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• W1964125168 abstract "AbstractInsomnia is a prevalent public healthproblem that carries an importantpsychosocial and economic burden forthose affected, their families, employers, and for society atlarge. Despite its negative impacts, insomnia often remains un-treated and, when treatment is initiated, it is predominantly withmedication, an option that is not always acceptable to peoplewith insomnia. There is extensive evidence that psychologicalapproaches, primarily cognitive behavioural therapy, are effec-tive, produce durable and generalizable outcomes, and should bethe first line therapy for chronic insomnia. Nonetheless, theseapproaches remain under utilised in clinical (medical) practise.Several innovative and cost-effective treatment delivery models(e.g., telephone consultations, Internet-based treatment) haveyielded promising results but despite these advances, there re-mains a problem of supply. A significant challenge for the fu-ture will be to disseminate more efficiently validated therapiesand practise guidelines and increase their use in clinical practise.Additional training opportunities are also needed for psycholo-gists to develop expertise in a new emerging behavioural sleepmedicine subspecialty.Keywords: insomnia, sleep, treatment, psychological, interven-tionsSleep is a vital function, essential to psychological and physicalwell-being. Not surprisingly, sleep disturbances, particularly in-somnia, are very common amongst individuals with psychologicalor medical problems. Insomnia is amongst the most prevalenthealth complaints and the most common of all sleep disorders inthe general population. Epidemiological estimates indicate that30% of the adult population reports insomnia symptoms at leastoccasionally, while 10% presents an insomnia disorder (Morin,LeBlanc, Daley, Gregoire, & Merette, 2006; Ohayon, 2002). In-somnia is more prevalent amongst women, older adults, shiftworkers, amongst individuals with lower socioeconomic status,and those with poor physical and mental health. Chronic insomniaproduces a significant burden for the individual and for society, asevidenced by reduced quality of life, increased absenteeism, andreduced productivity at work and higher health care costs (Daley etal., 2009; Morin, LeBlanc, et al., 2006; Simon & VonKorff, 1997).Persistent insomnia is also associated with increased risks ofdepression and chronic use of hypnotics and, amongst older adultswith cognitive impairments, it may hasten placement in a nursinghome facilities (Breslau, Roth, Rosenthal, & Andreski, 1996; Ford& Kamerow, 1989).Despite its high prevalence and negative impact, insomnia oftengoessilentandremainsuntreated.Lessthanoneinfourindividualswith severe insomnia report having sought treatment specificallyfor this problem in the previous year (LeBlanc, Belanger, Merette,Savard, & Morin, 2009). There is little information about thedeterminants of treatment seeking, but most individuals who ini-tiate treatment do so without professional consultation and oftenresort to alcohol and a host of alternative remedies (herbal/dietarysupplements) of unknown risks and benefits (Morin, LeBlanc, etal., 2006). When insomnia is brought to professional attention, it istypically to a primary care physician, not a psychologist, andtreatment is usually limited to medication. Although sleep medi-cations may be indicated and useful in selected situations, they arenot without risks and do not represent an acceptable treatmentoption for many patients. Psychological approaches are increas-ingly considered as the first line therapy for chronic insomnia(National Institutes of Health, 2005). Indeed, significant advanceshave been made in the psychological and behavioural managementof insomnia in the past two decades and these approaches are wellaccepted by patients, yet they are not widely available and remainunder utilised by health care practitioners. This article summarisesthe current status of psychological approaches to treating insomniaand discusses recent advances in treatment developments andinnovations to facilitate their dissemination. Recommendations forachieving more widespread dissemination and utilisation of" @default.
• W1964125168 created "2016-06-24" @default.
• W1964125168 creator A5022459245 @default.
• W1964125168 date "2010-02-01" @default.
• W1964125168 modified "2023-09-24" @default.
• W1964125168 title "Chronic insomnia: Recent advances and innovations in treatment developments and dissemination." @default.
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• W1964125168 doi "https://doi.org/10.1037/a0018715" @default.
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