World sleep society international sleep medicine guidelines position statement endorsement of “behavioral and psychological treatments for chronic insomnia disorder in adults: An American Academy of sleep medicine clinical practice guidelines”

• Published in: Sleep medicine 2023-09, Vol.109, p.164-169
• Main Authors: Morin, Charles M., Bei, Bei, Bjorvatn, Bjørn, Poyares, Dalva, Spiegelhalder, Kai, Wing, Yun Kwok
• Format: Article
• Language: English
• Subjects: Adult; Cognitive Behavioral Therapy; Humans; Sleep; Sleep Initiation and Maintenance Disorders - therapy; Societies; Treatment Outcome; United States
• ISSN: 1389-9457; 1878-5506
• DOI: 10.1016/j.sleep.2023.07.001

This paper summarizes the position statement of the World Sleep Society (WSS) International Guidelines Committee regarding the Clinical Practice Guidelines on the Behavioral and Psychological Treatments for Chronic Insomnia Disorder in Adults prepared by a task force of the American Academy of Sleep Medicine (AASM). The practice guidelines were reviewed for their relevance and applicability to the practice of sleep medicine around the world. The WSS Work Group endorsed the AASM strong recommendation for Multicomponent Cognitive Behavioral Therapy as the treatment of choice for Insomnia Disorder and conditional endorsement for its single-therapy components (sleep restriction, stimulus control, relaxation); use of sleep hygiene education as single therapy was not endorsed due to lack of evidence for its efficacy. The strong recommendation for multicomponent CBT-I applied to patients with chronic insomnia disorder with or without comorbid psychiatric and medical conditions. Main caveats with regard to CBT-I remains the lack of adequately trained therapists and variability in terms of training available in different parts of the world. Unanswered questions about the applicability, availability, accessibility and potential sociodemographic (age, sex, ethnicity, regions) moderators of treatment outcomes were discussed. Despite growing evidence documenting the benefits of digital CBT-I, individual, in-person CBT-I delivered by a trained professional (mental health) provider is regarded as the optimal method to deliver CBT-I. •Insomnia is a highly prevalent condition with long-term adverse health outcomes. Insomnia is often a persistent condition.•CBT-I was recognized as first-line therapy in an AASM Clinical Practice Guidelines, a recommendation endorsed by the World Sleep Society.