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Cognitive behaviour therapy for primary insomnia : can we rest yet?

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Harvey, Allison G. and Tang, Nicole K. Y. (2003) Cognitive behaviour therapy for primary insomnia : can we rest yet? Sleep Medicine Reviews, Volume 7 (Number 3). pp. 237-262. doi:10.1053/smrv.2002.0266

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Official URL: http://dx.doi.org/10.1053/smrv.2002.0266

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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.

Item Type: Journal Article
Divisions: Faculty of Science > Psychology
Journal or Publication Title: Sleep Medicine Reviews
Publisher: Elsevier Masson
ISSN: 1087-0792
Official Date: June 2003
Dates:
DateEvent
June 2003Published
Volume: Volume 7
Number: Number 3
Page Range: pp. 237-262
DOI: 10.1053/smrv.2002.0266
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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