CBT-I Cognitive Behavioral Techniques & Sleep Interventions 2

Question 1

Which cognitive distortion is most commonly targeted in CBT-I when a patient believes 'If I don't get 8 hours I'll be useless tomorrow'?

Accepted Answer

Catastrophizing

Answer

Catastrophizing involves magnifying the consequences of sleep loss beyond what evidence supports, and is a primary cognitive target in CBT-I.

Question 2

A patient using stimulus control therapy should be instructed to do which of the following if they cannot fall asleep after approximately 20 minutes?

Accepted Answer

Get out of bed and go to another room

Answer

Stimulus control requires leaving the bed when awake to prevent the bed from becoming associated with wakefulness and arousal.

Question 3

In the context of CBT-I, what is 'sleep effort' and why is it problematic?

Accepted Answer

Trying hard to fall asleep, which increases arousal and inhibits sleep onset

Answer

Paradoxically, effortful attempts to sleep activate the arousal system, making sleep onset more difficult — a key concept addressed through paradoxical intention.

Question 4

Which technique involves instructing a patient to stay awake as long as possible without actively trying to sleep?

Accepted Answer

Paradoxical intention

Answer

Paradoxical intention reduces performance anxiety around sleep by removing the pressure to fall asleep, often leading to faster sleep onset.

Question 5

A CBT-I therapist asks a patient to keep a two-week sleep diary before starting treatment. What is the PRIMARY purpose of this baseline period?

Accepted Answer

To calculate sleep efficiency and set an accurate initial sleep window

Answer

Baseline sleep diary data is used to calculate average total sleep time, which then determines the prescribed sleep window in sleep restriction therapy.

(CBT-I) CBT Insomnia Certification Practice Test

(CBT-I) CBT Insomnia Certification Practice Test

CBT-I Cognitive Behavioral Techniques & Sleep Interventions 2