Q: Can CBT effectively treat adult insomnia disorder? Evidence-based answer: Yes. Cognitive behavioral therapy (CBT) administered individually, in a group setting, or on the internet is effective for treating insomnia in adults compared with control (strength of recommendation [SOR]: A, meta-analyses). CBT is comparable to pharmacotherapy for improving measures of sleep (SOR: A, comparative meta-analysis). CBT produces sustainable improvements in subjective sleep quality for adults with comorbid insomnia (SOR: A, metaanalysis).Steven Fox, MD (University of Tennessee, College of Medicine, Chattanooga) ; Joan Nashelsky, MLS (Family Physicians Inquiries Network, Iowa City, Iowa) ; Michael Jack, BA (Erlanger Health System Medical Library, Chattanooga, Tenn.
