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Lynne Lamberg

JAMA. 2008;300(21):2474-2475.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Studies show that cognitive behavioral therapy for insomnia (CBT-I) works as well as, or better than, hypnotic medications to alleviate chronic insomnia, and its benefits also continue after active treatment ends. While US physicians treating patients with insomnia more often prescribe medications than behavioral strategies, sleep specialists are stepping up CBT-I training. They also are working to improve CBT-I delivery in primary care settings, where three-fourths of people with insomnia receive their treatment.

Developed over the past 2 decades, CBT-I uses 2 main behavioral strategies to combat insomnia: sleep restriction to consolidate sleep by initially reducing time in bed to match actual sleep time, and stimulus control to regularize the sleep-wake schedule and promote bedroom routines that foster sleep. It also includes relaxation techniques to reduce tension at bedtime. In the cognitive arena, CBT-I aims to correct common dysfunctional beliefs about sleep, such as the exaggerated fear that . . . [Full Text of this Article]

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