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Opinion EDITORIAL Should Internet Cognitive Behavioral Therapy for Insomnia Be the Primary Treatment Option for Insomnia? Toward Getting More SHUTi Andrew D. Krystal, MD, MS; Aric A. Prather, PhD Insomnia is a prevalent, often debilitating, sleep disorder with One of the biggest challenges to translating findings from significant consequences for physical health and well-being. insomnia clinical trials to clinical practice is the reality that the With as many as 50% of adults reporting insomnia symptoms populations studied in clinical trials lack the psychiatric and at least intermittently and up medical comorbidities of those seen in clinic settings. There to 20% of adults meeting di- have been relatively few rigorous trials of internet-based in- agnostic criteria for insom- somnia therapies carried out in patients with psychiatric or Related article page 68 nia disorder, there is an acute medical comorbidities. As such, it is unclear whether internet- need for effective interventions. Treatments established to be based interventions yield the same gains as those observed safe and efficacious for this condition include a variety of dif- when patients are carefully screened for mental and physical ferent medications and cognitive behavioral therapy for in- health problems. In this study, Ritterband and colleagues take
JAMA Psychiatry – American Medical Association
Published: Jan 30, 2017
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