Session Schedule

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Presentation not available: Challenges of cognitive behavioural treatment for insomnia in adolescents
Shirley Xin Li (Hong Kong)

0:00:00
Challenges of cognitive behavioural treatment for insomnia in primary care
Charles Morin (Canada)

0:16:25
Challenges in adapting cognitive behavioural treatment for perinatal insomnia
Bei Bei (Australia)

0:36:50
Challenges of cognitive behavioural treatment for insomnia in shift workers
Kai Spiegelhalder (Germany)

0:50:15
Challenges of cognitive behavioural treatment for insomnia in psychiatric inpatients with comorbid conditions
Elisabeth Hertenstein (Switzerland)

Summary

Cognitive behavioral treatment for insomnia (CBT-I) is a multi-component intervention that includes sleep restriction therapy, stimulus control therapy, cognitive therapy, relaxation therapy, and psychoeducation. Current clinical guidelines recommend CBT-I as first-line treatment for insomnia disorder in adults. While there is strong evidence supporting the efficacy and effectiveness of CBT-I, most of the corresponding research has been conducted in research settings with selected patient groups, mostly adults with insomnia disorder without comorbid conditions that may require an adaptation of the treatment or may increase the risk for complications. The proposed symposium aims at discussing the efficacy and clinical challenges of using CBT-I in specific patient groups and settings. First, Shirley X. Li from the University of Hong Kong will present data on CBT-I in youths. Since adolescence is characterized by a shift in circadian preference towards eveningness, a particular focus of the talk will be on the question whether eveningness requires particular clinical attention during treatment with CBT-I. Charles M. Morin from the Université Laval in Quebec City will discuss challenges and opportunities of implementing CBT-I in primary care. Primary care physicians may serve as the entry level of stepped care models for insomnia, however, there is little evidence thus far on how CBT-I can be effectively integrated into primary care. Bei Bei from the Monash University in Melbourne will speak about using cognitive behavioral treatment in the perinatal period. The primary focus of this talk will be on potential strategies to adapt CBT-I to perinatal challenges. Kai Spiegelhalder from the Medical Center - University of Freiburg will present clinical insights from a study on CBT-I in nurses suffering from shift work disorder with insomnia. In particular, challenges related to sleep restriction therapy and cognitive therapy in this patient group will be discussed. Finally, Elisabeth Hertenstein from the University of Geneva will discuss challenges of implementing CBT-I in psychiatric inpatients with comorbid conditions. These challenges are related to both the specific patient group and structural and organizational aspects of implementing CBT-I in psychiatric hospitals.