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.
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CBT-I is the empirically supported intervention for non-autistic individuals with insomnia, including those with insomnia and co-occurring mental health conditions.
“Cognitive and behavioural therapy for insomnia (CBT-I) is the empirically supported intervention for non-autistic individuals with insomnia, including those with insomnia and co-occurring mental health conditions (Taylor and Pruiksma, 2014; van Straten et al ., 2018).”
From ACT-i, an insomnia intervention for autistic adults: A pilot study (2023) · cites this paper as Taylor and Pruiksma, 2014
CBT for insomnia is recognised as the treatment of choice for insomnia, both in isolated form or as a comorbidity, in psychiatric populations, among the elderly, and when delivered remotely.
“CBT-I is recognised as being the treatment of choice for insomnia [93], both in isolated form or as a comorbidity [94], in psychiatric populations [95], among the elderly [96,97], and delivered remotely [98].”
From Cognitive behavioral therapy and acceptance and commitment therapy for the discontinuation of long-term benzodiazepine use in insomnia and anxiety disorders (2021) · cites this paper as [95]
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“Additionally, CBT-I has been shown to be effective in treating insomnia in individuals with PTSD, increasing sleep efficiency and decreasing daytime PTSD symptoms (Margolies, Rybarczyk, Vrana, Leszczyszyn, & Lynch, 2013; Talbot et al., 2013; Taylor & Pruiksma, 2014).”
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- Authors
- Taylor, D. J., & Pruiksma, K. E.
- Affiliations
- University of North Texas (US)
- The University of Texas at San Antonio Health Science Center (US)
- Corresponding author
- Taylor, Daniel J.
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2014-04
- Volume
- 26
- Issue
- 2
- Pages
- 205-213
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- OpenAlex
- W1982241489
- Cited by
- 359
- References
- 72
- Citations by year
- 2026: 18 · 2025: 24 · 2024: 24 · 2023: 36 · 2022: 31 · 2021: 47 · 2020: 61 · 2019: 34 · 2018: 26 · 2017: 25 · 2016: 18 · 2015: 11 · 2014: 2
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Review of Psychiatry (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
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy for insomnia, insomnia, psychiatric comorbidity, depression, anxiety, post-traumatic stress disorder, substance use disorders, insomnia treatment
- MeSH terms
- Mental Disorders, Humans, Sleep Initiation and Maintenance Disorders, Cognitive Behavioral Therapy, Treatment Outcome
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