Journal of Sleep Research, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 31, 2025

Insomnia disorder, characterized by a complaint of reduced sleep quality or quantity and associated daytime impairment, is highly prevalent with life productivity. Cognitive behavioural therapy for insomnia (CBT-I) the current first-line treatment chronic disorder. Here, we outline our perspective future optimization psychotherapeutic insomnia. We identified following areas as most promising: first, optimizing efficacy CBT-I protocol; second, developing diagnostic therapeutic approaches non-responders partial responders; third, advancing widespread implementation psychotherapy More specifically, how protocol could be optimized through an improved understanding mechanisms, discuss potential adaptive strategies. Another promising approach improving using add-ons such physical exercise circadian-based interventions. Both may in certain subgroups patients In terms non-response, identify acceptance commitment (ACT-I) to CBT-I. ACT-I, however, still needs evaluated actual Implementing clinical practice one major challenges at hand. brief treatment, targeted challenging patient groups, digital help improve implementation. For research agenda, suggest that further into randomized-controlled trials CBT-I, focus on science have bring field forward.

Language: Английский