Computer Assisted Cognitive Behavioral Therapy for Insomnia Insomnia

Computer Assisted Cognitive Behavioral Therapy for Insomnia

Insomnia COMMON AND DEADLY • Chronic insomnia affects approximately 6% of adults worldwide. • It is associated with numerous medical conditions including: • • • Memory impairment Shorter life span Inflammation and poor immunity Obesity, diabetes, and heart disease Depression • People who drive sleep deprived are as impaired as people who drive under the influence of alcohol. • Sleepiness is implicated in 100, 000 car crashes, 71, 000 injuries and 1, 550 deaths each year in the United States.

Treatment • Sleeping pills have can be habit forming, and have serious side effects. • They are also associated with motor vehicle accidents and increased all-cause mortality. • They must be taken on an ongoing basis. HYPNOTICS

Treatment • Cognitive behavioral therapy for insomnia (CBT-I) is as effective as hypnotic medication. • It has minimal side effects. • A brief course of treatment provides long-term effectiveness. • Unfortunately, it requires special training, and is essentially impossible for a patient to access. PSYCHOTHERAPY

Drowzy e. CBT-I

Americans vs. The Brits DARK, QUIET BEDROOM United States 92% United Kingdom 67% England is the most crowded country in Europe. It is more crowded than China or India.

Americans vs. The Brits Prescription SLEEPING PILLS Over the Counter United States 25% United States 23% United Kingdom 39% United Kingdom 28% Americans aren’t the only ones who solve problems with pills.

Americans vs. The Brits SLEEP ONSET LATENCY United States 26 minutes United Kingdom 49 minutes People in the UK reported spending an average of 8. 3 hours in bed, similar to the 8. 0 reported by Americans. But it takes people in the UK almost twice as long to fall asleep.

Americans vs. The Brits WAKE AFTER SLEEP ONSET United States 32 minutes United Kingdom 52 minutes After falling asleep for the first time, people in the UK spend more time awake during the night. Americans were more satisfied with their sleep and next day wakefulness.

Drowzy • Simply keeping a sleep diary can improve insomnia. • Users who continue to have sleep efficiency of less than 0. 8 are presented with a series of challenges: • Sleep hygiene strategies. • Stimulus control • Sleep restriction • The program will automatically send relevant data to the user’s doctor or therapist, so that adherence can be supported with a therapeutic alliance. NEXT STEPS