Psychological treatment of psychiatric disorders
Jennifer Gafford, PhD
H Russell Searight, PhD, MPH
UpToDate performs a continuous review of over 375 journals and other resources. Updates are added as important new information is published. The literature review for version 15.3 is current through August 2007; this topic was last changed on July 09, 2007. The next version of UpToDate (16.1) will be released in March 2008.
INSOMNIA*—*Cognitive behavioral therapy for insomnia includes relaxation therapies, stimulus control, sleep restriction, cognitive techniques, and sleep hygiene education. Evidence from clinical trials and meta-analyses suggests that CBT for insomnia is as effective as sedative hypnotics for acute treatment, and more effective for longterm therapy [73-75]. CBT for insomnia typically involves 5 to 8 visits over six to eight weeks, and can be administered in group format [76]. Effectiveness has been shown for patients with insomnia associated with medical and psychiatric disorders [77], and for older patients and chronic hypnotic users [78]. A review of evidence-based treatments for insomnia found that 70 to 80 percent of patients with chronic insomnia showed benefit from CBT treatment [79]
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