Who to Refer to a Behavioral Insomnia Clinic? — Recommendations Based on Treatment Rationale and Response Prediction
| Autor: | Joshua H. Cho, Jeffrey Young, Stephanie Kremer |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Neurology Referral Clinical Trials and Supportive Activities Specialty Psychological intervention Cognitive behavioral therapy for insomnia behavioral disciplines and activities Clinical Research Behavioral and Social Science mental disorders medicine Insomnia Predictors of adherence Psychiatry business.industry Predictors of treatment response Insomnia and Pharmacotherapy (H Attarian and M Kay-Stacey Section Editors) Chronic insomnia Mental Health Good Health and Well Being Otorhinolaryngology Neurology (clinical) Cognitive-behavioral therapy for insomnia medicine.symptom Sleep Research business Mind and Body |
| Zdroj: | Current sleep medicine reports, vol 7, iss 4 Current Sleep Medicine Reports |
| ISSN: | 2198-6401 |
| DOI: | 10.1007/s40675-021-00220-3 |
| Popis: | Purpose of Review Response to cognitive-behavioral therapy for insomnia (CBT-I) is variable across individuals, and specialty insomnia clinics that provide CBT-I are few. To personalize insomnia treatments and maximize the cost-effectiveness of CBT-I, this paper reviews the conceptual model and content of CBT-I and the predictors of adherence/response to CBT-I as the basis for understanding who is most likely to benefit from CBT-I. Recent Findings Specific patient-related attributes that predict benefit from CBT-I include (1) presence of maladaptive behaviors that serve as perpetuating factors of insomnia; (2) greater motivation to pursue therapy and higher treatment expectancies regarding CBT-I; (3) reduced use of hypnotics; (4) longer sleep duration; and (5) adequately treated psychiatric comorbidities. Summary People presenting with chronic insomnia and these attributes may warrant prioritization in referral to behavioral insomnia clinics. Conversely, those who do not have such favorable characteristics may require interventions that address modifiable factors associated with poor adherence/response to CBT-I. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink