Internet-Delivered Cognitive Behavioral Therapy for Insomnia: Tailoring Cognitive Behavioral Therapy for Insomnia for Patients with Chronic Insomnia

Sleep Med Clin. 2019 Sep;14(3):301-315. doi: 10.1016/j.jsmc.2019.04.002. Epub 2019 Jun 5.

Abstract

Chronic insomnia is preferably treated with cognitive behavioral therapy for insomnia (CBTI), but many insomnia sufferers receive medication instead, likely because of high costs, lack of knowledge about optimal insomnia treatment among physicians, and lack of CBTI-trained professionals in mental health care. A possible solution is to offer CBTI through the Internet: I-CBTI. I-CBTI is generally acceptable to patients and greatly improves insomnia symptoms. We review the state of knowledge around I-CBTI and its effects. CBTI's effectiveness is influenced by treatment characteristics and patient-specific factors. We review potential factors that help identify which patients may benefit from I-CBTI.

Keywords: CBT for Insomnia (CBTI); Chronic insomnia; Cognitive behavioral therapy (CBT); Insomnia; Internet; Online psychological treatment; Tailoring treatment.

Publication types

  • Review

MeSH terms

  • Cognitive Behavioral Therapy / methods*
  • Humans
  • Internet-Based Intervention*
  • Precision Medicine
  • Sleep Initiation and Maintenance Disorders / therapy*
  • Treatment Outcome