A meta-analysis on the treatment effectiveness of cognitive behavioral therapy for primary insomnia. Cognitive behavioural therapy for chronic insomnia: a systematic review and meta-analysis. Chronic insomnia: diagnosis and non-pharmacological management. Cognitive behavioral therapy for insomnia: a meta-analysis of long-term effects in controlled studies. Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial. The treatments of chronic insomnia: A review of benzodiazepine receptor agonists and psychological and behavioural therapies. Cognitive behavioral treatment of insomnia. Prescribing drugs of dependence in general practice, Part B: Benzodiazepies 2015 Royal Australian College of General Practitioners (RACGP).Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders: An update. Cognitive behavior therapy for chronic insomnia. Overview of the treatment of insomnia in adults. SSRI - Selective Serotonin Reuptake Inhibitors SNRIs - Serotonin-Norepinephrine Reuptake Inhibitors SMILE - Submucosal Minimally Invasive Lingual Excision RFTB - Radiofrequency Thermotherapy of the Tongue Base MMA - Maxillomandibular Advancement Surgery K10 - Kessler Psychological Distress Scale HANDI - RACGP Handbook of Non-Drug Interventions 9, 10, 11, 12, 13īBTi - Brief Behavioural Therapy for InsomniaĬBTi - Cognitive Behavioural Therapy for InsomniaĬELL - Coblation Endoscopic Lingual LighteningĬOPD - Chronic Obstructive Pulmonary DiseaseĬPAP - Continuous Positive Airway PressureĭBAS - Dysfunctional Beliefs and Attitudes about SleepĭIMS - Difficulties Initiating and/or Maintaining SleepįOSQ - Functional Outcomes of Sleep Questionnaire 3, 4, 5, 6, 7, 8ĬBTi therapy has been reported to improve insomnia severity, sleep onset latency (time to first fall asleep), wake after sleep onset (time spent awake during the night after first falling asleep), number of nocturnal awakenings, total sleep time, and sleep efficiency (total sleep time divided by average time spent in bed) over long-term follow-up. Misattributions regarding the effects of sleeplessnessĬBTi is widely recognised in Australian and international sleep, medical, and primary care guidelines to be safer and more effective over time, when compared with pharmacological therapies.Inappropriate expectations about hours of sleep.Anxious and catastrophic thoughts that are associated with sleeplessness.Previously tried BBTi or online program which was not effectiveĬBTi addresses behaviours that maintain the insomnia and targets specific dysfunctional sleep-preventing attitudes and beliefsincluding:.Significant or very strongly held maladaptive or dysfunctional sleep-related cognitions (e.g., on the Dysfunctional Beliefs and Attitudes about Sleep Scale).Currently pregnant or caring for very young children.Severe or uncontrolled psychiatric condition (e.g., Bi-polar disorder, Schizophrenia disorder).People who drive or operate heavy machinery for work.Co-morbid sleep disorder (e.g., obstructive sleep apnoea, restless legs syndrome, circadian rhythm disorder).Identify patients suitable for CBTi from a ‘sleep’ psychologist, instead of an online program or BBTi: The main therapeutic components of Cognitive behavioural therapy for insomnia (CBTi) are: 1, 2ĬBTi, when compared to BBTi, is generally delivered over a 6-10 weekly/fortnightly sessions, includes longer appointments (approximately 30-45 minutes), a greater focus on cognitive therapy/restructuring, and is mainly administered by psychologists with specialist training/experience in the management of insomnia ( See Referral to a Psychologist).
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