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

Paradoxic intention (PI) was one of the first psychological interventions for insomnia. Historically, PI has been incorporated in cognitive behavioral therapy for insomnia (CBT-I) or delivered as a sole intervention for insomnia. PI instructions have varied over the years, but a common denominator i...

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Bibliographic Details
Published inSleep medicine clinics Vol. 18; no. 1; p. 9
Main Authors Jansson-Fröjmark, Markus, Sandlund, Christina, Norell-Clarke, Annika
Format Journal Article
LanguageEnglish
Published United States 01.03.2023
Subjects
Cognitive Behavioral Therapy
Humans
Intention
Sleep Initiation and Maintenance Disorders - therapy
Treatment Outcome
Paradoxic intention
Performance anxiety
Insomnia
Cognitive behavior therapy
Sleep intention
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Summary:Paradoxic intention (PI) was one of the first psychological interventions for insomnia. Historically, PI has been incorporated in cognitive behavioral therapy for insomnia (CBT-I) or delivered as a sole intervention for insomnia. PI instructions have varied over the years, but a common denominator is the instruction to try to stay awake in bed for as long as possible. This article reviews and discuss treatment rationales and theoretic frameworks for PI, the current evidence base for PI, its clinical relevance, and considerations needed when PI is used as an adjunct treatment to CBT-I, or as a second-line intervention for insomnia.
ISSN:1556-4088
DOI:10.1016/j.jsmc.2022.10.001