Non-pharmacological treatments for insomnia: a focus on components of cognitive behavioral therapy for insomnia
Insomnia is a prevalent disorder that affects 4% to 22% of the population in the United States. While cognitive behavioral therapy for insomnia (CBT-I) remains the gold standard for non-pharmacological treatment, accessibility barriers exist owing to a shortage of trained professionals and high cost...
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| Format: | Article |
| Language: | English |
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Kosin University College of Medicine
2024-12-01
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| Series: | Kosin Medical Journal |
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| Online Access: | http://www.kosinmedj.org/upload/pdf/kmj-24-153.pdf |
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| _version_ | 1850102134055370752 |
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| author | Soyoung Park Eun Ji Lim Dongyun Lee Young-Ji Lee |
| author_facet | Soyoung Park Eun Ji Lim Dongyun Lee Young-Ji Lee |
| author_sort | Soyoung Park |
| collection | DOAJ |
| description | Insomnia is a prevalent disorder that affects 4% to 22% of the population in the United States. While cognitive behavioral therapy for insomnia (CBT-I) remains the gold standard for non-pharmacological treatment, accessibility barriers exist owing to a shortage of trained professionals and high costs. This review examines the efficacy of the individual components of CBT-I as stand-alone interventions to improve treatment accessibility, digital CBT-I, and other non-pharmacological interventions. Guidelines from organizations such as the American Academy of Sleep Medicine and, European Sleep Research Society, along with recent meta-analyses, support the effectiveness of these components as stand-alone treatments. Sleep restriction therapy and stimulus control therapy show promise as effective interventions. Although recommended by certain guidelines, relaxation therapy has yielded mixed results. Sleep hygiene education, a common component of CBT-I, has not demonstrated significant efficacy as a stand-alone treatment. Cognitive strategies have shown promise in recent studies. Sufficient clinical evidence supports the efficacy of digital CBT-I in treating insomnia. Internationally, various platforms for digital CBT-I have already been developed and are in use, and in South Korea, some digital CBT-I software programs have received digital therapeutic device approval in 2023. This review highlights the potential of individual components of CBT-I as effective stand-alone interventions for insomnia, as well as digital CBT-I, emphasizing their importance for improving the accessibility of non-pharmacological insomnia treatments in clinical settings where full CBT-I may not be available. |
| format | Article |
| id | doaj-art-9b54f5d3a86d45b4b0e4a2c60ab38cdc |
| institution | DOAJ |
| issn | 2005-9531 2586-7024 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Kosin University College of Medicine |
| record_format | Article |
| series | Kosin Medical Journal |
| spelling | doaj-art-9b54f5d3a86d45b4b0e4a2c60ab38cdc2025-08-20T02:39:50ZengKosin University College of MedicineKosin Medical Journal2005-95312586-70242024-12-0139423824510.7180/kmj.24.1531311Non-pharmacological treatments for insomnia: a focus on components of cognitive behavioral therapy for insomniaSoyoung Park0Eun Ji Lim1Dongyun Lee2Young-Ji Lee3 Department of Psychiatry, Gyeongsang National University Changwon Hospital, Changwon, Korea Department of Psychiatry, Gyeongsang National University Changwon Hospital, Changwon, Korea Department of Psychiatry, Gyeongsang National University Changwon Hospital, Changwon, Korea Department of Psychiatry, Gyeongsang National University Changwon Hospital, Changwon, KoreaInsomnia is a prevalent disorder that affects 4% to 22% of the population in the United States. While cognitive behavioral therapy for insomnia (CBT-I) remains the gold standard for non-pharmacological treatment, accessibility barriers exist owing to a shortage of trained professionals and high costs. This review examines the efficacy of the individual components of CBT-I as stand-alone interventions to improve treatment accessibility, digital CBT-I, and other non-pharmacological interventions. Guidelines from organizations such as the American Academy of Sleep Medicine and, European Sleep Research Society, along with recent meta-analyses, support the effectiveness of these components as stand-alone treatments. Sleep restriction therapy and stimulus control therapy show promise as effective interventions. Although recommended by certain guidelines, relaxation therapy has yielded mixed results. Sleep hygiene education, a common component of CBT-I, has not demonstrated significant efficacy as a stand-alone treatment. Cognitive strategies have shown promise in recent studies. Sufficient clinical evidence supports the efficacy of digital CBT-I in treating insomnia. Internationally, various platforms for digital CBT-I have already been developed and are in use, and in South Korea, some digital CBT-I software programs have received digital therapeutic device approval in 2023. This review highlights the potential of individual components of CBT-I as effective stand-alone interventions for insomnia, as well as digital CBT-I, emphasizing their importance for improving the accessibility of non-pharmacological insomnia treatments in clinical settings where full CBT-I may not be available.http://www.kosinmedj.org/upload/pdf/kmj-24-153.pdfbehavior therapycognitive behavioral therapyinsomnia |
| spellingShingle | Soyoung Park Eun Ji Lim Dongyun Lee Young-Ji Lee Non-pharmacological treatments for insomnia: a focus on components of cognitive behavioral therapy for insomnia Kosin Medical Journal behavior therapy cognitive behavioral therapy insomnia |
| title | Non-pharmacological treatments for insomnia: a focus on components of cognitive behavioral therapy for insomnia |
| title_full | Non-pharmacological treatments for insomnia: a focus on components of cognitive behavioral therapy for insomnia |
| title_fullStr | Non-pharmacological treatments for insomnia: a focus on components of cognitive behavioral therapy for insomnia |
| title_full_unstemmed | Non-pharmacological treatments for insomnia: a focus on components of cognitive behavioral therapy for insomnia |
| title_short | Non-pharmacological treatments for insomnia: a focus on components of cognitive behavioral therapy for insomnia |
| title_sort | non pharmacological treatments for insomnia a focus on components of cognitive behavioral therapy for insomnia |
| topic | behavior therapy cognitive behavioral therapy insomnia |
| url | http://www.kosinmedj.org/upload/pdf/kmj-24-153.pdf |
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