Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline
This is the American Academy of Sleep Medicine's clinical practice guideline on behavioural and psychological treatment of chronic insomnia in adults. A task force reviewed the literature systematically and graded each recommendation by the strength of the evidence behind it, weighing benefits against harms, patient preferences and the resources required. The single strong recommendation, meaning clinicians should follow it in most circumstances, is multicomponent cognitive behavioural therapy for insomnia. Everything else is conditional, meaning it depends on the patient and the clinician's judgment, including brief multicomponent therapies and the individual components such as stimulus control used on their own. That structure is the useful part for this vault: the full package has strong evidence, and the individual techniques circulating as sleep advice have weaker support than their popularity suggests. A guideline of this kind is the right citation for a clinical claim about insomnia treatment, in preference to any single trial.
This is the American Academy of Sleep Medicine's clinical practice guideline on behavioural and psychological treatment of chronic insomnia in adults. A task force reviewed the literature systematically and graded each recommendation by the strength of the evidence behind it, weighing benefits against harms, patient preferences and the resources required. The single strong recommendation, meaning clinicians should follow it in most circumstances, is multicomponent cognitive behavioural therapy for insomnia. Everything else is conditional, meaning it depends on the patient and the clinician's judgment, including brief multicomponent therapies and the individual components such as stimulus control used on their own. That structure is the useful part for this vault: the full package has strong evidence, and the individual techniques circulating as sleep advice have weaker support than their popularity suggests. A guideline of this kind is the right citation for a clinical claim about insomnia treatment, in preference to any single trial.
Written from the abstract, Europe PMC.
What our sources record
Reproduced as it was written when this source was checked, figures and all.
Multicomponent cognitive behavioural therapy for insomnia recommended as first-line; stimulus control and sleep restriction supported as single components; the stimulus control instruction as documented uses a threshold of about 30 minutes out of bed. Sleep hygiene education is not recommended as a single-component therapy, having not demonstrated efficacy on its own.
Where we use it
- Why You Lie Awake at 3am Replaying One Conversation, Why We Care
Reliability of this reference
The link below was matched against the publisher's record on title, first author and year, and all three agree.
The source
https://doi.org/10.5664/jcsm.8986
DOI: 10.5664/jcsm.8986