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Using insomnia as a model for optimizing Internet-delivered psychotherapy

from The American Journal of Psychiatry

Insomnia is a prevalent and distressing issue, with approximately 30% of the population experiencing at least one symptom of insomnia and 6% of the population meeting criteria for an insomnia disorder. Historically, insomnia has been considered a secondary symptom of psychiatric disorders, leading to the unfortunate consequence of psychiatric treatment largely disregarding insomnia as a focus of therapy. However, a more recent large body of prospective studies has demonstrated a bidirectional relationship between insomnia and psychiatric disorders, with evidence supporting insomnia’s contribution to the development of depression, anxiety, alcohol abuse, psychosis, and suicidality. Thus, the value of assessing and treating insomnia in the treatment and possible prevention of mental illness has come to the forefront in psychiatry. more

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