Understanding and treating insomnia

Richard R. Bootzin, Dana R. Epstein

Research output: Contribution to journalArticlepeer-review

103 Scopus citations


Sleep disturbance is intricately entwined with our sense of well-being, health, emotion regulation, performance and productivity, memory and cognitive functioning, and social interaction. A longitudinal perspective underscores the conclusion that persistent sleep disturbance, insomnia, at any time during the life span from infancy to old age has a lasting impact. We examine how insomnia develops, the evidence for competing explanations for understanding insomnia, and the evidence about psychological and behavioral treatments that are used to reduce insomnia and change daytime consequences. There are new directions to expand access to treatment for those who have insomnia, and thus a critical analysis of pathways for dissemination is becoming increasingly important.

Original languageEnglish (US)
Pages (from-to)435-458
Number of pages24
JournalAnnual Review of Clinical Psychology
StatePublished - Apr 27 2011
Externally publishedYes


  • cognitive-behavioral therapy
  • mindfulness meditation
  • sleep
  • sleep restriction
  • stimulus control

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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