CBT-I CBT-I Special Populations & Comorbidities

Question 1

When applying CBT-I to older adults, which modification is most commonly needed?

Accepted Answer

Using a less aggressive sleep restriction with a floor of at least 6 hours

Answer

Eliminating stimulus control entirely

Answer

Avoiding all relaxation techniques

Answer

Extending the titration period to 6 months

Question 2

CBT-I is considered first-line treatment for insomnia comorbid with which conditions?

Accepted Answer

Depression, anxiety, and chronic pain conditions

Answer

Obstructive sleep apnea only

Answer

Narcolepsy

Answer

Restless legs syndrome only

Question 3

In patients with PTSD and insomnia, which CBT-I component requires special consideration?

Accepted Answer

Stimulus control — specifically the instruction to get out of bed

Answer

Sleep hygiene education

Answer

Sleep diary completion

Answer

Relaxation timing

Question 4

Which aspect of CBT-I typically needs modification for patients with chronic pain?

Accepted Answer

Sleep restriction, since pain may make extended wakefulness more distressing

Answer

Sleep diary format

Answer

The use of cognitive restructuring

Answer

Bright light therapy timing

Question 5

CBT-I for patients with major depressive disorder should be:

Accepted Answer

Delivered concurrently with depression treatment as it improves both outcomes

Answer

Withheld until depression remits

Answer

Limited to sleep hygiene only

Answer

Replaced entirely with pharmacotherapy

Question 6

For pregnant women with insomnia, CBT-I is preferred over sleep medications primarily because:

Accepted Answer

Most sleep medications carry risks to fetal development

Answer

Medications are more effective in pregnancy

Answer

Pregnant women do not experience hyperarousal

Answer

CBT-I works faster during pregnancy