CBT-I CBT-I Relaxation & Mindfulness Techniques 3

Question 1

A patient reports that trying to relax makes them more anxious. This phenomenon is known as:

Accepted Answer

Relaxation-induced anxiety

Answer

Sleep effort paradox

Answer

Somatic hyperarousal

Answer

Conditioned arousal

Question 2

EMG biofeedback in insomnia patients typically targets which muscle group(s)?

Accepted Answer

Frontalis or trapezius muscles

Answer

Quadriceps and hamstrings

Answer

Cardiac R-R intervals

Answer

Gastric motility patterns

Question 3

In progressive muscle relaxation, how many major muscle groups are typically addressed in the full protocol?

Accepted Answer

16 or more

Answer

4-6

Answer

8-10

Answer

30-40

Question 4

Guided imagery used in CBT-I differs from hypnosis primarily because:

Accepted Answer

It does not involve suggestion of altered consciousness or enhanced suggestibility

Answer

It does not require a relaxed state

Answer

It uses visual cues only

Answer

It requires a separate clinical license beyond CBT-I

Question 5

The primary mechanism by which relaxation techniques reduce sleep onset latency is:

Accepted Answer

Decreasing sympathetic nervous system activation

Answer

Increasing adenosine levels

Answer

Directly resetting the circadian clock

Answer

Increasing slow-wave sleep pressure

Question 6

Body scan meditation differs from progressive muscle relaxation in that it:

Accepted Answer

Involves passive, non-judgmental awareness without intentional muscle tension

Answer

Requires deliberate muscle tensing and releasing

Answer

Is always performed in a seated position

Answer

Targets only the upper body