Insomnia is a very common psychophysiological disorder in the general population, often concomitant with other medical and/or mental conditions. Nocturnal symptoms, such as difficulty falling asleep or staying asleep during the night, are associated with daytime symptoms, such as tiredness and fatigue, which impact the lives of people who suffer from insomnia.
Currently, European and American guidelines describe Cognitive Behavioral Therapy for Insomnia (CBT-I) as the treatment of first choice, while pharmacological therapy should be prescribed only in cases where it is not possible to offer CBT-I to the patient or was not effective. Despite these indications, available data show that only a small percentage of patients are offered with CBT-I.
This article aims to illustrate the state of the art of insomnia disorder, the latest indications relating to clinical evaluation and treatment, as well as the ways in which clinicians are trying to make CBT-I increasingly usable for patients suffering from chronic insomnia.
Key words: insomnia, insomnia disorder, cognitive behavioral therapy for insomnia (Cognitive Behavioral Therapy for Insomnia, CBT-I)
DOI: 10.36131/COGNCL20230101