Treatment of adult insomnia with cognitive–behavioral therapya
Open accessAbstract
Insomnia is a highly prevalent disorder that occurs frequently in its acute form and at a rate of approximately 10% in its chronic form. There is a high prevalence of insomnia in a variety of medical and psychiatric conditions. Cognitive–behavioral therapy (CBT) may be employed for chronic insomnia as well as for insomnia in the context of other conditions such as chronic pain conditions. In such cases, some simple adaptations to standard CBT for insomnia are useful. This article reviews the typical assessment and CBT for adult insomnia, which have substantial empirical support for its efficacy. A case illustrates the core treatment processes and demonstrates that improving sleep in the context of conditions like chronic pain can lead to better management of such conditions. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1–13, 2010.
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Scheduled worry time and relaxation strategies in CBT-I may directly contribute to improvements in intrusive thoughts and hyperarousal.
“Scheduled worry time (cognitive therapy strategy) and relaxation strategies are utilized in CBT-I (Pigeon, 2010) and may contribute directly to improvements in intrusive thoughts and hyperarousal.”
From Benefits of Cognitive Behavioral Therapy for Insomnia for Women Veterans with and without Probable Post-Traumatic Stress Disorder (2022) · cites this paper as Pigeon, 2010
The Cognitive–Behavioral Therapy for Insomnia section says CBT-I can include relaxation techniques to target hyperarousal, and that cognitive therapy aims to reduce worry and rumination. It does not identify scheduled worry time as a CBT-I strategy or establish that these strategies directly improve intrusive thoughts. (LLM, conf=0.82)
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- Authors
- Pigeon, W. R.
- Affiliations
- University of Rochester Medicine (US)
- Corresponding author
- Pigeon, Wilfred R.
- ORCID
- Pigeon, Wilfred R.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2010-09-17
- Volume
- 66
- Issue
- 11
- Pages
- 1148-1160
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- PMC
- PMC4294319
- OpenAlex
- W2021498746
- Cited by
- 76
- References
- 18
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 7 · 2023: 10 · 2022: 11 · 2021: 7 · 2020: 4 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 1 · 2013: 5 · 2012: 3
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (L30 MH087269)
- National Institute of Nursing Research (NR010408, K23NR010408)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- insomnia, cognitive behavioral therapy for insomnia, chronic insomnia, insomnia assessment, chronic pain, comorbid insomnia, treatment efficacy
- MeSH terms
- Adult, Behavior Therapy, Humans, Sleep Initiation and Maintenance Disorders, Male, Professional-Patient Relations, Comorbidity, Cognitive Behavioral Therapy, Low Back Pain
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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