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10 - Insomnia Disorder

Published online by Cambridge University Press:  10 January 2025

By
Parky Lau ,
Onkar Marway  and
Colleen Carney
Edited by
Stephen Hupp  and
David F. Tolin
Stephen Hupp
Affiliation:
Southern Illinois University, Edwardsville
David F. Tolin
Affiliation:
Institute of Living
Get access

Summary

Insomnia disorder involves trouble falling asleep, trouble staying asleep, or both. A review using the new criteria for empirically supported treatments gave a strong recommendation for cognitive-behavioral therapy for insomnia. Credible components of treatment include stimulus control, sleep restriction, and relaxation therapies. A sidebar discusses components requiring further research.

Keywords

insomnia disordercognitive-behavioral therapy for insomniaCBT-Istimulus controlsleep restrictionrelaxation therapiesTolin criteriascience-based therapy
Type
Chapter
Information
Science-Based Therapy
Raising the Bar for Empirically Supported Treatments
 , pp. 159 - 174
Publisher: Cambridge University Press
Print publication year: 2025

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References

Useful Resources

American Academy of Sleep Medicine: www.aasm.org

Association for Behavioral and Cognitive Therapies: www.abct.org

Canadian Sleep Society: www.css-scs.ca

Society for Behavioral Sleep Medicine: www.behavioralsleep.org

References

Achermann, P. (2004). The two-process model of sleep regulation revisited. Aviation, Space, and Environmental Medicine, 75(3), A37–A43.Google ScholarPubMed
American Psychological Association Division 12. (2022). Brief Summary Paradoxical Intention for Insomnia. https://div12.org/treatment/paradoxical-intention-for-insomnia/ (accessed February 22, 2023).Google Scholar
American Psychological Association. (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR. American Psychiatric Publications Inc.Google Scholar
Ascher, L. M., & Turner, R. M. (1979). Paradoxical intention and insomnia: an experimental investigation. Behavior Research and Therapy, 17(4), 408–411.CrossRefGoogle ScholarPubMed
Barr, D. A. (2014). Health disparities in the United States: Social class, race, ethnicity, and health. Johns Hopkins University Press.Google Scholar
Benson, K. L. (2015). Sleep in Schizophrenia: Pathology and Treatment. Sleep Medicine Clinics, 10(1), 49–55. https://doi.org/10.1016/j.jsmc.2014.11.001.CrossRefGoogle Scholar
Blom, K., Jernelöv, S., Rück, C., Lindefors, N., & Kaldo, V. (2016). Three-year follow-up of insomnia and hypnotics after controlled internet treatment for insomnia. Sleep, 39(6), 1267–1274.CrossRefGoogle ScholarPubMed
Boness, C. L., Hershenberg, R., Kaye, J., et al. (2020). An evaluation of cognitive behavioral therapy for insomnia: A systematic review and application of Tolin’s Criteria for empirically supported treatments. Clinical Psychology: Science and Practice, 27(4), e12348.Google Scholar
Bonnet, M. H., & Arand, D. L. (2010). Hyperarousal and insomnia: state of the science. Sleep Medicine Reviews, 14(1), 9–15.CrossRefGoogle ScholarPubMed
Bootzin, R. R. (1972). Stimulus control treatment for insomnia. Proceedings of the American Psychological Association, 7, 395–396.Google Scholar
Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4.CrossRefGoogle ScholarPubMed
Carmona, N. E., Usyatynsky, A., Kutana, S., et al. (2021). A transdiagnostic self-management web-based app for sleep disturbance in adolescents and young adults: Feasibility and acceptability study. JMIR Formative Research, 5(11), e25392.CrossRefGoogle Scholar
Carney, C. E., Buysse, D. J., Ancoli-Israel, S., et al. (2012). The consensus sleep diary: Standardizing prospective sleep self-monitoring. Sleep, 35(2), 287–302.CrossRefGoogle ScholarPubMed
Cheng, P., Cuellar, R., Johnson, D. A., et al. (2020). Racial discrimination as a mediator of racial disparities in insomnia disorder. Sleep Health, 6(5), 543–549.CrossRefGoogle ScholarPubMed
Cheng, P., Luik, A. I., Fellman-Couture, C., et al. (2019). Efficacy of digital CBT for insomnia to reduce depression across demographic groups: A randomized trial. Psychological Medicine, 49(3), 491–500.CrossRefGoogle ScholarPubMed
ChessonJr, A. L., Anderson, W. M., Littner, M., et al. (1999). Practice parameters for the nonpharmacologic treatment of chronic insomnia. Sleep, 22(8), 1128–1133.CrossRefGoogle ScholarPubMed
Cheung, J. M., Bartlett, D. J., Armour, C. L., Saini, B., & Laba, T. L. (2018). Patient preferences for managing insomnia: A discrete choice experiment. The Patient-Patient-Centered Outcomes Research, 11(5), 503–514.CrossRefGoogle ScholarPubMed
Chung, F., Abdullah, H. R., & Liao, P. (2016). STOP-Bang Questionnaire: A Practical Approach to Screen for Obstructive Sleep Apnea. Chest, 149(3), 631–638. https://doi.org/10.1378/chest.15-0903.CrossRefGoogle ScholarPubMed
Chung, K. F., Lee, C. T., Yeung, W. F., et al. (2018). Sleep hygiene education as a treatment of insomnia: A systematic review and meta-analysis. Family Practice, 35(4), 365–375.CrossRefGoogle ScholarPubMed
Clarke, G., McGlinchey, E. L., Hein, K., et al. (2015). Cognitive-behavioral treatment of insomnia and depression in adolescents: A pilot randomized trial. Behaviour Research and Therapy, 69, 111–118.CrossRefGoogle ScholarPubMed
Colombo, C., Benedetti, F., Barbini, B., Campori, E., & Smeraldi, E. (1999). Rate of switch from depression into mania after therapeutic sleep deprivation in bipolar depression. Psychiatry Research, 86(3), 267–270.CrossRefGoogle ScholarPubMed
Cox, R. C., & Olatunji, B. O. (2020). Sleep in the anxiety-related disorders: A meta-analysis of subjective and objective research. Sleep Medicine Reviews, 51, 101282. https://doi.org/10.1016/j.smrv.2020.101282.CrossRefGoogle ScholarPubMed
de Bruin, E. J., Meijer, A., & Bögels, S. M. (2020). The contribution of a body scan mindfulness meditation to effectiveness of internet-delivered CBT for insomnia in adolescents. Mindfulness, 11, 872–882.CrossRefGoogle Scholar
Dell’Aquila, J. T., & Soti, V. (2022). Sleep deprivation: A risk for epileptic seizures. Sleep Science, 15(2), 245–249.Google ScholarPubMed
Earley, C. J., & Silber, M. H. (2010). Restless legs syndrome: understanding its consequences and the need for better treatment. Sleep Medicine, 11(9), 807–815.CrossRefGoogle ScholarPubMed
Edinger, J. D., Arnedt, J. T., Bertisch, S. M., et al. (2021). Behavioral and psychological treatments for chronic insomnia disorder in adults: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 17(2), 255–262.CrossRefGoogle ScholarPubMed
Edinger, J. D., Fins, A. I., Sullivan, R. J., Jr, et al. (1997). Sleep in the laboratory and sleep at home: Comparisons of older insomniacs and normal sleepers. Sleep, 20(12), 1119–1126. https://doi.org/10.1093/sleep/20.12.1119.CrossRefGoogle ScholarPubMed
Edinger, J. D., Kirby, A. C., Lineberger, M. D. et al. (2006). Duke Structured Interview Schedule for DSM-IV-TR and International Classification of Sleep Disorders, Second Edition, Sleep Disorders Diagnoses. Veterans Affairs and Duke University Medical Centers.Google Scholar
Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Marsh, G. R., & Quillian, R. E. (2001). Cognitive behavioral therapy for treatment of chronic primary insomnia: A randomized controlled trial. JAMA, 285(14), 1856–1864. https://doi.org/10.1001/jama.285.14.1856.CrossRefGoogle ScholarPubMed
Epstein, D. R., Sidani, S., Bootzin, R. R., & Belyea, M. J. (2012). Dismantling multicomponent behavioral treatment for insomnia in older adults: A randomized controlled trial. Sleep, 35(6), 797–805. https://doi.org/10.5665/sleep.1878.CrossRefGoogle ScholarPubMed
Espie, C. A., & Lindsay, W. R. (1987). Cognitive strategies for the management of severe sleep-maintenance insomnia: A preliminary investigation. Behavioral and Cognitive Psychotherapy, 15(4), 388–395.CrossRefGoogle Scholar
Espie, C. A., Lindsay, W. R., Brooks, D. N., Hood, E. M., & Turvey, T. (1989). A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia. Behavior Research and Therapy, 27(1), 79–88.CrossRefGoogle ScholarPubMed
Fang, H., Tu, S., Sheng, J., & Shao, A. (2019). Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. Journal of Cellular and Molecular Medicine, 23(4), 2324–2332. https://doi.org/10.1111/jcmm.14170.CrossRefGoogle ScholarPubMed
Fernando III, A., Arroll, B., & Falloon, K. (2013). A double-blind randomised controlled study of a brief intervention of bedtime restriction for adult patients with primary insomnia. Journal of Primary Health Care, 5(1), 5–10.CrossRefGoogle Scholar
Figueiro, M. G. (2016). Delayed sleep phase disorder: clinical perspective with a focus on light therapy. Nature and Science of Sleep, 8, 91–106.CrossRefGoogle ScholarPubMed
Friedman, L., Benson, K., Noda, A., et al. (2000). An actigraphic comparison of sleep restriction and sleep hygiene treatments for insomnia in older adults. Journal of Geriatric Psychiatry and Neurology, 13(1), 17–27. https://doi.org/10.1177/089198870001300103.CrossRefGoogle ScholarPubMed
Gehrman, P. R., Hall, M., Barilla, H., et al. (2016). Stress reactivity in insomnia. Behavioral Sleep Medicine, 14(1), 23–33.CrossRefGoogle ScholarPubMed
Glovinsky, P. B., & Spielman, A. J. (1991). Sleep restriction therapy. In Hauri, P. J. (Ed.), Case studies in insomnia (pp. 49–63). Springer.CrossRefGoogle Scholar
Gong, H., Ni, C. X., Liu, Y. Z., et al. (2016). Mindfulness meditation for insomnia: A meta-analysis of randomized controlled trials. Journal of Psychosomatic Research, 89, 1–6.CrossRefGoogle ScholarPubMed
Greeff, A. P., & Conradie, W. S. (1998). Use of progressive relaxation training for chronic alcoholics with insomnia. Psychological Reports, 82(2), 407–412. https://doi.org/10.2466/pr0.1998.82.2.407.CrossRefGoogle ScholarPubMed
Guyatt, G. H., Oxman, A. D., Vist, G. E., et al. (2008). GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 336(7650), 924–926.CrossRefGoogle ScholarPubMed
Harris, J., Lack, L., Kemp, K., Wright, H., & Bootzin, R. (2012). A randomized controlled trial of intensive sleep retraining (ISR): A brief conditioning treatment for chronic insomnia. Sleep, 35(1), 49–60.CrossRefGoogle ScholarPubMed
Harris, J., Lack, L., Wright, H., Gradisar, M., & Brooks, A. (2007). Intensive sleep retraining treatment for chronic primary insomnia: A preliminary investigation. Journal of Sleep Research, 16(3), 276–284.CrossRefGoogle ScholarPubMed
Hartmann, J. A., Carney, C. E., Lachowski, A., & Edinger, J. D. (2015). Exploring the construct of subjective sleep quality in patients with insomnia. The Journal of Clinical Psychiatry, 76(6), e768–e773. https://doi.org/10.4088/JCP.14m09066.CrossRefGoogle ScholarPubMed
Harvey, A. G. (2000). Sleep hygiene and sleep-onset insomnia. Journal of Nervous and Mental Disease, 188(1), 53–55.CrossRefGoogle ScholarPubMed
Harvey, A. G. (2002). A cognitive model of insomnia. Behavior Research and Therapy, 40(8), 869–893.CrossRefGoogle ScholarPubMed
Harvey, A. G. (2016). A transdiagnostic intervention for youth sleep and circadian problems. Cognitive Behavioral Practice, 23(3), 341–355.CrossRefGoogle Scholar
Harvey, A. G., Hein, K., Dolsen, M. R., et al. (2018). Modifying the impact of eveningness chronotype (“night-owls”) in youth: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 57(10), 742–754. https://doi.org/10.1016/j.jaac.2018.04.020.CrossRefGoogle ScholarPubMed
Harvey, A. G., Hein, K., Dong, L., et al. (2016). A transdiagnostic sleep and circadian treatment to improve severe mental illness outcomes in a community setting: study protocol for a randomized controlled trial. Trials, 17(1), 606. https://doi.org/10.1186/s13063-016-1690-9.CrossRefGoogle Scholar
Hiller, R. M., Johnston, A., Dohnt, H., Lovato, N., & Gradisar, M. (2015). Assessing cognitive processes related to insomnia: A review and measurement guide for Harvey’s cognitive model for the maintenance of insomnia. Sleep Medicine Reviews, 23, 46–53.CrossRefGoogle ScholarPubMed
Johnson, J. A., Rash, J. A., Campbell, T. S., et al. (2016). A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for insomnia (CBT-I) in cancer survivors. Sleep Medicine Reviews, 27, 20–28.CrossRefGoogle ScholarPubMed
Kaplan, K. A., & Harvey, A. G. (2013). Behavioral treatment of insomnia in bipolar disorder. American Journal of Psychiatry, 170(7), 716–720.CrossRefGoogle ScholarPubMed
Kay, D. B., Karim, H. T., Soehner, A. M., et al. (2016). Sleep-wake differences in relative regional cerebral metabolic rate for glucose among patients with insomnia compared with good sleepers. Sleep, 39(10), 1779–1794.CrossRefGoogle ScholarPubMed
Lack, L., Scott, H., & Lovato, N. (2019). Intensive sleep retraining treatment of insomnia. Sleep Medicine Clinics, 14(2), 245–252.CrossRefGoogle ScholarPubMed
Lacks, P., Bertelson, A. D., Sugerman, J., & Kunkel, J. (1983). The treatment of sleep-maintenance insomnia with stimulus-control techniques. Behavior Research and Therapy, 21(3), 291–295.CrossRefGoogle ScholarPubMed
Ladouceur, R., & Gros-Louis, Y. (1986). Paradoxical intention vs stimulus control in the treatment of severe insomnia. Journal of Behavior Therapy and Experimental Psychiatry, 17(4), 267–269.CrossRefGoogle ScholarPubMed
Loring, W. A., Johnston, R., Gray, L., Goldman, S., & Malow, B. (2016). A brief behavioral intervention for insomnia in adolescents with autism spectrum disorders. Clinical Practice in Pediatric Psychology, 4(2), 112–124.CrossRefGoogle Scholar
Ma, Z. R., Shi, L. J., & Deng, M. H. (2018). Efficacy of cognitive behavioral therapy in children and adolescents with insomnia: A systematic review and meta-analysis. Brazilian Journal of Medical and Biological Research, 51(6), e7070.CrossRefGoogle ScholarPubMed
Maurer, L. F., & Kyle, S. D. (2022). Efficacy of multicomponent CBT‐I and its single components. Cognitive‐Behavioural Therapy For Insomnia (CBT‐I) Across The Life Span: Guidelines and Clinical Protocols for Health Professionals, 42–50.CrossRefGoogle Scholar
Maurer, L. F., Espie, C. A., Omlin, X., Emsley, R., & Kyle, S. D. (2022). The effect of sleep restriction therapy for insomnia on sleep pressure and arousal: a randomized controlled mechanistic trial. Sleep, 45(1), zsab223. https://doi.org/10.1093/sleep/zsab223.CrossRefGoogle ScholarPubMed
Maurer, L. F., Espie, C. A., Omlin, X., et al. (2020). Isolating the role of time in bed restriction in the treatment of insomnia: A randomized, controlled, dismantling trial comparing sleep restriction therapy with time in bed regularization. Sleep, 43(11), zsaa096. https://doi.org/10.1093/sleep/zsaa096.CrossRefGoogle ScholarPubMed
McCall, C., & McCall, W. V. (2012). Objective vs. subjective measurements of sleep in depressed insomniacs: First night effect or reverse first night effect? Journal of Clinical Sleep Medicine, 8(1), 59–65. https://doi.org/10.5664/jcsm.1664.CrossRefGoogle ScholarPubMed
McHugh, R. K., Whitton, S. W., Peckham, A. D., Welge, J. A., & Otto, M. W. (2013). Patient preference for psychological vs pharmacologic treatment of psychiatric disorders: A meta-analytic review. The Journal of Clinical Psychiatry, 74(6), 13979.CrossRefGoogle ScholarPubMed
Means, M. K., Lichstein, K. L., Epperson, M. T., & Johnson, C. T. (2000). Relaxation therapy for insomnia: Nighttime and day time effects. Behavior Research and Therapy, 38(7), 665–678. https://doi.org/10.1016/s0005-7967(99)00091-1.CrossRefGoogle ScholarPubMed
Meltzer, L. J., & Mindell, J. A. (2014). Systematic review and meta-analysis of behavioral interventions for pediatric insomnia. Journal of Pediatric Psychology, 39(8), 932–948.CrossRefGoogle ScholarPubMed
Mitchell, M. D., Gehrman, P., Perlis, M., & Umscheid, C. A. (2012). Comparative effectiveness of cognitive behavioral therapy for insomnia: A systematic review. BMC Family Practice, 13(1), 1–11.CrossRefGoogle ScholarPubMed
Morgenthaler, T., Kramer, M., Alessi, C., et al. (2006). Practice parameters for the psychological and behavioral treatment of insomnia: An update. An American academy of sleep medicine report. Sleep, 29(11), 1415–1419.Google ScholarPubMed
Morin, C. M. (1993). Insomnia: Psychological assessment and management. Guilford Press.Google Scholar
Morin, C. M. (2006). Cognitive-behavioral therapy of insomnia. Sleep Medicine Clinics, 1(3), 375–386.CrossRefGoogle Scholar
Morin, C. M., & Azrin, N. H. (1988). Behavioral and cognitive treatments of geriatric insomnia. Journal of Consulting and Clinical Psychology, 56(5), 748–753. https://doi.org/10.1037//0022-006x.56.5.748.CrossRefGoogle ScholarPubMed
Morin, C. M., Vallières, A., Guay, B., et al. (2009). Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial. JAMA, 301(19), 2005–2015.CrossRefGoogle ScholarPubMed
Moss, T. G., Lachowski, A. M., & Carney, C. E. (2013). What all treatment providers should know about sleep hygiene recommendations. The Behavior Therapist. 36(4), 76–83.Google Scholar
Natsky, A. N., Vakulin, A., Chai-Coetzer, C. L., et al. (2020). Economic evaluation of cognitive behavioral therapy for insomnia (CBT-I) for improving health outcomes in adult populations: A systematic review. Sleep Medicine Reviews, 54, 101351.CrossRefGoogle ScholarPubMed
Nicassio, P., & Bootzin, R. (1974). A comparison of progressive relaxation and autogenic training as treatments for insomnia. Journal of Abnormal Psychology, 83(3), 253–260. https://doi.org/10.1037/h0036729.CrossRefGoogle ScholarPubMed
Ong, J. C., Manber, R., Segal, Z., et al. (2014). A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep, 37(9), 1553–1563.CrossRefGoogle ScholarPubMed
Perlis, M. L., Giles, D. E., Mendelson, W. B., Bootzin, R. R., & Wyatt, J. K. (1997). Psychophysiological insomnia: The behavioral model and a neurocognitive perspective. Journal of Sleep Research, 6(3), 179–188.CrossRefGoogle Scholar
Perlis, M., Shaw, P. J., Cano, G., & Espie, C. A. (2011). Models of insomnia. Principles and Practice of Sleep Medicine, 5(1), 850–865.CrossRefGoogle Scholar
Riedner, B. A., Goldstein, M. R., Plante, D. T., et al. (2016). Regional patterns of elevated alpha and high-frequency electroencephalographic activity during nonrapid eye movement sleep in chronic insomnia: A pilot study. Sleep, 39(4), 801–812.CrossRefGoogle ScholarPubMed
Robertson, J. A., Broomfield, N. M., & Espie, C. A. (2007). Prospective comparison of subjective arousal during the pre‐sleep period in primary sleep‐onset insomnia and normal sleepers. Journal of Sleep Research, 16(2), 230–238.CrossRefGoogle ScholarPubMed
Roenneberg, T., Kuehnle, T., Pramstaller, P. P., et al. (2004). A marker for the end of adolescence. Current Biology: CB, 14(24), R1038–R1039. https://doi.org/10.1016/j.cub.2004.11.039.CrossRefGoogle ScholarPubMed
Rybarczyk, B., Lopez, M., Benson, R., Alsten, C., & Stepanski, E. (2002). Efficacy of two behavioral treatment programs for comorbid geriatric insomnia. Psychology and Aging, 17(2), 288–298.CrossRefGoogle ScholarPubMed
Rybarczyk, B., Stepanski, E., Fogg, L., et al. (2005). A placebo-controlled test of cognitive-behavioral therapy for comorbid insomnia in older adults. Journal of Consulting and Clinical Psychology, 73(6), 1164.CrossRefGoogle ScholarPubMed
Sateia, M. J., Buysse, D. J., Krystal, A. D., Neubauer, D. N., & Heald, J. L. (2017). Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 13(2), 307–349.CrossRefGoogle ScholarPubMed
Sidani, S., Epstein, D. R., Bootzin, R. R., Moritz, P., & Miranda, J. (2009). Assessment of preferences for treatment: Validation of a measure. Research in Nursing & Health, 32(4), 419–431.CrossRefGoogle ScholarPubMed
Sidani, S., Epstein, D. R., Fox, M., & Collins, L. (2019). Comparing the effects of single‐and multiple‐component therapies for insomnia on sleep outcomes. Worldviews on Evidence‐Based Nursing, 16(3), 195–203.CrossRefGoogle ScholarPubMed
Simmons, A., Chappel, A., Kolbe, A. R., Bush, L., & Sommers, B. D. (2021). Health disparities by race and ethnicity during the Covid-19 pandemic: Current evidence and policy approaches. Washington, DC: Office of the Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services.Google Scholar
Spielman, A. J., Caruso, L. S., & Glovinsky, P. B. (1987). A behavioral perspective on insomnia treatment. Psychiatric Clinics of North America, 10(4), 541–553.CrossRefGoogle ScholarPubMed
Spielman, A. J., Yang, C. M., & Glovinsky, P. B. (2016). Insomnia: Sleep restriction therapy. In Buysse, S., (Ed.) Insomnia (pp. 293–305). CRC Press.Google Scholar
Sweetman, A., Lack, L., & Bastien, C. (2019a). Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials. Brain Sciences, 9(12), 371. https://doi.org/10.3390/brainsci9120371.CrossRefGoogle ScholarPubMed
Sweetman, A., Lack, L., Catcheside, P. G., et al. (2019b). Cognitive and behavioral therapy for insomnia increases the use of continuous positive airway pressure therapy in obstructive sleep apnea participants with comorbid insomnia: A randomized clinical trial. Sleep, 42(12), zsz178. https://doi.org/10.1093/sleep/zsz178.CrossRefGoogle ScholarPubMed
Sweetman, A., Lack, L., McEvoy, R. D., et al. (2020). Cognitive behavioral therapy for insomnia reduces sleep apnoea severity: a randomised controlled trial. ERJ Open Research, 6(2), 00161–2020. https://doi.org/10.1183/23120541.00161-2020.CrossRefGoogle Scholar
Thorpy, M. (2007). Therapeutic advances in narcolepsy. Sleep Medicine, 8(4), 427–440.CrossRefGoogle ScholarPubMed
Tolin, D. F., McKay, D., Forman, E. M., Klonsky, E. D., & Thombs, B. D. (2015). Empirically supported treatment: Recommendations for a new model. Clinical Psychology: Science and Practice, 22(4), 317.Google Scholar
van Geijlswijk, I. M., Korzilius, H. P., & Smits, M. G. (2010). The use of exogenous melatonin in delayed sleep phase disorder: a meta-analysis. Sleep, 33(12), 1605–1614.CrossRefGoogle ScholarPubMed
Wilson, S. J., Nutt, D. J., Alford, C., et al. (2010). British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders. Journal of Psychopharmacology, 24(11), 1577–1601.CrossRefGoogle ScholarPubMed
Wohlgemuth, W. K., Edinger, J. D., Fins, A. I., & Sullivan Jnr., R. J. (1999). How many nights are enough? The short-term stability of sleep parameters in elderly insomniacs and normal sleepers. Psychophysiology, 36(2), 233–244.CrossRefGoogle ScholarPubMed
Woodley, J., & Smith, S. (2006). Safety behaviors and dysfunctional beliefs about sleep: Testing a cognitive model of the maintenance of insomnia. Journal of Psychosomatic Research, 60(6), 551–557.CrossRefGoogle ScholarPubMed
Woolfolk, R. L., Carr-Kaffashan, L., McNulty, T. F., & Lehrer, P. M. (1976). Meditation training as a treatment for insomnia. Behavior Therapy, 7(3), 359–365.CrossRefGoogle Scholar
Wu, J. Q., Appleman, E. R., Salazar, R. D., & Ong, J. C. (2015). Cognitive behavioral therapy for insomnia comorbid with psychiatric and medical conditions: A meta-analysis. JAMA Internal Medicine, 175(9), 1461–1472.CrossRefGoogle ScholarPubMed

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