmares and Insomnia in Crime Victims With PTSD
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Journal of Consulting and Clinical PsychologyA Placebo-Controlled Test of Cognitive-Behavioral Therapy for Comorbid Insomnia in Older Adults.
175 Citations2005Bruce Rybarczyk, Edward J. Stepanski +4 more
Findings add to findings that challenge the dichotomy between primary and secondary insomnia and suggest that psychological factors are likely involved in insomnias that are presumed to be secondary to medical conditions.
Journal of Consulting and Clinical PsychologySelf-help treatment for insomnia: Bibliotherapy with and without professional guidance.
172 Citations1999Véronique Mimeault, Charles M. Morin
Journal of Geriatric Psychiatry and NeurologyAn Actigraphic Comparison of Sleep Restriction and Sleep Hygiene Treatments for Insomnia in Older Adults
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Although subjects appeared to follow restriction instructions through follow-up, the authors found few between-group differences in treatment efficacy, and actigraphic total sleep time, in particular, was highly correlated with PSG.
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Clinical significance analyses yielded the strongest findings supporting the active treatments and suggested that sleep compression was most effective, and strong methodological features including a placebo condition and a treatment implementation scheme elevate the confidence due to these findings.
Journal of GerontologyA Preliminary Study Comparing Sleep Restriction and Relaxation Treatments for Insomnia in Older Adults
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Results showed sleep latency and waking after sleep onset were significantly reduced for both treatment groups under active treatment, and in both groups, increased total sleep time was reported at follow-up.
Behaviour Research and TherapyA controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia
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Only active treatments were associated with significant improvement, but the nature of treatment gains varied, in particular, stimulus control improved sleep pattern, whereas relaxation affected perception of sleep quality.
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Journal of Consulting and Clinical PsychologyBehavioral and cognitive treatments of geriatric insomnia.
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It is found that patients with primary insomnia were, on average, 43% improved, which suggests that behavioral treatment for insomnia is as effective in clinical settings as it is as under clinical trial conditions.
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It is concluded that effective insomnia management holds promise as a cost-effective health care intervention, however, the CEA models that eventually may support this hypothesis will require accurate measures of direct and indirect costs, health state utility in treated and untreated insomnia, and prevalence data based on widely-accepted case definitions.
Behaviour Research and TherapyThe treatment of sleep-maintenance insomnia with stimulus-control techniques
72 Citations1983Patricia Lacks, Amy D. Bertelson +2 more
Results showed a statistically- and clinically-significant reduction on all three dependent measures from baseline to post-treatment for both groups; these gains were maintained through the follow-up period.
British Journal of Medical PsychologyProgressive relaxation, EMG biofeedback and biofeedback placebo in the treatment of sleep‐onset insomnia
72 Citations1982Perry M. Nicassio, Marlene B. Boylan +1 more
The clinical improvement in the biofeedback placebo group suggests that expectancies related to the ability to relax may contribute to the therapeutic effectiveness of relaxation strategies, even with chronic, severely disturbed insomniacs.
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Results revealed that a diagnosis of dysthymia, based on a structured clinical interview, was associated with reduced adherence and less improvement in sleep-onset latency and sleep efficiency, but that scores on a dimensional measure of depression were not associated with either adherence or outcome.
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Journal of Psychosomatic ResearchTrait anxiety and sleep-onset insomnia
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The results suggest that both PR and AMT are efficient therapies for sleep onset insomnia and overall sleep quality and improvements in the application of the AMT technique are proposed to maximize its usefulness.
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Fifty-five insomniacs, 60 years or above, participated in a behavioral treatment program, comparing two interventions (sleep hygiene+stimulus control vs sleep hygiene+relaxation tape), and there were no differences in treatment effects.
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The hypothesis that writing about worries and concerns, with an emphasis on the expression and processing of emotion, will reduce sleep onset latency among an analogue sample of poor sleepers is tested.
Journal of Consulting and Clinical PsychologyRelaxation training and attention placebo in the treatment of severe insomnia.
65 Citations1977John R. Lick, David Heffler
The results indicated that the relaxation training procedures were significantly more effective than placebo and no-treatment controls in modifying several parameters of sleeping behavior, in reducing consumption of sleep-inducing medication, and in influencing a self-report anxiety measure.
Behavior ModificationA Comparison of the Efficacy of Stimulus Control for Medicated and Nonmedicated Insomniacs
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John Wiley & Sons, Inc. eBooksTreating sleep disorders : principles and practice of behavioral sleep medicine
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The Journal of Clinical PsychiatryBehavioral Treatment of Chronic Insomnia in Psychiatrically Ill Patients
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Psychological ReportsUse of Progressive Relaxation Training for Chronic Alcoholics with Insomnia
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A distribution-free two-sample permutation test to compare mean differences of the groups confirmed that a significantly greater change occurred in the quality of the sleeping patterns of the treated group.
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52 Citations1999Kenneth L. Lichstein, Britt Ann Peterson +4 more
The psychological treatment of hypnotic-dependent insomnia has high potential for making an important clinical contribution, and participants who received relaxation obtained additional benefits in sleep efficiency, rated quality of sleep, and reduced withdrawal symptoms.
Journal of Psychosomatic ResearchEvaluation of short-term nonpharmacological treatment of insomnia in a clinical setting
51 Citations1999Ingrid Verbeek, K. Schreuder +1 more
PubMedStimulus-control: nonpharmacologic treatment for insomnia.
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Family physicians can use stimulus-control treatment effectively for patients with chronic insomnia, and this nonpharmacologic approach could help motivated patients reduce their use of hypnotics.
Journal of Intellectual Disability ResearchPsychological treatment of reported sleep disorder in adults with intellectual disability using a multiple baseline design
37 Citations2003Michael J Gunning, Colin A. Espie
Behavioural sleep management may improve sleep pattern or sleep-related functioning in the majority of adults with ID who have significant sleep problems, although clinical trial methodology is required to confirm these findings on a larger scale.
Sleep MedicinePsychophysiological insomnia: combined effects of pharmacotherapy and relaxation-based treatments
37 Citations2000Raymond C. Rosen, Daniel Lewin +2 more
Support is provided for the value of combined pharmacotherapy and relaxation training in the treatment of psychophysiological insomnia with significant improvements in self-report measures of total sleep time, sleep efficiency, and wakefulness after sleep onset in the combined drug and relaxation groups.
Behavioral Sleep MedicineBehavioral and Hypnotic Treatments for Insomnia Subtypes
36 Citations2003William F. Waters, Mark Hurry +8 more
Results indicated that PMR/CD had greater effect upon sleep onset thanSR/SC and SHE, SR/SC had greaterEffect on sleep maintenance than PMR /CD, and MED was better than the other treatments.
Psychiatric Rehabilitation JournalCognitive-behavioral group therapy for insomnia in individuals with serious mental illnesses: A preliminary evaluation.
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Results suggest that sleep problems often began during periods of distress and/or exacerbation of illness but were maintained by environmental, behavioral, and cognitive factors.
PubMedBehavioral treatment of insomnia: the Wilford Hall Insomnia Program.
20 Citations2000Hryshko-Mullen As, Broeckl Ls +2 more
Military MedicineBehavioral Treatment of Insomnia: The Wilford Hall Insomnia Program
15 Citations2000Ann S. Hiyshko-Mullen, Linda S. Broeckl +2 more
The results indicated that sleep onset latency was improved, wake after sleep onset was decreased, and sleep efficiency was improved by 22% in patients treated in the Wilford Hall Insomnia Program.
Behavioural and Cognitive PsychotherapyCAN META-COGNITIVE OBSERVATION BE USED IN THE TREATMENT OF INSOMNIA? A PILOT STUDY OF A COGNITIVE-EMOTIONAL SELF-OBSERVATION TASK
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It is suggested that meta-cognitive observation tasks should be tested in controlled studies after participants showed a decreased sleep latency during the treatment week compared to the baseline week, and also an increased total sleep time and an improved sleep efficiency.
Psychological ReportsUSE OF PROGRESSIVE RELAXATION TRAINING FOR CHRONIC ALCOHOLICS WITH INSOMNIA
11 Citations1998Abraham P. Greeff
Primary Health CareInternet-based treatment for insomnia: a controlled evaluation
8 Citations2004Caroline McGraw
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It is concluded that minimal intervention using the Sleep Line is a useful supplement to more time consuming and expensive forms of sleep therapy.
Deep Blue (University of Michigan)Biofeedback And Progressive Relaxation Treatment Of Sleep-onset Insomnia: A Controlled All Night Investigation.
4 Citations1975Robert Russell Freedman
…