Practice parameters for the psychological and behavioral treatment of insomnia: An update. An American Academy of Sleep Medicine Report

Timothy Morgenthaler, Milton Kramer, Cathy Alessi, Leah Friedman, Brian Boehlecke, Terry Brown, Jack Coleman, Vishesh Kapur, Teofilo Lee-Chiong, Judith Owens, Jeffrey Pancer, Todd Swick

Research output: Contribution to journalReview article

488 Scopus citations

Abstract

Insomnia is highly prevalent, has associated daytime consequences which impair job performance and quality of life, and is associated with increased risk of comorbidities including depression. These practice parameters provide recommendations regarding behavioral and psychological treatment approaches, which are often effective in primary and secondary insomnia. These recommendations replace or modify those published in the 1999 practice parameter paper produced by the American Sleep Disorders Association. A Task Force of content experts was appointed by the American Academy of Sleep Medicine to perform a comprehensive review of the scientific literature since 1999 and to grade the evidence regarding non-pharmacological treatments of insomnia. Recommendations were developed based on this review using evidence-based methods. These recommendations were developed by the Standards of Practice Committee and reviewed and approved by the Board of Directors of the American Academy of Sleep Medicine. Psychological and behavioral interventions are effective in the treatment of both chronic primary insomnia (Standard) and secondary insomnia (Guideline). Stimulus control therapy, relaxation training, and cognitive behavior therapy are individually effective therapies in the treatment of chronic insomnia (Standard) and sleep restriction therapy, multicomponent therapy (without cognitive therapy), biofeedback and paradoxical intention are individually effective therapies in the treatment of chronic insomnia (Guideline). There was insufficient evidence to recommend sleep hygiene education, imagery training and cognitive therapy as single therapies or when added to other specific approaches. Psychological and behavioral interventions are effective in the treatment of insomnia in older adults and in the treatment of insomnia among chronic hypnotic users (Standard).

Original languageEnglish (US)
Pages (from-to)1415-1419
Number of pages5
JournalSleep
Volume29
Issue number11
StatePublished - Nov 1 2006

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Keywords

  • Behavioral
  • Cognitive behavior therapy
  • Insomnia primary
  • Insomnia secondary
  • Multicomponent therapy
  • Non-pharmacological
  • Practice guidelines
  • Practice parameters
  • Psychological
  • Relaxation training
  • Sleep restriction
  • Stimulus control therapy
  • Treatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)

Cite this

Morgenthaler, T., Kramer, M., Alessi, C., Friedman, L., Boehlecke, B., Brown, T., Coleman, J., Kapur, V., Lee-Chiong, T., Owens, J., Pancer, J., & Swick, T. (2006). Practice parameters for the psychological and behavioral treatment of insomnia: An update. An American Academy of Sleep Medicine Report. Sleep, 29(11), 1415-1419.