Abstract: | The problem of insomnia is likely to affect many of the patients seen by practicing clinicians. At present, a number of effective behavioral strategies are available for the treatment of patients with chronic insomnia. However, the literature on behavioral insomnia treatment has traditionally focused on the application of specific techniques, giving little attention to the therapeutic issues that may be important to the success of a comprehensive insomnia treatment program. This article discusses those aspects of treatment that are unique to the complaint of insomnia within the context of several basic problems common to most behavioral treatment programs, including compliance, patient cognitions, and the tailoring of treatment to maximize therapeutic effectiveness. Hypotheses regarding the etiology of insomnia complaints are also presented, along with recommendations for further research. (PsycINFO Database Record (c) 2010 APA, all rights reserved) |