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Chapter 4 - Why Is CBT Relevant to Insomnia?

from Section 2 - CBT and Its Application to Insomnia

Published online by Cambridge University Press:  20 December 2024

Colin A. Espie
Affiliation:
University of Oxford, UK
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Summary

Insomnia is an ideal fit for treatment using CBT. Indeed, whereas good sleep is supported by largely automated sleep–wake processes, insomnia is driven by maladaptive thoughts and behaviours that inhibit optimal conditions for sleep. It conceptualises insomnia using well-established models with a focus on the attention–intention–effort pathway to describe the manner in which insomnia develops and perpetuates. This chapter sets forth the case as to why CBT is ideal for the treatment for insomnia, and provides a detailed summary of the unequivocal and robust evidence base supporting the effectiveness of CBT in the insomnia context. In addition to evaluating the data for traditional therapist-delivered CBT, it reviews and summarises findings from studies of digitally delivered CBT in the context of insomnia. The chapter goes on to describe the effects of CBT beyond the night-time symptoms of insomnia on both daytime impairments and broader benefits to mental health symptoms. Finally, in the context of the wealth of evidence supporting CBT, it reports on the universal recommendation that CBT should be the first-line treatment for insomnia by treatment guidelines internationally.

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Publisher: Cambridge University Press
Print publication year: 2025

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  • Why Is CBT Relevant to Insomnia?
  • Colin A. Espie, University of Oxford, UK
  • Book: The Clinician's Guide to Cognitive and Behavioural Therapeutics (CBTx) for Insomnia
  • Online publication: 20 December 2024
  • Chapter DOI: https://doi.org/10.1017/9781108989480.008
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  • Why Is CBT Relevant to Insomnia?
  • Colin A. Espie, University of Oxford, UK
  • Book: The Clinician's Guide to Cognitive and Behavioural Therapeutics (CBTx) for Insomnia
  • Online publication: 20 December 2024
  • Chapter DOI: https://doi.org/10.1017/9781108989480.008
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Why Is CBT Relevant to Insomnia?
  • Colin A. Espie, University of Oxford, UK
  • Book: The Clinician's Guide to Cognitive and Behavioural Therapeutics (CBTx) for Insomnia
  • Online publication: 20 December 2024
  • Chapter DOI: https://doi.org/10.1017/9781108989480.008
Available formats
×