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

Cancer treatment side effects like pain, hot flashes, and nausea interact with insomnia and must be incorporated into the CBT-I case conceptualization.

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

Sleep restriction is generally avoided in bipolar disorder because sleep deprivation can trigger manic episodes.

Question 3

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

Accepted Answer

Target both conditions, as they share maintaining mechanisms

Answer

GAD and insomnia share hyperarousal and worry as maintaining factors, and integrated treatment targeting both produces better outcomes.

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

Untreated OSA fragments sleep mechanically, which can undermine CBT-I outcomes; OSA should be identified and treated alongside or before CBT-I.

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

Adolescents have a biologically delayed circadian phase, meaning school start times often conflict with their natural sleep timing.

(CBT-I) CBT Insomnia Certification Practice Test

(CBT-I) CBT Insomnia Certification Practice Test

CBT-I CBT-I Special Populations & Comorbidities 2