Insomnia: A Clinical Guide to Assessment and TreatmentAlong with increasing recognition of the consequences and costs of ins- nia, there is growing evidence documenting the effectiveness of cogniti- behavior therapy for insomnia. Yet, there is still a major gap between available evidence and current clinical practice. Much of this gap is due to economics, limited treatment access, and ineffective dissemination of knowledge. There is a definite need for practical materials to facilitate access to and implementation of interventions for insomnia. As scientis- practitioners, we are constantly reminded of this need by frequent requests from clinicians around the world for questionnaires and handouts to assist them in treating insomnia patients. It was during a recent international sleep meeting, more specifically on a trainjourney between Dresden and Prague, that we drafted an outline of a handbook that would help fill this gap. This clinical handbook describes an evidence-based treatment p- gram for insomnia. Its content is based on materials that have been cl- ically tested and validated with patients in various settings and with different subtypes of insomnia. The manual is divided into eight chapters. Chapter 1 presents an introduction to sleep and provides answers to f- quently asked questions about the nature of sleep, its determinants, and about the consequences of sleep loss and insomnia. Chapters 2 and 3 outline the main clinical features of insomnia and differential diagnostic issues and describe a practical approach to the assessment of insomnia complaint. |
Contents
The Basics of Sleep | 1 |
Assessment and Differential Diagnosis of Insomnia | 27 |
Sleep Hygiene and Relaxation Therapy | 45 |
Sleep Scheduling | 61 |
Cognitive Therapy | 77 |
Sleep Medications | 101 |
Clinical and Treatment Implementation Issues | 121 |
A Outline Plan for a Sleep History Assessment Comprising | 133 |
E The PreSleep Arousal Scale | 141 |
Transcript of a Relaxation Therapy Session 12Minute | 149 |
SelfMonitoring Form of SleepRelated Thoughts | 159 |
O Example of an Automatic Thought Record Used | 167 |
| 185 | |
| 187 | |
Other editions - View all
Insomnia: A Clinician's Guide to Assessment and Treatment Charles M. Morin,Colin A. Espie Limited preview - 2003 |
Insomnia: A Clinical Guide to Assessment and Treatment Charles M. Morin,Colin A. Espie No preview available - 2013 |
Insomnia: A Clinician's Guide to Assessment and Treatment Charles M. Morin,Colin A. Espie No preview available - 2003 |
Common terms and phrases
actigraph alcohol anxiety anxiolytic arousal assessment associated attitudes about sleep bedtime Behavior Therapy beliefs and attitudes benzodiazepines Breathing slowly caffeine chapter chronic insomnia circadian clinical vignette clinician cognitive restructuring cognitive therapy complaint component depression discontinuation dosage drug duration Edinger effects Epworth Sleepiness Scale Espie evidence factors fall asleep Feel the tension go to bed Hauri hypnotic hypnotic medications implement important individuals insom intervention Lichstein lorazepam Morin napping narcolepsy night night’s sleep NREM older adults Parasomnias persistent insomnia polysomnography poor night's sleep poor sleep practice pre-sleep primary insomnia procedures psychiatric psychological Roth Scale Sleep Diary sleep difficulties sleep disorders sleep disturbances sleep efficiency sleep hygiene sleep loss sleep medications sleep pattern sleep problem sleep restriction sleep scheduling sleep-onset sleepers slowly and deeply somnia stimulus control tapering temazepam THERAPIST treatment of insomnia triazolam wakefulness wakenings week withdrawal symptoms word relax worry zaleplon zolpidem zopiclone