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Insomnia 2019, 42 [Mīkstie vāki]

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About 40% of the population experiences difficulty falling or staying asleep at some time in a given year, while 10% of people suffer chronic insomnia. This concise reference written by leading experts for busy professional clinicians provides practical and up-to-date advice on current approaches to assessment, diagnosis, and treatment of insomnia. Professionals and students learn to correctly identify and diagnose insomnia and gain hands-on information on how to carry out treatment with the best evidence base: cognitive behavioral therapy for insomnia (CBT-I). The American Academy of Sleep Medicine (AASM) and the American College of Physicians (ACP) both recognize CBT-I as the first-line treatment approach to insomnia. Appendices include useful resources for the assessment and treatment of insomnia, which readers can copy and use in their clinical practice.

Recenzijas

This book provides an excellent concise introduction to insomnia and its treatment with cognitive behavioral therapy. A great addition to any therapist's bookshelf!, Philip Gehrman, PhD, CBSM, Associate Professor, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA

Preface v
Dedication vi
Acknowledgments vi
1 Description of Insomnia
1(9)
1.1 Terminology
1(1)
1.2 Definition
1(1)
1.2.1 Classification of Insomnia
1(1)
1.3 Epidemiology
2(1)
1.3.1 Prevalence
2(1)
1.3.2 Economic Impact of Insomnia
2(1)
1.4 Course and Prognosis
3(1)
1.5 Differential Diagnosis of Insomnia From Other Sleep Disorders
4(2)
1.6 Comorbidities
6(2)
1.6.1 Sleep Disorders Comorbidities
6(1)
1.6.2 Medical Comorbidities
7(1)
1.6.3 Psychiatric Comorbidities
7(1)
1.7 Diagnostic Procedures
8(2)
2 Theories and Models of Insomnia
10(9)
2.1 Fundamentals of Sleep-Wake Regulation
10(2)
2.1.1 Homeostatic Process
10(1)
2.1.2 Circadian Process
11(1)
2.1.3 Interaction of Homeostatic and Circadian Processes
11(1)
2.2 Behavioral Model of Insomnia
12(1)
2.3 Cognitive Models of Insomnia
13(1)
2.4 Physiological Hyperarousal Models
14(1)
2.5 A Neurocognitive Model
14(1)
2.6 Neurobiological Models
15(1)
2.7 An Integrative Framework
15(4)
3 Diagnosis, Assessment, and Treatment Indications
19(13)
3.1 Diagnosis of Insomnia
19(2)
3.2 Primary Tools in the Assessment of Insomnia
21(9)
3.2.1 Clinical Interview
21(5)
3.2.2 Sleep Diaries
26(1)
3.2.3 Insomnia Severity Index
27(1)
3.2.4 Instruments to Screen for Common Comorbid Psychiatric Conditions
28(1)
3.2.5 Instruments to Assess Sleep-Related Cognitions
29(1)
3.3 Other Methods of Assessing Sleep: Polysomnography and Actigraphy
30(2)
4 Treatment of Insomnia
32(20)
4.1 Methods of Treatment
32(10)
4.1.1 Sleep Psychoeducation
32(3)
4.1.2 Behavioral Strategies
35(2)
4.1.3 Cognitive Strategies
37(1)
4.1.4 Cognitive Behavioral Therapy for Insomnia
38(1)
4.1.5 Cognitive Therapy for Insomnia
39(2)
4.1.6 Mindfulness-Based Interventions in the Treatment of Insomnia
41(1)
4.2 Mechanisms of Action of CBT-I
42(1)
4.2.1 Understanding Sleep Physiology
42(1)
4.2.2 Correcting Maladaptive Behaviors
42(1)
4.2.3 Extinguishing Conditioned Arousal
42(1)
4.2.4 Targeting Maladaptive Cognitions
43(1)
4.3 Efficacy of CBT-I
43(1)
4.4 Variations and Combinations of Methods
44(5)
4.4.1 Self-Help Therapy
44(2)
4.4.2 Group CBT-I
46(1)
4.4.3 Stepped-Care Approach
46(1)
4.4.4 CBT-I Combined With Sleeping Pills
47(1)
4.4.5 CBT-I in Patients With Comorbid Medical or Psychiatric Disorders
48(1)
4.5 Problems in Carrying Out CBT-I
49(2)
4.6 Conclusion
51(1)
5 Case Vignette
52(11)
6 Further Reading
63(1)
7 References
64(10)
8 Appendix: Tools and Resources
74
William K. Wohlgemuth, PhD, graduated from the University of Miami with a degree in Clinical Health Psychology. Following his internship, he completed postdoctoral training at Duke University Medical Center in the behavioral sleep medicine clinic. During that time, he was involved with several clinical trials investigating the efficacy of CBT-I. Since 2005, Dr. Wohlgemuth has been the director of the behavioral sleep medicine clinic at the Bruce W. Carter VA Medical Center in Miami. He is actively involved in training psychology practicum students and interns. Dr. Wohlgemuth is certified in behavioral sleep medicine by the American Academy of Sleep Medicine. Ana Imia Fins, PhD, received her doctorate in Clinical Health Psychology from the University of Miami. She completed predoctoral and postdoctoral training in behavioral sleep medicine at the Durham, NC Veterans Af fairs Medical Center and at the Duke University Sleep Disorders Center. Currently, she is professor at the College of Psychology at Nova Southeastern University, where she also codirects an insomnia clinic. For over 18 years she has been training students in the application of CBT-I and other behavioral sleep medicine intervention strategies.