Cognitive-behavioral Therapy of Insomnia

Insomnia is a prevalent health complaint that is associated with significant morbidity and health care costs. Progress has been made in developing and validating therapeutic approaches for the management of chronic insomnia, and CBT now is recognized as an effective treatment option. Despite these advances, insomnia remains undertreated in clinical practice, and CBT is underused by health care practitioners. An important future challenge will be to disseminate validated therapies and practice guidelines more efficiently and to increase their use in clinical practice. Additional research also is needed to optimize therapeutic outcomes in reducing insomnia symptoms and in increasing the impact of treatment on other indicators of morbidity and cost effectiveness. © 2006 Elsevier Inc. All rights reserved.