Australasian Sleep Association position statement regarding the use of psychological/behavioral treatments in the management of insomnia in adults
Abstract
Insomnia disorder is a high prevalence condition with a high disease burden, which, left untreated, can increase risk of poorer health outcomes. Due to Insomnia's tendency towards having a chronic course, long-term treatment approaches are required to reduce the impact of Insomnia over time. After reviewing the available literature, The Australasian Sleep Association (ASA) recommends Cognitive Behavior Therapy for Insomnia (CBT-I) as a first line treatment in the management of Insomnia. The ASA notes that in addition to CBT-I, there is emerging evidence for the use of Mindfulness Based Therapy for Insomnia when used in combination with behavioural techniques (MBT-I). CBT-I should be used whenever possible, and medications should be limited to the lowest necessary dose and shortest necessary duration. CBT-I, whilst the most effective long-term treatment, does not work for everybody across all circumstances, so there will be circumstances in which other treatments are required (e.g., pharmacotherapy). Improving access to CBT-I is an important issue which will involve raising awareness of the effectiveness of CBT-I, increasing the number of trained practitioners, and the development of effective low intensity treatments that can be offered in the first instance.
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CBTi leads to long-term improvement of insomnia and is the recommended 'first line' insomnia treatment.
“Although cognitive and behavioral therapy for insomnia (CBTi) leads to long-term improvement of insomnia and is the recommended ‘first line’ insomnia treatment [8,9,10,11]”
From Co-morbid insomnia and sleep apnea (COMISA): Prevalence, consequences, methodological considerations, and recent randomized controlled trials (2019) · cites this paper as [10]
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- Authors
- Ree, M., Junge, M., & Cunnington, D.
- Corresponding author
- Ree, Melissa
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 36
- Pages
- S43-S47
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W2627472852
- Cited by
- 145
- References
- 45
- Citations by year
- 2026: 11 · 2025: 32 · 2024: 17 · 2023: 22 · 2022: 21 · 2021: 18 · 2020: 11 · 2019: 11 · 2018: 1 · 2017: 1
- FWCI
- 8.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Australian Psychological Society
- 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, psychological intervention, behavior therapy, insomnia pharmacotherapy, first-line therapy, access to treatment, low-intensity intervention
- MeSH terms
- Adult, Awareness, Combined Modality Therapy, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Stress, Psychological, Cognitive Behavioral Therapy, Prevalence, Treatment Outcome, Cost of Illness, Australasia, Mindfulness
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