Insomnia
Author(s)
Bibliographic Information
Insomnia
（Advances in psychotherapy : evidence-based practice / Danny Wedding, series editor ; Larry Beutler ... [et al.], associate editors, v. 42）
Hogrefe, c2019
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Note
Includes bibliographical references (p. [64]-73)
Description and Table of Contents
Description
About 40% of the population experiences difficulty falling or staying asleep at some time in a given year, while 10% of people suffer chronic insomnia. This concise reference written by leading experts for busy professional clinicians provides practical and up-to-date advice on current approaches to assessment, diagnosis, and treatment of insomnia. Professionals and students learn to correctly identify and diagnose insomnia and gain hands-on information on how to carry out treatment with the best evidence base: cognitive behavioral therapy for insomnia (CBT-I). The American Academy of Sleep Medicine (AASM) and the American College of Physicians (ACP) both recognize CBT-I as the first-line treatment approach to insomnia. Appendices include useful resources for the assessment and treatment of insomnia, which readers can copy and use in their clinical practice.
Table of Contents
ToC
Preface
Acknowledgments
Dedication
1 Description
1.1 Definition Terminology
1.2 Terminology Definition
1.2.1 Classification of Insomnia
1.3 Epidemiology
1.3.1 Prevalence
1.3.2 Economic Impact of Insomnia
1.4 Course and Prognosis
1.5 Differential Diagnosis of Insomnia From Other Sleep Disorders
1.6 Comorbidities
1.6.1 Sleep Disorders Comorbidities
1.6.2 Medical Comorbidities
1.6.3 Psychiatric Comorbidities
1.7 Diagnostic Procedures
2 Theories and Models of Insomnia
2.1 Fundamentals of Sleep-Wake Regulation
2.1.1 Homeostatic Process
2.1.2 Circadian Process
2.1.3 Interaction of Homeostatic and Circadian Processes
2.2 Behavioral Model of Insomnia
2.3 Cognitive Models of Insomnia
2.4 Physiological Hyperarousal Models
2.5 A Neurocognitive Model
2.6. Neurobiological Models
2.7 An Integrative Framework
3 Diagnosis, Assessment, and Treatment Indications
3.1 Diagnosis of Insomnia
3.2 Primary Tools in the Assessment of Insomnia
3.2.1 Clinical Interview
3.2.2 Sleep Diaries
3.2.3 Insomnia Severity Index
3.2.4 Instruments to Screen for Common Comorbid Psychiatric Conditions
3.2.5 Instruments to Assess Sleep-Related Cognitions
3.3 Other Methods of Assessing Sleep: Polysomnography and Actigraphy
4 Treatment of Insomnia
4.1 Methods of Treatment
4.1.1 Sleep Psychoeducation
4.1.2 Behavioral Strategies
4.1.3 Cognitive Strategies
4.1.4 Cognitive Behavioral Therapy for Insomnia
4.1.5 Cognitive Therapy for Insomnia
4.1.6 Mindfulness-Based Interventions in the Treatment of Insomnia
4.2 Mechanisms of Action
4.2.1 Understanding Sleep Physiology
4.2.2 Correcting Maladaptive Behaviors
4.2.3 Extinguishing Conditioned Arousal
4.2.4 Targeting Maladaptive Cognitions
4.3 Efficacy of CBT-I
4.4 Variations and Combinations of Methods
4.4.1 Self-Help Therapy
4.4.2 Group CBT-I
4.4.3 Stepped-Care Approach
4.4.4 CBT-I Combined With Sleeping Pills
4.4.5 CBT-I in Patients With Comorbid Medical or Psychiatric Disorders
4.5 Problems in Carrying Out CBT-I
4.6 Conclusion
5 Case Vignette
6 Further Reading
7 References
8 Appendix: Tools and Resources
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