title: Cognitive and behavioural therapy for insomnia (CBT-I) in psychiatric populations: a systematic review.
abstract: Insomnia is highly co-morbid with psychiatric disorders, making it a frequent issue in treatment planning in psychiatric clinics. Research has also shown that although insomnia may originally precede or be a consequence of a psychiatric disorder, insomnia likely becomes semi-independent, and may exacerbate those disorders if it is not addressed, leading to reduced treatment response. Cognitive behavioural therapy for insomnia (CBT-I) is now recommended as the first line of treatment of primary insomnia. The research reviewed below indicates that CBT-I in patients with co-morbid depression, anxiety, post-traumatic stress disorder (PTSD), and substance abuse disorders is generally effective for insomnia and sometimes the co-morbid disorder as well. Although more research is needed before definitive recommendations can be made, it appears as though CBT-I is a viable approach to treating the patient with co-morbid insomnia and psychiatric disorders.
authors.affiliation: Department of Psychology, University of North Texas , Denton, Texas.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Taylor
authors.forename: Kristi E
authors.initials: KE
authors.lastname: Pruiksma
mesh_terms: D015928:Cognitive Behavioral Therapy; D006801:Humans; D001523:Mental Disorders / Q000150:complications; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome