Comorbid insomnia and cognitive behavior therapy

Int J Psychiatry Med. 2015;50(4):412-21. doi: 10.1177/0091217415612737. Epub 2015 Oct 29.

Abstract

Insomnia most commonly presents comorbidly in association with medical and psychiatric disorders. Comorbid insomnia, however, remains under treated in the majority of patients. Concerns about drug interactions, adverse events, and dependence as well as the assumption that treating the insomnia as a secondary presentation that will resolve when the primary condition improves are all factors that contribute to the under treatment of comorbid insomnia. This article presents the growing research evidence that highlights the benefits and importance of targeting the insomnia that presents comorbidly with medical and psychiatric conditions utilizing the nonpharmacological and effective treatment of cognitive behavior therapy.

Keywords: Insomnia; alcoholism; anxiety disorders; cancer; cognitive behavior therapy; comorbidity; depression; pain; posttraumatic stress disorders.

Publication types

  • Review

MeSH terms

  • Cognitive Behavioral Therapy*
  • Comorbidity
  • Humans
  • Risk Factors
  • Sleep Initiation and Maintenance Disorders / etiology*
  • Sleep Initiation and Maintenance Disorders / therapy*
  • Treatment Outcome