Review Article| Volume 8, ISSUE 3, P399-405, September 2013

Lessons Learned from the National Dissemination of Cognitive Behavioral Therapy for Insomnia in the Veterans Health Administration

Impact of Training on Therapists' Self-Efficacy and Attitudes


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Sleep Medicine Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Nowell P.D.
        • Buysse D.J.
        • Reynolds 3rd, C.F.
        • et al.
        Clinical factors contributing to the differential diagnosis of primary insomnia and insomnia related to mental disorders.
        Am J Psychiatry. 1997; 154: 1412-1416
        • Ford D.E.
        • Kamerow D.B.
        Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?.
        JAMA. 1989; 262: 1479-1484
        • National Institutes of Health
        National Institutes of Health State of the Science Conference statement on manifestations and management of chronic insomnia in adults, June 13-15, 2005.
        Sleep. 2005; 28: 1049-1057
        • Mustafa M.
        • Erokwu N.
        • Ebose I.
        • et al.
        Sleep problems and the risk for sleep disorders in an outpatient veteran population.
        Sleep Breath. 2005; 9: 57-63
        • Lew H.L.
        • Pogoda T.K.
        • Hsu P.T.
        • et al.
        Impact of the “polytrauma clinical triad” on sleep disturbance in a department of Veterans Affairs outpatient rehabilitation setting.
        Am J Phys Med Rehabil. 2010; 89: 437-445
        • Katz D.A.
        • McHorney C.A.
        Clinical correlates of insomnia in patients with chronic illness.
        Arch Intern Med. 1998; 158: 1099-1107
        • Katz D.A.
        • McHorney C.A.
        The relationship between insomnia and health-related quality of life in patients with chronic illness.
        J Fam Pract. 2002; 51: 229-235
        • Buysse D.J.
        • Tu X.M.
        • Cherry C.R.
        • et al.
        Pretreatment REM sleep and subjective sleep quality distinguish depressed psychotherapy remitters and nonremitters.
        Biol Psychiatry. 1999; 45: 205-213
        • Thase M.E.
        • Simons A.D.
        • Reynolds 3rd, C.F.
        Abnormal electroencephalographic sleep profiles in major depression: association with response to cognitive behavior therapy.
        Arch Gen Psychiatry. 1996; 53: 99-108
        • Ozminkowski R.J.
        • Wang S.
        • Walsh J.K.
        The direct and indirect costs of untreated insomnia in adults in the United States.
        Sleep. 2007; 30: 263-273
        • Fullerton D.S.
        The economic impact of insomnia in managed care: a clearer picture emerges.
        Am J Manag Care. 2006; 12: S246-S252
        • Kopta S.M.
        • Howard K.I.
        • Lowry J.L.
        • et al.
        Patterns of symptomatic recovery in psychotherapy.
        J Consult Clin Psychol. 1994; 62: 1009-1016
        • Wilson S.J.
        • Nutt D.J.
        • Alford C.
        • et al.
        British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders.
        J Psychopharmacol. 2010; 24: 1577-1601
        • Jacobs G.D.
        • Pace-Schott E.F.
        • Stickgold R.
        • et al.
        Cognitive behavior therapy and pharmacotherapy for insomnia: a randomized controlled trial and direct comparison.
        Arch Intern Med. 2004; 164: 1888-1896
        • Sivertsen B.
        • Omvik S.
        • Pallesen S.
        • et al.
        Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial.
        JAMA. 2006; 295: 2851-2858
        • Morin C.M.
        • Vallieres A.
        • Guay B.
        • et al.
        Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial.
        JAMA. 2009; 301: 2005-2015
        • Lichstein K.L.
        • Wilson N.M.
        • Johnson C.T.
        Psychological treatment of secondary insomnia.
        Psychol Aging. 2000; 15: 232-240
        • Manber R.
        • Edinger J.D.
        • Gress J.L.
        • et al.
        Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disorder and insomnia.
        Sleep. 2008; 31: 489-495
        • Lamberg L.
        Despite effectiveness, behavioral therapy for chronic insomnia still underused.
        JAMA. 2008; 300: 2474-2475
        • Pigeon W.R.
        • Crabtree V.M.
        • Scherer M.R.
        The future of behavioral sleep medicine.
        J Clin Sleep Med. 2007; 3: 73-79
        • Karlin B.E.
        • Ruzek J.I.
        • Chard K.M.
        • et al.
        Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration.
        J Trauma Stress. 2010; 23: 663-673
        • Manber R.
        • Carney C.
        • Edinger J.
        • et al.
        Dissemination of CBTI to the non-sleep specialist: protocol development and training issues.
        J Clin Sleep Med. 2012; 8: 209-218
        • Karlin B.E.
        • Trockel M.
        • Taylor C.B.
        • Gimeno J.
        • Manber R.
        National dissemination of Cognitive Behavioral Therapy for insomnia in Veterans: Clinician and patient-level outcomes.
        Journal of Consulting and Clinical Psychology. 2013; (Advance online publication.)
        • Borbely A.A.
        • Achermann P.
        Sleep homeostasis and models of sleep regulation.
        J Biol Rhythms. 1999; 14: 557-568
        • Carney C.E.
        • Manber R.
        Quiet your mind & get to sleep: solutions for insomnia in those with depression, anxiety, or chronic pain.
        New Harbinger, Oakland (CA)2009
        • Edinger J.D.
        • Carney C.E.
        Overcoming insomnia: a cognitive-behavioral therapy approach therapist guide.
        Oxford University Press, New York2008
        • Karlin B.
        • Brown G.
        • Trockel M.
        • et al.
        National dissemination of cognitive behavioral therapy for depression in the Department of Veterans Affairs health care system: therapist and patient-level outcomes.
        J Consult Clin Psychol. 2012; 80: 707-718
        • Bandura A.
        Self-efficacy: the exercise of control.
        W.H. Freeman, New York1997
        • Morin C.M.
        • Colecchi C.
        • Stone J.
        • et al.
        Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial.
        JAMA. 1999; 281: 991-999