The DOI matches its Crossref record; 82 of the 82 references it cites were found in a registry or an index.
Cognitive behaviour therapy for primary insomnia: Can we rest yet?
Abstract
Cognitive behaviour therapy (CBT) for chronic insomnia has been a topic of interest to researchers and clinicians for over forty years. Investment in this area has paid off. Two meta-analyses and one major review by the Standards of Practice Committee of the American Academy of Sleep Medicine have concluded, beyond doubt, that CBT is effective in the treatment of primary insomnia. In this paper we argue that it is timely to raise new questions of CBT for insomnia: namely, is there still room for improvement? and can we rest yet? Whilst significant progress has been made we argue that the field is not, as yet, at a point where patients can be offered a maximally effective psychological treatment. Two lines of argument are developed to support this conclusion. First, it is noted that whilst the effect size for CBT for insomnia is moderate, it is lower than the effect sizes reported for CBT for a range of other psychological disorders. Second, it is suggested that the large literature outlining optimal procedures for conducting randomised controlled trials (RCTs) need to be more fully adopted by research workers in this field. Directions for future research are outlined including (1) guidelines for improved RCT methodology and (2) suggestions for developing empirically grounded treatments.
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“One study found that 19-26% of participants failed to show any response to treatment, and the overall reduction of insomnia symptoms average only 50-60%.4”
From Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial (2021) · cites this paper as [4]
In the citing paper
“Moreover, adherence to stimulus control and sleep restriction techniques is difficult for many participants,4”
From Acceptance and commitment therapy-based behavioral intervention for insomnia: a pilot randomized controlled trial (2021) · cites this paper as [4]
Citations
Cites
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Cited by
Sorted by citations
Morin, C., Vallières, A., Guay, B., Ivers, H., Savard, J., Mérette, C., Bastien, C., & Baillargeon, L. (2009) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.2009.682 · Cited by 766
“Although the present findings are promising, there is currently no treatment that works for every patient with insomnia and additional studies are needed to develop treatment algorithms to guide practitioners in the clinical management of insomnia.(48) Questions of clinical and scientific interest for further investig…”
BackgroundCognitive and behavioral therapies in the treatment of insomnia: A meta-analysis
van Straten, A., van der Zweerde, T., Kleiboer, A., Cuijpers, P., Morin, C. M., & Lancee, J. (2018) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2017.02.001 · Cited by 676
Brain mechanisms of insomnia: new perspectives on causes and consequences
Someren, E. J. W. V. (2020) · Physiological Reviews · doi:10.1152/physrev.00046.2019 · Cited by 578
Espie, C. A., Broomfield, N. M., MacMahon, K. M. A., Macphee, L. M., & Taylor, L. M. (2006) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2006.03.002 · Cited by 532
(Mis)perception of Sleep in Insomnia: A Puzzle and a Resolution
Harvey, A. G., & Tang, N. K. Y. (2012) · Psychological Bulletin · doi:10.1037/a0025730 · Cited by 529
Self-citation
Metadata
- Authors
- Harvey, A. G., & Tang, N. K. Y.
- Affiliations
- University of Oxford (GB)
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2003-06
- Volume
- 7
- Issue
- 3
- Pages
- 237-262
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2171860213
- Cited by
- 158
- References
- 80
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 8 · 2023: 12 · 2022: 8 · 2021: 10 · 2020: 10 · 2019: 7 · 2018: 4 · 2017: 7 · 2016: 8 · 2015: 7 · 2014: 11 · 2013: 5 · 2012: 6
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- 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
- cognitive behavioral therapy, primary insomnia, chronic insomnia, treatment effectiveness, effect size
- MeSH terms
- Humans, Sleep Initiation and Maintenance Disorders, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic
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