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Related Concept Videos

Insomnia01:27

Insomnia

215
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
215
Management of Insomnia01:19

Management of Insomnia

365
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
365
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

635
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
635
Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

255
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
255
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

420
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
420
Cognitive Therapy01:25

Cognitive Therapy

571
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
571

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Hormonal contraceptives and women's sleep health: A systematic review.

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Cognitive behavioral therapy for menopausal insomnia in perimenopausal and postmenopausal women with insomnia and nocturnal hot flashes: a randomized-controlled pilot trial.

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Cognitive-behavior therapy for sleep disorders at midlife.

Sara Nowakowski1, Jessica M Meers2

  • 1Michael E DeBakey VA Medical Center and Baylor College of Medicine, Houston, Texas.

Menopause (New York, N.Y.)
|May 25, 2021
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Cognitive-behavior therapy for insomnia (CBT-I) effectively treats insomnia, a common sleep disorder affecting many midlife women. This approach offers proven relief for sleep difficulties and daytime impairment.

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Area of Science:

  • Sleep Medicine
  • Women's Health
  • Behavioral Therapy

Background:

  • Insomnia is a prevalent sleep disorder characterized by persistent difficulties with sleep initiation, maintenance, or early morning awakening.
  • These sleep disturbances must cause significant daytime impairment and last at least three months for diagnosis.
  • Menopausal transition and post-menopause are periods where insomnia is particularly common among women.

Purpose of the Study:

  • To highlight the rationale and treatment components of Cognitive-Behavioral Therapy for Insomnia (CBT-I).
  • To provide specific considerations for implementing CBT-I in midlife women experiencing insomnia.
  • To underscore the established efficacy of CBT-I across the adult lifespan.

Main Methods:

  • This practice pearl reviews existing evidence and clinical guidelines for CBT-I.
  • It outlines the core components of CBT-I, including sleep hygiene, cognitive restructuring, and stimulus control.
  • Specific adaptations and considerations for midlife women are discussed.

Main Results:

  • Cognitive-behavior therapy for insomnia (CBT-I) is a well-established, brief behavioral intervention.
  • Decades of research support its effectiveness in improving sleep and reducing daytime impairment.
  • CBT-I is effective across various adult age groups, including midlife.

Conclusions:

  • CBT-I is a first-line treatment for insomnia, offering significant benefits for sleep quality and daytime functioning.
  • Midlife women experiencing menopausal-related insomnia can effectively be treated with CBT-I.
  • Understanding specific considerations enhances the application of CBT-I in this demographic.