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Exercise as an Adjunct Treatment to Cognitive Behavior Therapy for Insomnia
Giselle Soares Passos1, Shawn D Youngstedt2, Marcos Gonçalves Santana1
1Health Sciences Unit, Universidade Federal de Jataí, BR 364, km 195, n. 3800, CEP 75801-61, Jataí- GO, Brazil.
Sleep Medicine Clinics
|February 10, 2023
Summary
This review explores if exercise enhances cognitive behavioral therapy for insomnia (CBT-I) outcomes. Combining CBT-I with exercise may improve sleep for those unresponsive to standard CBT-I treatments.
Area of Science:
- Sleep Medicine
- Exercise Physiology
Background:
- Cognitive Behavioral Therapy for Insomnia (CBT-I) is a first-line treatment for chronic insomnia.
- CBT-I is ineffective for 30-40% of patients.
- Exercise shows positive effects on insomnia.
Purpose of the Study:
- To determine if exercise can augment improvements in insomnia for patients undergoing CBT-I.
- To establish a rationale for combining CBT-I with exercise.
Main Methods:
- Literature review on exercise and insomnia.
- Review of existing clinical trials on CBT-I.
- Development of a theoretical framework for combined interventions.
Main Results:
- Accumulating evidence supports exercise's positive impact on insomnia.
- Clinical trials combining CBT-I and exercise are lacking.
- A rationale for combining CBT-I and exercise is presented.
Conclusions:
- Exercise may enhance CBT-I efficacy for chronic insomnia.
- Further clinical trials are needed to validate the combined approach.
- Combining CBT-I with exercise presents a promising avenue for treatment-resistant insomnia.
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