Non-pharmacological Approaches for Management of Insomnia |
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| Authors: | Ngan Yin Chan Joey Wing Yan Chan Shirley Xin Li Yun Kwok Wing |
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| Affiliation: | 1.Li Chiu Kong Family Sleep Assessment Unit, Departments of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China ;2.Department of Psychology, The University of Hong Kong, Pokfulam, Hong Kong SAR, China ;3.The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Pokfulam, Hong Kong SAR, China |
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| Abstract: | Insomnia is a prevalent sleep problem associated with a constellation of negative health-related outcomes and significant socioeconomic burden. It commonly co-occurs with psychiatric and medical conditions, which may further exacerbate these comorbid conditions and hinder treatment response. There is much empirical evidence to support the clinical efficacy of non-pharmacological treatment for insomnia, especially cognitive behavioral therapy for insomnia (CBT-I), in managing insomnia in a wide range of populations. This article reviews the research on the efficacy of CBT-I for primary insomnia and insomnia comorbid with other psychiatric and medical conditions, the empirical evidence regarding different CBT-I treatment modalities, the implementation of CBT-I across different age groups, and some initial evidence on the sequential combination of insomnia treatments. A brief overview of other non-pharmacological treatment with regard to complementary alternative medicine is also provided.Supplementary InformationThe online version contains supplementary material available at 10.1007/s13311-021-01029-2.Key Words: Sleep, Insomnia, Treatment, Non-pharmacological, Cognitive behavioral therapy, Comorbidity |
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