Skip to main content

Part of the book series: Springer Series in Rehabilitation and Health ((SSRH))

  • 246 Accesses

Abstract

Insomnia is a clinical problem that has proved difficult to define. Generally considered to be a complaint or symptom rather than a disorder, insomnia can result from one or more of a multitude of causes. The current nosology of the American Sleep Disorder Association (ASDA) includes over 40 diagnostic classifications that could potentially relate to insomnia complaints; however, the term insomnia actually identifies only a handful of these diagnoses (American Sleep Disorders Association, 1990).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 349.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 449.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Adam, K., Tomeny, M., & Oswald, I. (1986). Physiological and psychological differences between good and poor sleepers. Journal of Psychiatric Research, 20, 301–316.

    Article  PubMed  Google Scholar 

  • American Sleep Disorders Association. (1990). ICSD—International classification of sleep disorders: Diagnostic and coding manual Rochester, MN: Author.

    Google Scholar 

  • Berlin, R. M. (1985). Psychotherapeutic treatment of chronic insomnia. American Journal of Psychotherapy, 39, 68–74.

    PubMed  Google Scholar 

  • Bixler, E. O., Kales, A., Soldatos, C. R., Kales, J. D., & Healey, S. (1979). Prevalence of sleep disorders in the Los Angeles metropolitan area. American Journal of Psychiatry, 136, 1257–1262.

    PubMed  Google Scholar 

  • Bootzin, R. R. (1972). A stimulus control treatment for insomnia. Proceedings of the 80th Annual Convention of the American Psychological Association, 7, 395–396.

    Google Scholar 

  • Bootzin, R. R. (1984). Evaluation of stimulus control instructions, progressive relaxation, and sleep hygiene as treatments for insomnia. In W. P. Koella, E. Ruther, & H. Schulz (Eds.), Sleep’ 84: Proceedings of the 7th European Congress on Sleep Research (pp. 142–144). Stuttgart: Verlag.

    Google Scholar 

  • Borkovec, T. D. (1982). Insomnia. Journal of Consulting and Clinical Psychology, 50, 880–895.

    Article  PubMed  Google Scholar 

  • Borkovec, T. D., & Fowles, D. C. (1973). Controlled investigation of the effects of progressive and hypnotic relaxation on insomnia. Journal of Abnormal Psychology, 82, 153–158.

    Article  PubMed  Google Scholar 

  • Borkovec, T. D., Grayson, J. B., O’Brien, G. T., & Weerts, T. C. (1979). Relaxation treatment of pseudoinsomnia and idiopathic insomnia: An electroencephalographic evaluation. Journal of Applied Behavior Analysis, 12, 37–54.

    Article  PubMed  Google Scholar 

  • Borkovec, T. D., & Hennings, B. L. (1978). The role of physiological attention-focusing in the relaxation treatment of sleep disturbance, general tension, and specific stress reaction. Behaviour Research and Therapy, 16, 7–19.

    Article  PubMed  Google Scholar 

  • Borkovec, T. D., & Weerts, T. C. (1976). Effects of progressive relaxation on sleep disturbance: An electroencephalographic evaluation. Psychosomatic Medicine, 38, 173–180.

    PubMed  Google Scholar 

  • Carr-Kaffashan, L., & Woolfolk, R. L. (1979). Active and placebo effects in treatment of moderate and severe insomnia. Journal of Consulting and Clinical Psychology, 47, 1072–1080.

    Article  PubMed  Google Scholar 

  • Carskadon, M. A., & Dement, W. C. (1981). Cumulative effects of sleep restriction on daytime sleepiness. Psychophysiology, 18, 107–113.

    Article  PubMed  Google Scholar 

  • Carskadon, M. A., & Dement, W. C. (1982). Nocturnal determinants of daytime sleepiness. Sleep, 5, S73–S81.

    PubMed  Google Scholar 

  • Carskadon, M. A., Dement, W. C., Mitler, M. M., Guilleminault, C., Zarcone, V. P., & Spiegel, R. (1976). Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia. American Journal of Psychiatry, 133, 1382–1388.

    PubMed  Google Scholar 

  • Chambers, M. J. (1992). Therapeutic issues in the behavioral treatment of insomnia. Professional Psychology: Research and Practice, 23, 131–138.

    Article  Google Scholar 

  • Chambers, M. J., & Keller, B. (1993). Alert insomniacs: Are they really sleep deprived? Clinical Psychology Review, 13, 649–666.

    Article  Google Scholar 

  • Chambers, M. J., & Kim, J. Y (1993). The role of state-trait anxiety in insomnia and daytime restedness. Behavioral Medicine, 19, 42–46.

    Article  PubMed  Google Scholar 

  • Coates, T. J., & Thoresen, C. E. (1981). Treating sleep disorders: Few answers, some suggestions, and many questions. In S. M. Turner, K. S. Calhoun, & H. E. Adams (Eds.), Handbook of clinical behavior therapy (pp. 240–289). New York: Wiley.

    Google Scholar 

  • Coates, T. J., Killen, J. D., Silverman, S., George, J., Marchini, E., Hamilton, S., & Thoresen, C. E. (1983). Cognitive activity, sleep disturbance, and stage specific differences between recorded and reported sleep. Psychophysiology, 20, 243–250.

    Article  PubMed  Google Scholar 

  • Coursey, R. D., Frankel, B. L., Gaarder, K. R., & Mott, D. E. (1980). A comparison of relaxation techniques with electrosleep therapy for chronic, sleep-onset insomnia: A sleep-EEG study. Biofeedback and Self-Regulation, 5, 57–73.

    Article  PubMed  Google Scholar 

  • Edinger, J. D., Hoelscher, T. J., Marsh, G. R., Ionescou-Pioggia, M., & Upper, S. (1990). Treating sleep maintenance problems in older adults. Sleep Research, 19, 218.

    Google Scholar 

  • Espie, C. A., Lindsay, W. R., Brooks, D. N., Hood, E. M., & Turvey, T (1989). A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia. Behaviour Research and Therapy, 27, 79–88.

    Article  PubMed  Google Scholar 

  • Fogle, D. O., & Dyal, J. A. (1983). Paradoxical giving up and the reduction of sleep performance anxiety in chronic insomniacs. Psychotherapy: Theory, Research, and Practice, 20, 21–30.

    Article  Google Scholar 

  • Ford, D. E., & Kamerow, D. B. (1989). Epidemiologic study of sleep disturbances and psychiatric disorders: An opportunity for prevention? Journal of the American Medical Association, 262, 1479–1484.

    Article  PubMed  Google Scholar 

  • Frankel, B. L., Coursey, R. D., Buchbinder, R., & Snyder, F. (1976). Recorded and reported sleep in chronic primary insomnia. Archives of General Psychiatry, 33, 615–623.

    Article  PubMed  Google Scholar 

  • Fredrickson, P. A., & Krueger, B. R. (1994). Insomnia associated with specific polysomnographic findings. In M. H. Kryger, T. Roth, & W. C. Dement (Eds.), Principles and practice of sleep medicine (2nd ed., pp. 523–534). Philadelphia: W. B. Saunders.

    Google Scholar 

  • Freedman, R., & Papsdorf, J. D. (1976). Biofeedback and progressive relaxation treatment of sleep-onset insomnia: A controlled, all-night investigation. Biofeedback and Self-Regulation, 1, 253–271.

    Article  PubMed  Google Scholar 

  • Freedman, R. R., & Sattler, H. L. (1982). Physiological and psychological factors in sleep-onset insomnia. Journal of Abnormal Psychology, 91, 380–389.

    Article  PubMed  Google Scholar 

  • Friedman, L., Bliwise, D. L., Yesavage, J. A., & Salom, S. R. (1991). A preliminary study comparing sleep restriction and relaxation treatments for insomnia in older adults. Journal of Gerontology, 46, Pl–P8.

    Article  Google Scholar 

  • Gillin, J. C., & Mendelson, W. B. (1981). Sleeping pills: For whom? When? How Long? In G. C. Palmer (Ed.), Neuropharmacology of central nervous system and behavioral disorders (pp. 285–316). New York: Academic Press.

    Google Scholar 

  • Good, R. (1975). Frontalis muscle tension and sleep latency. Psychophysiology, 12, 465–467.

    Article  Google Scholar 

  • Gross, R. T., & Borkovec, T. D. (1982). Effects of a cognitive intrusion manipulation on the sleep-onset latency of good sleepers. Behavior Therapy, 13, 112–116.

    Article  Google Scholar 

  • Hauri, P. (1981). Treating psychophysiologic insomnia with biofeedback. Archives of General Psychiatry, 38, 752–758.

    Article  PubMed  Google Scholar 

  • Hauri, P., & Fisher, J. (1986). Persistent psychophysiologic (learned) insomnia. Sleep, 9, 38–53.

    PubMed  Google Scholar 

  • Hauri, P. J., Percy, L., Hellekson, C., Hartmann, E., & Russ, D. (1982). The treatment of psychophysiologic insomnia with biofeedback: A replication study. Biofeedback and Self-Regulation, 7, 223–235.

    Article  PubMed  Google Scholar 

  • Hauri, P., & Wisbey, J. (1990). The MSLT in insomnia. Sleep Research, 19, 234.

    Google Scholar 

  • Haynes, S. N., Adams, A., & Franzen, M. (1981). The effects of presleep stress on sleep-onset insomnia. Journal of Abnormal Psychology, 90, 601–606.

    Article  PubMed  Google Scholar 

  • Haynes, S. N., Adams, A. E., West, S., Kamens, L., & Safranek, R. (1982). The stimulus control paradigm in sleep-onset insomnia: A multimethod assessment. Journal of Psychosomatic Research, 26, 333–339.

    Article  PubMed  Google Scholar 

  • Haynes, S. N., Follingstad, D. R., & McGowan, W. T (1974). Insomnia: Sleep patterns and anxiety level. Journal of Psychosomatic Research, 18, 69–74.

    Article  PubMed  Google Scholar 

  • Healey, E. S., Kales, A., Monroe, L J., Bixler, E. O., Chamberlin, K., & Soldatos, C. R. (1981). Onset of insomnia: Role of life-stress events. Psychosomatic Medicine, 43, 439–451.

    PubMed  Google Scholar 

  • Hoelscher, T J., & Edinger, J. D. (1988). Treatment of sleep-maintenance insomnia in older adults: Sleep period reduction, sleep education, and modified stimulus control. Psychology and Aging, 3, 258–263.

    Article  PubMed  Google Scholar 

  • Institute of Medicine. (1979). Sleeping pills, insomnia, and medical practice. Washington, DC: National Academy of Sciences.

    Google Scholar 

  • Johns, M. W., Gay, TJ.A., Masterton, J. P., & Bruce, D. W. (1971). Relationship between sleep habits, adrenocortical activity and personality. Psychosomatic Medicine, 33, 499–508.

    PubMed  Google Scholar 

  • Kales, J. D., Kales, A., Bixler, E. O., Soldatos, C. R., Cadieux, R. J., Kashurba, G. J., & Vela-Bueno, A. (1984). Biopsychobehavioral correlates of insomnia: V. Clinical characteristics and behavioral correlates. American Journal of Psychiatry, 141, 1371–1376.

    PubMed  Google Scholar 

  • Kuisk, L. A., Bertelson, A. D., & Walsh, J. K. (1989). Presleep cognitive hyperarousal and affect as factors in objective and subjective insomnia. Perceptual and Motor Skills, 69, 1219–1225.

    Article  PubMed  Google Scholar 

  • Lacks, P. (1987). Behavioral treatment for persistent insomnia. Elmsford, NY: Pergamon Press.

    Google Scholar 

  • Lacks, P. (1988). Daily sleep diary. In M. Hersen & A. S. Bellack (Eds.), Dictionary of behavioral assessment techniques (pp. 162–164). Elmsford, NY: Pergamon Press.

    Google Scholar 

  • Lacks, P., Bertelson, A. D., Gans, L., & Kunkel, J. (1983). The effectiveness of three behavioral treatments for different degrees of sleep onset insomnia. Behavior Therapy, 14, 593–605.

    Article  Google Scholar 

  • Lacks, P., Bertelson, A. D., Sugerman, J., & Kunkel, J. (1983). The treatment of sleep-maintenance insomnia with stimulus-control techniques. Behaviour Research and Therapy, 21, 291–295.

    Article  PubMed  Google Scholar 

  • Lacks, P., & Morin, C. M. (1992). Recent advances in the assessment and treatment of insomnia. Journal of Consulting and Clinical Psychology, 60, 586–594.

    Article  PubMed  Google Scholar 

  • Lacks, P., & Powlishta, K. (1989). Improvement following behavioral treatment for insomnia: Clinical significance, long-term maintenance, and predictors of outcome. Behavior Therapy, 20, 117–134.

    Article  Google Scholar 

  • Levin, D., Bertelson, A. D., & Lacks, P. (1984). MMPI differences among mild and severe insomniacs and good sleepers. Journal of Personality Assessment, 48, 126–129.

    Article  PubMed  Google Scholar 

  • Lichstein, K. L. (1988). Sleep compression treatment of an insomnoid. Behavior Therapy, 19, 625–632.

    Article  Google Scholar 

  • Lichstein, K. L., & Fischer, S. M. (1985). Insomnia. In M. Hersen & A. S. Bellack (Eds.), Handbook of clinical behavior therapy with adults (pp. 319–352). New York: Plenum Press.

    Chapter  Google Scholar 

  • Lichstein, K. L., & Rosenthal, T. L. (1980). Insomniacs’ perceptions of cognitive versus somatic determinants of sleep disturbance. Journal of Abnormal Psychology, 89, 105–107.

    Article  PubMed  Google Scholar 

  • Lick, J. R., & Heffler, D. (1977). Relaxation training and attention placebo in the treatment of severe insomnia. Journal of Consulting and Clinical Psychology, 45, 153–161.

    Article  PubMed  Google Scholar 

  • Liljenberg, B., Almqvist, M., Hetta, J., Roos, B.E., & Agren, H. (1988). The prevalence of insomnia: The importance of operationally defined criteria. Annals of Clinical Research, 20, 393–398.

    PubMed  Google Scholar 

  • McCall, W. V., & Edinger, J. D. (1992). Subjective total insomnia: An example of sleep state misperception. Sleep, 15, 71–73.

    PubMed  Google Scholar 

  • Mellinger, G. D., Balter, M. B., & Uhlenhuth, E. H. (1985). Insomnia and its treatment: Prevalence and correlates. Archives of General Psychiatry, 42, 225–232.

    Article  PubMed  Google Scholar 

  • Mendelson, W. B., Garnett, D., Gillin, J. C., & Weingartner, H. (1984). The experience of insomnia and daytime and nighttime functioning. Psychiatry Research, 12, 235–250.

    Article  PubMed  Google Scholar 

  • Mendelson, W. B., Garnett, D., & Linnoila, M. (1984). Do insomniacs have impaired daytime functioning? Biological Psychiatry, 19, 1261–1264.

    PubMed  Google Scholar 

  • Mendelson, W. B. James, S. P., Garnett, D., Sack, D. A., & Rosenthal, N. E. (1986). A psychophysiological study of insomnia. Psychiatry Research, 19, 267–284.

    Article  PubMed  Google Scholar 

  • Monroe, L J. (1967). Psychological and physiological differences between good and poor sleepers. Journal of Abnormal Psychology, 72, 255–264.

    Article  PubMed  Google Scholar 

  • Morin, C. M., & Azrin, N. H. (1987). Stimulus control and imagery training in treating sleep-maintenance insomnia. Journal of Consulting and Clinical Psychology, 55, 260–262.

    Article  PubMed  Google Scholar 

  • Morin, C. M., & Gramling, S. E. (1989). Sleep patterns and aging: Comparison of older adults with and without insomnia complaints. Sleep and Aging, 4, 290–294.

    Google Scholar 

  • Morin, C. M., Kowatch, R. A., & Wade, J. B. (1989). Behavioral management of sleep disturbances secondary to chronic pain. Journal of Behavior Therapy and Experimental Psychiatry, 20, 295–302.

    Article  PubMed  Google Scholar 

  • Morin, C. M., & Kwentus, J. A. (1988). Behavioral and pharmacological treatments for insomnia. Annals of Behavioral Medicine, 10, 91–100.

    Article  Google Scholar 

  • Murtagh, D.R.R., & Greenwood, J. M. (1995). Identifying effective psychological treatments for insomnia: A meta-analysis. Journal of Consulting and Clinical Psychology, 63, 79–89.

    Article  PubMed  Google Scholar 

  • Nicassio, P. M., Boylan, M. B., & McCabe, T. G. (1982). Progressive relaxation, EMG biofeedback and biofeedback placebo in the treatment of sleep-onset insomnia. British Journal of Medical Psychology, 55, 159–166.

    Article  PubMed  Google Scholar 

  • Nicassio, P. M., Mendlowitz, D. R., Fussell, J. J., & Petras, L (1985). The phenomenology of the pre-sleep state: The development of the pre-sleep arousal scale. Behaviour Research and Therapy, 23, 263–271.

    Article  PubMed  Google Scholar 

  • Piccione, P., Tallarigo, R., Zorick, F., Wittig, R., & Roth, T (1981). Personality differences between insomniac and non-insomniac psychiatry outpatients. Journal of Clinical Psychiatry, 42, 261–263.

    PubMed  Google Scholar 

  • Rubinstein, M. L., Rothenberg, S. A., Maheswaran, S., Tsai, J. S., Zozula, R., & Spielman, A. J. (1990). Modified sleep restriction therapy in middle-aged and elderly chronic insomniacs. Sleep Research, 19, 276.

    Google Scholar 

  • Schmidt-Nowara, W. W., Beck, A. A., & Jessop, C. A. (1991). An experimental evaluation of sleep restriction to treat chronic insomnia and reduce hypnotic use. Sleep Research, 20, 323.

    Google Scholar 

  • Schneider-Helmert, D. (1987). Twenty-four-hour sleep-wake function and personality patterns in chronic insomniacs and healthy controls. Sleep, 10, 452–462.

    PubMed  Google Scholar 

  • Schoicket, S. L., Bertelson, A. D., & Lacks, P. (1988). Is sleep hygiene a sufficient treatment of sleep-maintenance insomnia? Behavior Therapy, 19, 183–190.

    Article  Google Scholar 

  • Seidel, W. F., Ball, S., Cohen, S., Patterson, N., Yost, D., & Dement, W C. (1984). Daytime alertness in relation to mood, performance, and nocturnal sleep in chronic insomniacs and noncomplaining sleepers. Sleep 7, 230–238.

    PubMed  Google Scholar 

  • Seidel, W. F., & Dement, W. C. (1982). Sleepiness in insomnia: Evaluation and treatment. Sleep, 5(Suppl. 2), S182–S190.

    PubMed  Google Scholar 

  • Shealy R. C. (1979). The effectiveness of various treatment techniques on different degrees and durations of sleep-onset insomnia. Behaviour Research and Therapy, 17, 541–546.

    Article  PubMed  Google Scholar 

  • Shealy, R. C., Lowe, J. D., & Ritzler, B. A. (1980). Sleep onset insomnia: Personality characteristics and treatment outcomes. Journal of Consulting and Clinical Psychology, 48, 659–661.

    Article  PubMed  Google Scholar 

  • Spielman, A. J., & Glovinsky, P. B. (1991). The varied nature of insomnia. In P. J. Hauri (Ed.), Case studies in insomnia (pp. 1–15). New York: Plenum Press.

    Chapter  Google Scholar 

  • Spielman, A. J., Saskin, P., & Thorpy, M. J. (1987). Treatment of chronic insomnia by restriction of time in bed. Sleep, 10, 45–56.

    PubMed  Google Scholar 

  • Stepanski, E., Koshorek, G., Zorick, F., Glinn, M., Roehrs, T., & Roth, T. (1989). Characteristics of individuals who do or do not seek treatment for chronic insomnia. Psychosomatics, 30, 421–427.

    Article  PubMed  Google Scholar 

  • Stepanski, E., Zorick, F., Peters, M., & Roth, T. (1990). Effects of sleep deprivation on alertness in chronic insomnia. Sleep Research, 19, 297.

    Google Scholar 

  • Stepanski, E., Zorick, F., Roehrs, T., Young, D., & Roth, T. (1988). Daytime alertness in patients with chronic insomnia compared with asymptomatic control subjects. Sleep, 11, 54–60.

    PubMed  Google Scholar 

  • Sugerman, J. L., Stern, J. A., & Walsh, J. K. (1985). Daytime alertness in subjective and objective insomnia: Some preliminary findings. Biological Psychiatry, 20, 741–750.

    Article  PubMed  Google Scholar 

  • Turner, R. M. (1986). Behavioral self-control procedures for disorders of initiating and maintaining sleep (DIMS). Clinical Psychology Review, 6, 27–38.

    Article  Google Scholar 

  • Turner, R. M., & Ascher, L. M. (1982). Therapist factor in the treatment of insomnia. Behaviour Research and Therapy, 20, 33–40.

    Article  PubMed  Google Scholar 

  • VanderPlate, C., & Eno, E. N. (1983). Electromyograph biofeedback and sleep onset insomnia: Comparison of treatment and placebo. Behavioral Engineering, 8, 146–153.

    Google Scholar 

  • Van Egeren, L., Haynes, S. N., Franzen, M., & Hamilton, J. (1983). Presleep cognitions and attributions in sleep-onset insomnia. Journal of Behavioral Medicine, 6, 217–232.

    Article  PubMed  Google Scholar 

  • Vollrath, M., Wicki, W., & Angst, J. (1989). The Zurich study. VIII. Insomnia: Association with depression, anxiety, somatic syndromes, and course of insomnia. European Archives of Psychiatry and Neurological Sciences, 239, 113–124.

    Article  PubMed  Google Scholar 

  • Welstein, L., Dement, W. C., Redington, D., Guilleminault, C., & Mitler, M. M. (1983). Insomnia in the San Francisco Bay Area: A telephone survey. In C. Guilleminault & E. Lugaresi (Eds.), Sleep/wake disorders: Natural history, epidemiology, and long-term evolution (pp. 73–85). New York: Raven Press.

    Google Scholar 

  • Woolfolk, R. L., & McNulty, T. F. (1983). Relaxation treatment for insomnia: A component analysis. Journal of Consulting and Clinical Psychology, 51, 495–503.

    Article  PubMed  Google Scholar 

  • Zammit, G. K. (1988). Subjective ratings of the characteristics and sequelae of good and poor sleep in normals. Journal of Clinical Psychology, 44, 123–130.

    Article  PubMed  Google Scholar 

  • Zwart, C. A., & Iisman, S. A. (1979). An analysis of stimulus control treatment of sleep-onset insomnia. Journal of Consulting and Clinical Psychology, 47, 113–118.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer Science+Business Media New York

About this chapter

Cite this chapter

Chambers, M.J. (1995). Insomnia. In: Goreczny, A.J. (eds) Handbook of Health and Rehabilitation Psychology. Springer Series in Rehabilitation and Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1028-8_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-1028-8_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-1030-1

  • Online ISBN: 978-1-4899-1028-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics