Intensive Sleep Retraining Treatment of Insomnia

Sleep Med Clin. 2019 Jun;14(2):245-252. doi: 10.1016/j.jsmc.2019.01.005. Epub 2019 Apr 2.


Effective and durable cognitive/behavioral therapies for insomnia are time consuming and not readily available to the large insomnia population. Intensive sleep retraining (ISR) provides multiple (>40) short (<5-minute) sleep latencies over a 24-hour period. Two pilot studies and a randomized controlled trial have shown that ISR is an immediately effective and durable treatment of sleep-onset insomnia. Its major disadvantage of dependence on sleep laboratory resources has now been overcome with the development of wearable devices using behavioral responses as the indicator of sleep onset to allow for the inexpensive, practical administration of ISR at home.

Keywords: Behavioral measure of sleep onset; Cognitive and behavioral therapy for insomnia; Insomnia; Intensive sleep retraining; Sleep deprivation; Sleep-onset insomnia; Sleep-onset latency.

Publication types

  • Review

MeSH terms

  • Behavior Therapy / methods*
  • Humans
  • Sleep Deprivation*
  • Sleep Initiation and Maintenance Disorders / therapy*
  • Sleep Stages*