Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2022. Cognitive Behavioral Therapy for Insomnia (CBT-I): A Primer. * Correspondence concerning this article should be addressed to Ivan Vargas, 310 Memorial Hall, University of Arkansas, Fayetteville AR, 72701, e-mail: Cognitive Behavioral Therapy for Insomnia, insomnia, sleep restriction, cognitive therapyįor citation: Walker J., Muench A., Perlis M.L., Vargas I. A session-by-session outline is also provided. Core components of CBT-I (i.e., Sleep Restriction Therapy, Stimulus Control Therapy, Sleep Hygiene, and Cognitive Therapy), relapse prevention strategies, multicultural considerations, adjuvants to traditional interventions, treatment adherence issues, efficacy, and further training options are described. The primary goal of this article is to provide a primer or brief introduction to CBT-I that is intended to be accessible to all clinicians and researchers, including non-sleep experts.
This is particularly surprising given its large evidence base and recent recommendation as the first line intervention for insomnia. Despite its prevalence and morbidity, the widespread dissemination of CBT-I is not commensurate with insomnia’s overall public health impact. Chronic insomnia is the most prevalent sleep disorder, occurring in approximately 6–10% of the population, and is a risk factor for multiple medical and psychiatric disorders.
The primary focus of CBT-I is to address the perpetuating factors (according to the three-factor model of insomnia) that contribute to the development of chronic insomnia. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a multi-component treatment for insomnia that targets difficulties with initiating and/or maintaining sleep and is delivered over the course of six to eight sessions.
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