CBT For Chronic Insomnia Most Effective With Cognitive Restructuring, Mindfulness, Sleep Restriction, Stimulus Control & In-Person Delivery

The most beneficial elements of cognitive behavioral therapy for chronic insomnia (CBT-I) appear to be cognitive restructuring, third-wave components (mindfulness and/or acceptance and commitment therapy), sleep restriction, stimulus control, and an in-person format, based on a meta-analysis of more than 200 clinical trials of CBT-I. Subjective sleep quality improved with cognitive restructuring, third-wave components, and in-person delivery. Sleep quality and self-reported sleep continuity improved with sleep restriction and stimulus control. Relaxation was not found to be effective for CBT-I.

CBT-I includes various educational, cognitive, and behavioral strategies delivered in . . .