CBT-I CBT-I Special Populations & Comorbidities 2

Question 1

When treating insomnia in cancer patients, which unique factor must be incorporated into the CBT-I case conceptualization?

Accepted Answer

Treatment-related symptoms such as pain, nausea, and hot flashes that disrupt sleep

Answer

Lack of circadian variation

Answer

Absence of conditioned arousal

Answer

Normal homeostatic sleep pressure

Question 2

CBT-I adaptations for individuals with bipolar disorder most importantly include:

Accepted Answer

Eliminating sleep restriction due to risk of triggering mania

Answer

Extending sleep windows indefinitely

Answer

Avoiding all cognitive components

Answer

Using aggressive sleep restriction to stabilize mood

Question 3

For patients with generalized anxiety disorder and insomnia, treatment should:

Accepted Answer

Target both conditions, as they share maintaining mechanisms

Answer

Address only the insomnia, as it will resolve the anxiety

Answer

Delay CBT-I until GAD is fully resolved

Answer

Avoid any relaxation techniques

Question 4

Which sleep-related comorbidity must be identified and treated before CBT-I can be fully effective?

Accepted Answer

Obstructive sleep apnea (OSA)

Answer

Restless legs syndrome

Answer

Hypersomnia

Answer

Narcolepsy

Question 5

In treating insomnia in adolescents with CBT-I, what key biological factor must be considered?

Accepted Answer

Delayed circadian phase that conflicts with early school schedules

Answer

Increased slow-wave sleep compared to adults

Answer

Absence of conditioned arousal in teens

Answer

Shorter REM cycles than adults

Question 6

Insomnia co-occurring with shift work differs from typical insomnia because it involves:

Accepted Answer

Circadian misalignment as a key etiological factor alongside conditioned arousal

Answer

No conditioned arousal component

Answer

Sleep restriction being contraindicated

Answer

Stimulus control as the only effective component