ABSTRACT

This chapter presents a summary of the empirical evidence to date for cognitive behavioural therapy (CBT)-I to treat Insomnia in people with psychotic disorders. Many people with psychotic disorders report a desire to engage in psychological therapies. The benefits of psychological interventions to address Insomnia in the general population are well documented. CBT-I provides better sleep outcomes than treatment as usual in psychotic and mixed psychiatric disorders. As with any other medical treatment, treatment drop-out during CBT-I is an important problem, especially in people with psychiatric conditions in whom treatment adherence can be disappointingly low. Subjective improvements in sleep and quality of life were assessed using the Sleep Change Scale and the Goal Attainment Scale. Effectiveness of the intervention was also assessed using the Goal Attainment Scale, which sought participants’ ratings of whether they felt they had achieved their treatment goals.