A transdiagnostic approach to treating sleep disturbance in psychiatric disorders
Abstract
Sleep disturbance commonly co-occurs with a range of psychiatric disorders. This is of concern given the accruing evidence that sleep is critically important for mood regulation, physical health, cognitive functioning, and quality of life. There is strong evidence that insomnia, even if it is comorbid with another psychiatric disorder, is treatable with cognitive behavioral therapy. There is a need to develop cognitive behavioral approaches to the other types of sleep disturbance often experienced by patients with psychiatric disorders, such as hypersomnia, reduced sleep need, delayed phase, nocturnal panic attacks, and nightmares. The possibility of developing a transdiagnostic treatment that comprehensively treats sleep disturbance for use across psychiatric disorders is discussed because (a) there are many disorders in which multiple types of sleep disturbance can be characteristic at one time or over the life-course of the disorder and (b) there are considerable challenges inherent to disseminating any new treatments but particularly many "disorder-specific" treatments.
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Treating symptoms of insomnia also improves symptoms of depression, anxiety, and stress.
“To illustrate, treating symptoms of insomnia also improved symptoms of depression (93), anxiety, and stress (94–99).”
Improvements in one dimension of psychological experiences are associated with improvements in further dimensions of psychological experiences.
“the concept of the transdiagnostic approach (97, 100–109) reflects the observation that improvements in one dimension of psychological experiences are associated with improvements in further dimensions of psychological experiences.”
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- Authors
- Harvey, A. G.
- Affiliations
- University of California, Berkeley (US)
- Corresponding author
- Harvey, Allison G.
- ORCID
- Harvey, Allison G.
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 38
- Issue
- sup1
- Pages
- 35-42
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2011446010
- Cited by
- 105
- References
- 43
- Citations by year
- 2026: 10 · 2025: 6 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 15 · 2020: 8 · 2019: 8 · 2018: 1 · 2017: 6 · 2016: 5 · 2015: 5 · 2014: 7 · 2013: 4 · 2012: 2
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- 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
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleep disorders, mental illness, transdiagnostic treatment, cognitive behavioral therapy, insomnia, hypersomnia, delayed sleep phase, nocturnal panic attacks, nightmares, comorbidities, treatment dissemination
- MeSH terms
- Affect, Mental Disorders, Clinical Protocols, Cognition, Humans, Sleep Initiation and Maintenance Disorders, Public Health, Quality of Life, Cognitive Behavioral Therapy
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