Cognitive Behavioral Therapy for Comorbid Insomnia(How Can Sleep Medicine Contribute to Psychosomatic Medicine)

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  • Okajima Isa
    Department of Somnology, Tokyo Medical University:Yoyogi Sleep Disorder Center

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  • 併存不眠症に対する認知行動療法(睡眠医学が心身医学に寄与できること,2013年,第54回日本心身医学会総会ならびに学術講演会(横浜))
  • 併存不眠症に対する認知行動療法
  • ヘイソン フミンショウ ニ タイスル ニンチ コウドウ リョウホウ

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Abstract

Insomnia is one of the sleep disorders strongly associated with psychiatric and physical disorders such as depression, anxiety, cancer, and chronic pain. However, comorbid insomnia is typically treated using sleep medications, and psychological treatment is rarely conducted for this disorder. Cognitive behavioral therapy for primary insomnia (CBT-I) is a highly effective treatment for insomnia symptoms, and is a recommended and well-established standard-level treatment. CBT-I is traditionally conducted with four to six weekly individual treatment sessions, of 60 min each, or with six to eight weekly group-treatment sessions, of 90 min each. Recently, it has been revealed that CBT-I is effective for insomnia comorbid with psychiatric or physical disorders. This paper discusses the components of CBT-I and its effectiveness in treating primary and comorbid insomnia.

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