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Abstract

Primary insomnia, defined as difficulty initiating or maintaining sleep three nights per week for at least 3 months with related distress, is estimated to occur in 10–15% of primary care patients (American Psychiatric Association, 2013, pp. 362–368; Ram, Seirawan, Kumar, & Clark, 2010). A much larger proportion of the population, up to 50%, experience at least occasional inability to sleep, if not fully established insomnia, making sleep problems a major source of distress for the primary care population. The number of primary care visits that included insomnia as a reason for the medical visit increased by 13% from 1999 to 2010, and the number of prescriptions for sleep medications increased by 266% (Ford et al., 2014). With this large increase in mind, as well as concerns about routine use of sleep medications, behavioral interventions are an attractive alternative.

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Correspondence to Karen Kersting Ph.D. .

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Kersting, K. (2018). Insomnia. In: Maragakis, A., O'Donohue, W. (eds) Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-70539-2_20

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