Cognitive Behavioral Therapy for Insomnia in the Digital Age

Adv Exp Med Biol. 2019:1192:629-641. doi: 10.1007/978-981-32-9721-0_30.

Abstract

Cognitive behavioral therapy for insomnia (CBT-I) is the treatment of choice for insomnia; however, it is not widely used due to a lack of experienced therapists and its relatively high clinical cost. Recently, Internet and mobile CBT-I have been developed to replace face-to-face CBT-I, and research on this topic has been increasing. In addition, attempts have been made to use wearable devices for sleep-wake estimation. Studies on digital CBT-I thus far have shown favorable treatment effects in general, but the problem of a high dropout rate has not been sufficiently improved. In addition, more sophisticated technology is needed to develop fully automated digital CBT-I. As part of efforts to maximize the treatment effectiveness of future insomnia patients, research and development of mobile and Internet CBT-I and improvement of sleep tracker accuracy and validation studies are needed.

Keywords: Cognitive behavioral therapy for insomnia; Insomnia; Internet; Mobile application; Sleep; Wearable device.

MeSH terms

  • Cognitive Behavioral Therapy*
  • Humans
  • Internet
  • Mobile Applications*
  • Sleep
  • Sleep Initiation and Maintenance Disorders / therapy*
  • Treatment Outcome
  • Wearable Electronic Devices*