CBT-I Study Guide 2026
Everything you need to pass the CBT-I exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 CBT-I Exam Format at a Glance
📚 CBT-I Topics to Study (22)
✍️ Sample CBT-I Questions & Answers
1. Which component of CBT-I is most challenging to implement in a group format?
Sleep restriction requires individually calculated sleep windows based on each patient's sleep diary data, making it more complex to manage simultaneously across 6-10 patients.
2. Regular aerobic exercise has been shown to improve insomnia by:
Exercise reduces anxiety, improves mood, and increases slow-wave sleep, all of which benefit insomnia patients.
3. EMG biofeedback in insomnia patients typically targets which muscle group(s)?
The frontalis (forehead) and trapezius (neck/shoulder) muscles are commonly monitored as proxies for overall body tension.
4. The Dysfunctional Beliefs and Attitudes about Sleep (DBAS) scale measures:
The DBAS assesses the specific cognitive distortions about sleep that CBT-I cognitive restructuring aims to modify.
5. Long-term follow-up studies of CBT-I typically assess durability of outcomes at:
Most CBT-I trials assess durability at 6 and 12 months post-treatment, with some studies extending to 2 years.
6. Which dietary factor, besides caffeine and alcohol, is most associated with sleep disruption?
Heavy, spicy, or large meals close to bedtime can cause discomfort, heartburn, and metabolic activation that disrupts sleep.