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Cognitive Behavioral Treatment as a Digital Therapeutic for Insomnia

Authors
 Eun Lee 
Citation
 Chronobiology in Medicine, Vol.2(1) : 10-15, 2020-03 
Journal Title
 Chronobiology in Medicine 
Issue Date
2020-03
Keywords
Insomnia ; Sleep disorder ; Cognitive behavioral therapy ; Internet-based intervention
Abstract
Insomnia is a sleep disorder characterized by clinically significant distress caused by difficulty in initiating or maintaining sleep, or early-morning awakening. By definition, insomnia must affect important areas of functioning and occur more than three nights per week for at least 3 months. Insomnia is highly prevalent, with a high relapse rate and a tendency to become chronic. Therefore, the demand for insomnia treatment is high. The current first-line treatment recommended for insomnia is cognitive behavioral therapy for insomnia (CBTi). Conventional CBTi is a multicomponent intervention program that includes: 1) a behavioral component made up of stimulus control therapy, sleep restriction therapy, and muscle relaxation; 2) a cognitive component; and 3) an educational component focused on sleep hygiene. Despite considerable evidence of CBTi efficacy, accessibility and cost remain major barriers. Recently, internet-delivered digital CBTi (dCBTi) has emerged as a potential answer for the growing demand and poor treatment accessibility. This review will discuss the history of CBTi as a first-line treatment for insomnia, the current status and limitations of CBTi, the efficacy of dCBTi as an alternative, and the future of dCBTi in pioneering digital therapeutics.
Files in This Item:
T202001033.pdf Download
DOI
10.33069/cim.2020.0007
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Eun(이은) ORCID logo https://orcid.org/0000-0002-7462-0144
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/175975
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