Cognitive Behavioral Therapy for Chronic Insomnia: State of the Science Versus Current Clinical Practices
Authors: Charles M. Morin
Journal: Annals of Internal Medicine (2015)

Editorials4 August 2015Cognitive Behavioral Therapy for Chronic Insomnia: State of the Science Versus Current Clinical PracticesCharles M. Morin, PhDCharles M. Morin, PhDFrom Université Laval, Québec, Québec, Canada.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M15-1246 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In this issue, Trauer and colleagues (1) report important findings from a systematic review and meta-analysis of 20 randomized, controlled trials (n = 1162 participants) evaluating the efficacy of cognitive behavioral therapy for insomnia (CBT-i). The results indicate that CBT-i, a brief, pragmatic, nonpharmacologic intervention, produces significant improvements in sleep, with no adverse outcomes. More important, the improvements were well-sustained over time. This article adds to the already strong evidence base supporting the short- and long-term efficacy of CBT-i for persistent insomnia (2, 3). Given the high prevalence and heavy personal and societal burden of insomnia, as well as the shortcomings ...References1. Trauer JM, Qian MY, Doyle JS, Rajaratnam SM, Cunnington D. Cognitive behavioral therapy for chronic insomnia. A systematic review and meta-analysis. Ann Intern Med. 2015;163:191-204. doi:10.7326/M14-2841 LinkGoogle Scholar2. Morin CM, Bootzin RR, Buysse DJ, Edinger JD, Espie CA, Lichstein KL. Psychological and behavioral treatment of insomnia: update of the recent evidence (1998–2004). Sleep. 2006;29:1398-414. [PMID: 17162986] CrossrefMedlineGoogle Scholar3. National Institutes of Health. National Institutes of Health State of the Science Conference statement on Manifestations and Management of Chronic Insomnia in Adults, June 13-15, 2005. Sleep. 2005;28:1049-57. [PMID: 16268373] MedlineGoogle Scholar4. 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Persistent insomnia is a predictor of hypertension in Japanese male workers. J Occup Health. 2003;45:344-50. [PMID: 14676413] CrossrefMedlineGoogle Scholar8. Daley M, Morin CM, LeBlanc M, Grégoire JP, Savard J, Baillargeon L. Insomnia and its relationship to health-care utilization, work absenteeism, productivity and accidents. Sleep Med. 2009;10:427-38. [PMID: 18753000] doi:10.1016/j.sleep.2008.04.005 CrossrefMedlineGoogle Scholar9. Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2008;4:487-504. [PMID: 18853708] CrossrefMedlineGoogle Scholar10. Morin CM, Vallières A, Guay B, Ivers H, Savard J, Mérette C, et al. Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial. JAMA. 2009;301:2005-15. [PMID: 19454639] doi:10.1001/jama.2009.682 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Charles M. Morin, PhDAffiliations: From Université Laval, Québec, Québec, Canada.Acknowledgment: The author thanks Dr. Lynda Bélanger for her comments on an earlier draft of this manuscript.Grant Support: Preparation of this manuscript was supported in part by research grants from the Canadian Institutes of Health Research (MT-42504) and the National Institute of Mental Health (MH-091053).Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-1246.Corresponding Author: Charles M. Morin, PhD, Université Laval, école de psychologie, 2325 rue des Bibliothèques, Québec, Québec G1V 0A6, Canada; e-mail, cmorin@psy.ulaval.ca.This article was published online first at www.annals.org on 9 June 2015. 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