Adapting Cognitive Behavioral Therapy for Insomnia
- 1st Edition - November 11, 2021
- Imprint: Academic Press
- Editors: Sara Nowakowski, Sheila Garland, Michael A. Grandner, Leisha Cuddihy
- Language: English
- Paperback ISBN:9 7 8 - 0 - 1 2 - 8 2 2 8 7 2 - 2
- eBook ISBN:9 7 8 - 0 - 1 2 - 8 2 2 8 7 3 - 9
Cognitive behavioral therapy for insomnia (CBT-I) has emerged as the standard first-line treatment for insomnia. The number of patients receiving non-medication treatments is… Read more
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Request a sales quoteCognitive behavioral therapy for insomnia (CBT-I) has emerged as the standard first-line treatment for insomnia. The number of patients receiving non-medication treatments is increasing, and there is a growing need to address a wide range of patient backgrounds, characteristics, and medical and psychiatric comorbidities. Adapting Cognitive Behavioral Therapy for Insomnia identifies for clinicians how best to deliver and/or modify CBT-I based on the needs of their patients. The book recommends treatment modifications based on patient age, comorbid conditions, and for various special populations.
- Summarizes research on cognitive behavior therapy for insomnia (CBT-I)
- Directs clinicians how to modify CBT-I for comorbid patient conditions
- Discusses comorbid sleep, psychiatric, and medical disorders
- Specifies modifications across the lifespan for different client ages and conditions
- Includes special populations: short sleepers and more
Psychologists and sleep specialists treating insomnia
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Preface
- References
- Acknowledgments
- Part 1: Traditional CBT-I components and delivery
- Chapter 1: Standard cognitive behavioral therapy for insomnia (CBT-I): When is the adaptation of CBT-I warranted?
- Abstract
- Introduction
- Components of therapy
- Efficacy and effectiveness of CBT-I
- Common alternative rules & therapies
- Alternative variants or adjuvants to SRT and SCT
- Conclusion
- References
- Part 2: CBT-I in other sleep disorders
- Chapter 2: CBT-I in patients with obstructive sleep apnea
- Abstract
- Introduction
- Rationale for CBT-I in OSA
- Evidence for the effectiveness of CBT-I in comorbid OSA
- Adapting CBT-I in patients with comorbid OSA
- Additional components to consider when managing OSA in comorbid OSA
- Conclusion
- References
- Chapter 3: CBT-I for patients with phase disorders or insomnia with circadian misalignment
- Abstract
- Case study
- Introduction
- Assessment of phase disorders
- Modifications to CBT-I/BBT-I for patients with circadian rhythm disorders
- Treatment course for Jeff
- Conclusion
- References
- Chapter 4: CBT-I for patients with shift work disorder
- Abstract
- Introduction
- Current landscape of treatments for SWD
- Adapting CBT-I for SWD
- Summary
- References
- Chapter 5: CBT-I for patients with hypersomnia disorders
- Abstract
- Introduction
- A primer of chronic hypersomnia
- Treatments for chronic hypersomnia
- Cognitive and behavioral treatments for hypersomnia
- Conclusions and future directions
- References
- Chapter 6: CBT-I for patients with orthosomnia
- Abstract
- The growing interest in sleep tracking
- Orthosomnia
- Why do patients track their sleep?
- Challenges in CBT-I for patients with orthosomnia
- Adaptation of CBT-I for orthosomnia (Table 1)
- Enhancing adherence to CBT-I in orthosomnia
- Can you use wearable devices among patients who do not have orthosomnia?
- Sample questions/language
- Future directions in sleep wearables in CBT-I
- Summary
- References
- Part 3: CBT-I in psychiatric disorders
- Chapter 7: CBT-I for patients with depression
- Abstract
- Assessment of depression
- Does CBT-I work in people with depression?
- Adaptations to CBT-I for depression
- Conclusions
- References
- Chapter 8: CBT-I for patients with schizophrenia and other psychotic disorders
- Abstract
- Introduction
- The problem
- The patient
- The plan
- Conclusion
- References
- Chapter 9: CBT-I for people diagnosed with bipolar disorder: Moving from a disorder-focused to a transdiagnostic conceptualization
- Abstract
- Acknowledgment
- Empirical basis for treatment adaptations
- Bipolar disorder and sleep disturbance
- Development of an insomnia treatment for bipolar disorder
- Description of CBT-I for bipolar disorder
- Efficacy of CBT-I-BP
- Moving from a disorder-focused approach to a transdiagnostic approach
- Transdiagnostic sleep and circadian intervention (TranS-C)
- Concluding comments
- References
- Chapter 10: CBT-I in patients with alcohol use and cannabis use disorders
- Abstract
- Introduction
- Alcohol and insomnia
- Cannabis and insomnia
- Summary
- References
- Part 4: CBT-I in medical disorders
- Chapter 11: CBT-I for patients with chronic pain
- Abstract
- What is chronic pain?
- Assessing sleep in patients with chronic pain
- CBT-I in chronic pain
- Summary
- References
- Chapter 12: CBT-I during and after a cancer diagnosis
- Abstract
- Importance of identifying and treating insomnia in cancer survivors
- Conceptualizing insomnia in cancer survivors
- Empirical support for CBT-I in cancer
- Important considerations in the delivery of CBT-I in cancer populations
- Summary
- References
- Chapter 13: CBT-I in patients with a history of traumatic brain injury
- Abstract
- Prevalence and societal costs of traumatic brain injury (TBI)
- How to recognize and diagnose TBI
- Relationship of TBI and sleep disorders
- Insomnia and TBI
- CBT-I in patients with TBI
- Modifications to CBT-I that may improve CBT-I treatment outcomes in patients with TBI
- Cognitive deficits and TBI
- Pain symptoms and TBI
- Mental health symptoms and TBI
- PTSD
- Mood
- Anxiety
- Circadian disruption in patients with TBI
- Conclusions
- References
- Part 5: CBT-I across the lifespan
- Chapter 14: CBT-I for adolescents
- Abstract
- Insomnia in adolescents
- Modifications to treatment of adolescent insomnia
- Specific adaptations for core components of CBT-I in adolescents
- Transdiagnostic approach
- Modes of delivery
- CBT-I and comorbidities
- Conclusion
- References
- Chapter 15: CBT-I in pregnancy
- Abstract
- Sleep changes during pregnancy
- Insomnia during pregnancy
- Consequences of insomnia on maternal and infant outcomes
- Assessment of insomnia in pregnancy
- Treatment of insomnia in pregnancy
- CBT-I in the perinatal period
- Sleeping for two: A five-session protocol for CBT-I in pregnancy
- Conclusion
- References
- Chapter 16: CBT-I for perimenopause and postmenopause
- Abstract
- Introduction
- Overview of menopause
- Conceptualizing insomnia in menopausal women
- Evidence for CBT-I in midlife women
- Adapting CBT-I for menopause
- Conclusions
- References
- Chapter 17: CBT-I for older adults
- Abstract
- Insomnia in older adults
- Evidence for CBT-I in older adults
- Targeted adaptations of CBT-I components for older adults
- Examples of CBT-I for special populations of older adults
- Future directions
- Conclusion
- References
- Part 6: Other special considerations
- Chapter 18: CBT-I in the short sleep duration phenotype
- Abstract
- What is the ISSD phenotype?
- Pathophysiology and clinical features
- Adverse health outcomes
- Clinical assessment of the ISSD phenotype
- Diagnostic interview
- Patient-reported outcomes
- Objective sleep measures
- Treatment of the ISSD phenotype
- Proposed approach
- Treatment response
- Potential CBT-I modifications or adaptations
- Future directions
- Summary
- References
- Chapter 19: CBT-I for people who failed CBT-I
- Abstract
- Introduction
- When CBT-I fails
- Approaching patients who failed CBT-I
- Specific strategies for addressing patients who have failed CBT-I
- Working with difficult patients
- Summary and recommendations
- References
- Chapter 20: CBT-I in patients who wish to reduce use of hypnotic medication
- Abstract
- Introduction
- Collaboration with medication prescribers
- Timing of hypnotic medication reduction
- Schedule of reduction
- Use of CBT-I and behavioral principles
- Conclusions
- References
- Index
- Edition: 1
- Published: November 11, 2021
- Imprint: Academic Press
- No. of pages: 488
- Language: English
- Paperback ISBN: 9780128228722
- eBook ISBN: 9780128228739
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Sara Nowakowski
Sara Nowakowski Baylor College of Medicine Medicine-Health Services Research 2450 Holcombe Blvd., Suite 01Y Houston, TX 77586 United States. Dr. Nowakowski is a licensed clinical psychologist and board certified in sleep medicine. Her research in sleep includes projects on sleep and menopause; psychological well-being pre-post hysterectomy, sleep pre-post acute hospital stay in aging patients, and a bedrest study of aging participants. Her research and clinical expertise focuses on assessment and treatment of sleep disorders.
Affiliations and expertise
Baylor College of Medicine Medicine-Health Services Research, Houston, TX, USASG
Sheila Garland
Sheila N. Garland, PhD is a Registered Clinical Psychologist, Associate Professor in Psychology and Oncology at Memorial University in Newfoundland and Labrador, Canada, and Senior Scientist with the Beatrice Hunter Cancer Research Institute in Halifax Nova Scotia. She received her PhD in Clinical Psychology from the University of Calgary, Alberta, and completed a 3-year post-doctoral fellowship in Behavioral Sleep Medicine at the University of Pennsylvania. As Director of the Sleep, Health, and Wellness Lab, she delivers, evaluates, and provides training on behavioural sleep medicine interventions in chronic disease populations and in those with co-morbid psychiatric disorders. Her research explores the mechanisms and effectiveness of interventions to improve sleep and other symptoms in cancer survivors.
Affiliations and expertise
Department of Psychology, Faculty of Science, Memorial University, St. John’s, NL, Canada; Discipline of Oncology, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada; Senior Scientist, Beatrice Hunter Cancer Research Institute, Halifax, Nova Scotia, CanadaMG
Michael A. Grandner
Dr. Michael Grandner is a licensed clinical psychologist, Director of the Sleep and Heath Research Program at the University of Arizona, and Director of the Behavioral Sleep Medicine Clinic at the Banner-University Medical Center in Tucson, AZ. His work focuses on translational sleep research and Behavioral Sleep Medicine, including studies of sleep as a domain of health behavior and the development and implementation of behavioral interventions for insufficient sleep and sleep disorders. Specific areas of focus include: (1) Downstream cardiovascular, metabolic, and behavioral health outcomes associated with habitual sleep duration and/or insufficient sleep, (2) Upstream social, behavioral, and biological determinants of habitual sleep duration, insufficient sleep, and poor sleep quality, and (3) Development and implementation of behavioral interventions for sleep as a domain of health behavior.
Affiliations and expertise
The University of Arizona, Banner-University Medical Center, USA.LC
Leisha Cuddihy
Leisha Cuddihy, PhD, DBSM is a licensed Clinical Psychologist providing behavioral sleep medicine services at the Spectrum Health Sleep Disorders Center and Helen DeVos Children’s Hospital Behavioral Health. She received her PhD in Clinical Psychology from the University of Arizona, and completed a 1-year post-doctoral fellowship in Behavioral Sleep Medicine at the University of Michigan. She is Certified in Behavioral Sleep Medicine by the American Board of Sleep Medicine and is a Diplomate in Behavioral Sleep Medicine by the Board of Behavioral Sleep Medicine. In her full-time clinical practice, she sees adult and pediatric patients struggling with insomnia, circadian rhythm disorders, positive airway pressure non-adherence, and disorders of excessive daytime sleepiness. In collaboration with her sleep medicine colleagues, she often assists patients with managing insomnia as they reduce or discontinue sleep aids. She specializes in CBT-I but is passionate about using a variety behavioral sleep medicine strategies to help patients resolve sleep problems.
Affiliations and expertise
Sleep Disorders Center, Spectrum Health Medical Group, MI, USARead Adapting Cognitive Behavioral Therapy for Insomnia on ScienceDirect