Advertisement
Review Article| Volume 18, ISSUE 1, P9-19, March 2023

Paradoxic Intention as an Adjunct Treatment to Cognitive Behavioral Therapy for Insomnia

  • Markus Jansson-Fröjmark
    Correspondence
    Corresponding author.
    Affiliations
    Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet & Stockholm Health Care Services, Competence Center for Psychotherapy Research and Education, Liljeholmstorget 7, Stockholm 117 63, Sweden
    Search for articles by this author
  • Christina Sandlund
    Affiliations
    Department of Neurobiology, Care Sciences and Society, Academic Primary Health Care Centre, Karolinska Institutet, Solnavägen 1 E, Stockholm 113 65, Sweden
    Search for articles by this author
  • Annika Norell-Clarke
    Affiliations
    Centre for Research on Children's and Adolescent's Mental Health, Karlstad University, 651 88 Karlstad, Sweden

    Department of Law, Psychology and Social Work, Örebro University, Box 1252, Örebro 701 12, Sweden

    Faculty of Health Sciences, Kristianstad University, Kristianstad SE–291 88, Sweden
    Search for articles by this author

      Keywords

      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:

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

      References

        • Ascher L.M.
        • Efran J.S.
        Use of paradoxical intention in a behavioral program for sleep onset insomnia.
        J Consult Clin Psychol. 1978; 46: 547-550
        • Ascher L.M.
        • Turner R.M.
        Paradoxical intention and insomnia: an experimental investigation.
        Behav Res Ther. 1979; 17: 408-411
        • Espie C.A.
        Paradoxical intention therapy.
        in: Behavioral treatments for sleep disorders. Elsevier, 2011: 61-70
        • Ascher L.M.
        • Turner R.M.
        A comparison of two methods for the administration of paradoxical intention.
        Behav Res Ther. 1980; 18: 121-126
        • Byrne T.M.
        The differential effects of paradoxical intention and relaxation training upon insomnia in depressed and non-depressed subjects.
        Hofstra University, Ann Arbor1983: 8410500 (ProQuest Dissertations & Theses Global: The Sciences and Engineering Collection database)
        • Fogle D.O.
        • Dyal J.A.
        Paradoxical giving up and the reduction of sleep performance anxiety in chronic insomniacs.
        Psychotherapy: Theor Res Pract. 1983; 20: 21
        • Ott B.D.
        • Levine B.A.
        • Ascher L.M.
        Manipulating the explicit demand of paradoxical intention instructions.
        Behav Cogn Psychotherapy. 1983; 11: 25-35
        • Espie C.A.
        • Broomfield N.M.
        • MacMahon K.M.A.
        • et al.
        The attention-intention-effort pathway in the development of psychophysiologic insomnia: a theoretical review.
        Sleep Med Rev. 2006; 10: 215-245
        • Harris K.
        • Spiegelhalder K.
        • Espie C.A.
        • et al.
        Sleep-related attentional bias in insomnia: a state-of-the-science review.
        Clin Psychol Rev. 2015; 42: 16-27
        • Lundh L.-G.
        Cognitive-behavioural analysis and treatment of insomnia.
        Scand J Behav Ther. 1998; 27: 10-29
        • Bothelius K.
        • Jernelöv S.
        • Fredrikson M.
        • et al.
        Measuring acceptance of sleep difficulties: the development of the sleep problem acceptance questionnaire.
        Sleep. 2015; 38: 1815-1822
        • Ree M.
        • Harvey A.
        Insomnia.
        in: Bennett-Levy J.E. Butler G.E. Fennell M.E. Oxford guide to behavioural experiments in cognitive therapy. Oxford University Press, Oxford2004: 287-305
        • Salari N.
        • Khazaie H.
        • Hosseinian-Far A.
        • et al.
        The effect of acceptance and commitment therapy on insomnia and sleep quality: a systematic review.
        BMC Neurol. 2020; 20: 1-18
        • Morin C.M.
        • Hauri P.J.
        • Espie C.A.
        • et al.
        Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review.
        Sleep. 1999; 22: 1134-1156
        • Morin C.M.
        • Bootzin R.R.
        • Buysse D.J.
        • et al.
        Psychological and behavioral treatment of insomnia: update of the recent evidence (1998-2004).
        Sleep. 2006; 29: 1398-1414
        • Edinger J.D.
        • Arnedt J.T.
        • Bertisch S.M.
        • et al.
        Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.
        J Clin Sleep Med. 2021; 17: 263-298
        • Edinger J.D.
        • Arnedt J.T.
        • Bertisch S.M.
        • et al.
        Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline.
        J Clin Sleep Med. 2021; 17: 255-262
        • Jansson-Frojmark M.
        • Norell-Clarke A.
        The cognitive treatment components and therapies of cognitive behavioral therapy for insomnia: a systematic review.
        Sleep Med Rev. 2018; 42: 19-36
        • Jansson-Fröjmark M.
        • Alfonsson S.
        • Bohman B.
        • et al.
        Paradoxical intention for insomnia: a systematic review and meta-analysis.
        J Sleep Res. 2021; 31: e13464
        • Espie C.A.
        • Lindsay W.R.
        Paradoxical intention in the treatment of chronic insomnia: six case studies illustrating variability in therapeutic response.
        Behav Res Ther. 1985; 23 (Retrieved from): 703-709
        • Kyle S.D.
        • Morgan K.
        • Spiegelhalder K.
        • et al.
        No pain, no gain: an exploratory within-subjects mixed-methods evaluation of the patient experience of sleep restriction therapy (SRT) for insomnia.
        Sleep Med. 2011; 12: 735-747
        • Craske M.G.
        • Treanor M.
        • Conway C.C.
        • et al.
        Maximizing exposure therapy: an inhibitory learning approach.
        Behav Res Ther. 2014; 58: 10-23
        • van Straten A.
        • van der Zweerde T.
        • Kleiboer A.
        • et al.
        Cognitive and behavioral therapies in the treatment of insomnia: a meta-analysis.
        Sleep Med Rev. 2018; 38: 3-16
        • Hasan F.
        • Tu Y.-K.
        • Yang C.-M.
        • et al.
        Comparative efficacy of digital cognitive behavioral therapy for insomnia: a systematic review and network meta-analysis.
        Sleep Med Rev. 2022; 61: 101567
        • Drerup M.L.
        • Ahmed-Jauregui S.
        Online delivery of cognitive behavioral therapy-insomnia: considerations and controversies.
        Sleep Med Clin. 2019; 14: 283-290
        • Sandlund C.
        • Kane K.
        • Ekstedt M.
        • et al.
        Patients’ experiences of motivation, change, and challenges in group treatment for insomnia in primary care: a focus group study.
        BMC Fam Pract. 2018; 19: 1-11
        • Kyle S.D.
        • Miller C.B.
        • Rogers Z.
        • et al.
        Sleep restriction therapy for insomnia is associated with reduced objective total sleep time, increased daytime somnolence, and objectively impaired vigilance: implications for the clinical management of insomnia disorder.
        Sleep. 2014; 37: 229-237
        • Espie C.A.
        • Lindsay W.R.
        • Brooks D.N.
        • et al.
        A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia.
        Behav Res Ther. 1989; 27: 79-88
        • Riemann D.
        • Baglioni C.
        • Bassetti C.
        • et al.
        European guideline for the diagnosis and treatment of insomnia.
        J Sleep Res. 2017; 26https://doi.org/10.1111/jsr.12594
        • Jansson M.
        • Linton S.J.
        Cognitive-behavioral group therapy as an early intervention for insomnia: a randomized controlled trial.
        J Occup Rehabil. 2005; 15: 177-190
        • Sandlund C.
        • Hetta J.
        • Nilsson G.H.
        • et al.
        Improving insomnia in primary care patients: a randomized controlled trial of nurse-led group treatment.
        Int J Nurs Stud. 2017; 72: 30-41
        • Maurer L.F.
        • Espie C.A.
        • Omlin X.
        • et al.
        Isolating the role of time in bed restriction in the treatment of insomnia: a randomized, controlled, dismantling trial comparing sleep restriction therapy with time in bed regularization.
        Sleep. 2020; 43: zsaa096
        • Jansson-Fröjmark M.
        • Linton S.J.
        Is perfectionism related to pre-existing and future insomnia? A prospective study.
        Br J Clin Psychol. 2007; 46: 119-124
        • Dekker K.
        • Blanken T.F.
        • Van Someren E.J.
        Insomnia and personality—a network approach.
        Brain Sci. 2017; 7: 28