Cognitive Behavioral Model Of Insomnia (Harvey, 2002)
Download or send
Choose your language
Professional version
Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.
Translation Template
Are you a qualified therapist who would like to help with our translation project?
Tags
Languages this resource is available in
Problems this resource might be used to address
Techniques associated with this resource
Mechanisms associated with this resource
Introduction & Theoretical Background
Insomnia is one of the most prevalent sleep disorders, affecting around 10% of the population. There is a sound evidence base showing that it is an exacerbating factor many in psychological disorders, and it is frequently reported by people struggling with anxiety and depression (although it is not a primary symptom). It has further been established that problems with sleep precede – and may contribute to – the development of depression (Harvey, 2001). Even without knowing the direction of causality, there is a strong relationship between insomnia and psychological disorders. Co-morbidity with other mental health conditions is high, and it is listed as a symptom across a wide range of other sleep, mood, neurological and mental health disorders: “insomnia as a symptom of psychological disorder is 10 times more frequent than insomnia related to a physical illness” (Ford & Kamerow, 1989; Harvey 2001). Chronically poor sleep has a significant
Therapist Guidance
This is a Psychology Tools information handout. Suggested uses include:
- Client handout – use as a psychoeducation resource
- Discussion point – use to provoke a discussion and explore client beliefs
- Therapist learning tool – improve your familiarity with a psychological construct
- Teaching resource – use as a learning tool during training
References And Further Reading
- Ford, D. E., & Kamerow, D. B. (1989). Epidemiologic study of sleep disturbances and psychiatric disorders: an opportunity for prevention?. Jama, 262(11), 1479-1484.
- Freeman, D., Sheaves, B., Goodwin, G.M., Yu, L.M., Nickless, A., Harrison, P.J., Emsley, R., Luik, A.I., Foster, R.G., Wadekar, V. and Hinds, C., (2017). The effects of improving sleep on mental health (OASIS): a randomised controlled trial with mediation analysis. The Lancet Psychiatry, 4(10), pp. 749-758.
- Harvey, A. G. (2001). Insomnia: Symptom or diagnosis? Clinical Psychology Review, 21, 1037–1059.
- Harvey, A. G. (2002). A cognitive model of insomnia. Behaviour Research and Therapy, 40, 869–893.
- Harvey, A.G. (2005) A Cognitive Theory and Therapy for Chronic Insomnia. Journal of Cognitive Psychotherapy: An International Quarterly, 19(1), p.41-59.
- Harvey, A.G., Soehner, A.M., Kaplan, K.A., Hein, K., Lee, J., Kanady, J., Li, D., Rabe-Hesketh, S., Ketter, T.A., Neylan, T.C. and Buysse, D.J., (2015). Treating insomnia improves mood state, sleep, and functioning