Chapter 1 - Standard cognitive behavioral therapy for insomnia (CBT-I): When is the adaptation of CBT-I warranted?

Abstract

Cognitive Behavioral Therapy for Insomnia (CBT-I) has been repeatedly shown to be efficacious and is now considered the first-line treatment for insomnia for both uncomplicated insomnia (primary insomnia) and insomnia that occurs comorbidly with other chronic disorders (secondary insomnia). CBT-I is a multicomponent treatment that consists of Sleep Restriction Therapy (SRT), Stimulus Control Therapy (SCT), Cognitive Therapy (CT), and Sleep Hygiene (SH). When combined these interventions produce large treatment effects. The purpose of this chapter is to review and discuss the efficacy and effectiveness of CBT-I, its components, and, finally, discuss when it is appropriate to adapt CBT-I for certain medical/psychiatric conditions and/or demographic groups.