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Sleep Med Res > Volume 13(1); 2022 > Article
Sleep Medicine Research 2022;13(1): 50-54.
doi: https://doi.org/10.17241/smr.2022.01249
Four Useful Concepts When Treating Patients With Insomnia: Possibility of Sleep Index-Based Cognitive Behavioral Therapy for Insomnia
Seockhoon Chung MD, PhD1
Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Corresponding Author: Seockhoon Chung ,Tel: +82-2-3010-3411, Fax: +82-2-485-8381, Email: schung@amc.seoul.kr
Received: March 28, 2022.  Revised: May 23, 2022.  Accepted: May 24, 2022.
Cognitive behavioral therapy for insomnia (CBT-I) is one of the most common treatments for insomnia and is considered as the first-line treatment. People who struggle to fall asleep or stay asleep or those who do not find sleep refreshing can benefit over four to six sessions of CBT-I. Although CBT-I has many benefits, it does have some drawbacks. Therefore, a brief version needs to be developed for use in clinical practice. This study proposes the following concepts that can be readily applied in clinical practice: 1) Concept 1, 17 hours of activity and 7 hours of sleep; 2) Concept 2, discrepancy between desired time in bed and desired total sleep time; 3) Concept 3, time in bed during 24 hours; and 4) Concept 4, taking sleeping pills 7 hours before the waking up time. These concepts based on sleep indices could easily help patients with insomnia and may serve as a foundation for the development of Sleep Index-based CBT-I.
Key Words: Insomnia; Sleep; Dysfunctional beliefs; Hypnotics; Cognitive behavioral therapy
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