Delivering Cognitive Behavioral Therapy for Insomnia in the Real World: Considerations and Controversies

Luis F Buenaver; Donald Townsend; Jason C Ong

doi:10.1016/j.jsmc.2019.01.008

Delivering Cognitive Behavioral Therapy for Insomnia in the Real World: Considerations and Controversies

Sleep Med Clin. 2019 Jun;14(2):275-281. doi: 10.1016/j.jsmc.2019.01.008. Epub 2019 Mar 29.

Authors

Luis F Buenaver¹, Donald Townsend², Jason C Ong³

Affiliations

¹ Departments of Psychiatry and Behavioral Sciences, and Neurology, Johns Hopkins University School of Medicine, 5510 Nathan Shock Drive, Suite 100, Baltimore, MD 21224, USA. Electronic address: lbuenav1@jhmi.edu.
² Arizona School of Professional Psychology at Argosy University, 3322 West Dunlap Avenue, Phoenix, AZ 85021, USA.
³ Department of Neurology, Northwestern University Feinberg School of Medicine, Abbott Hall Suite 1004, 710 North Lake Shore Drive, Chicago, IL 60611, USA.

PMID: 31029193
DOI: 10.1016/j.jsmc.2019.01.008

Abstract

Cognitive-behavioral therapy for insomnia (CBT-I) has emerged as the first-line treatment for chronic insomnia but remains massively underused relative to the prevalence of insomnia disorder. This article focuses on 3 key issues in the delivery of CBT-I in the real world. First, where and how should CBT-I be delivered and who should deliver it? Second, who is an appropriate candidate for CBT-I? Third, how do you measure quality care with CBT-I? These issues give rise to targets for future research aimed at improving the implementation science of CBT-I in the real world.

Keywords: CBT-I; Cognitive behavioral therapy for insomnia; Insomnia; Sleep restriction; Stimulus control.

Publication types

Review

MeSH terms

Cognitive Behavioral Therapy / methods*
Cognitive Behavioral Therapy / standards*
Female
Humans
Sleep Initiation and Maintenance Disorders / therapy*