Table Of ContentBehavioral Treatments for
Sleep Disorders
A Comprehensive Primer of Behavioral
Sleep Medicine Interventions
Behavioral Treatments
for Sleep Disorders
A Comprehensive Primer of Behavioral
Sleep Medicine Interventions
Edited by
Michael Perlis, PhD
Associate Professor, Psychiatry
Department of Psychiatry, University of Pennsylvania
Director, Center for Sleep and Respiratory Neurobiology
University of Pennsylvania
School of Nursing University of Pennsylvania
Mark Aloia, PhD, C.BSM
Associate Professor, Medicine
National Jewish Health
Director of Sleep Research
National Jewish Health
Brett Kuhn, PhD, C.BSM
Associate Professor, Pediatrics and Psychology
Munroe-Meyer Institute for Genetics and Rehabilitation
University of Nebraska Medical Center
Director, Behavioral Sleep Medicine Services
Children’s Sleep Disorders Center: In Affiliation with
University of Nebraska Medical Center
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10 11 12 13 14 15 10 9 8 7 6 5 4 3 2 1
Michael L. Perlis, PhD
Associate Professor of Psychiatry, University of Pennsylvania
Adjunct Associate Professor of Nursing, University of Pennsylvania
Director of the Upenn Behavioral Sleep Medicine Program;
Philadelphia, PA, USA
Visiting Professor/Adjunct Faculty, University of Glasgow
Visiting Professor/Adjunct Faculty, University of Freiburg
Dr Perlis’ areas of research include neuro-
cognitive phenomena in insomnia, the cog-
nitive and/or behavior effects of sedative
hypnotics and the development of alterna-
tive treatment approaches for insomnia. His
clinical expertise is in the area of Behavioral
Sleep Medicine, and he is a coauthor of the
first textbook in this field (Treating Sleep
Disorders: The Principles and Practice of
Behavioral Sleep Medicine, Wiley & Sons)
and the senior author of a published CBT-I
treatment manual.
In addition to his academic endeavors,
he has served on the editorial boards of
Sleep, the Journal of Sleep Research, and
the Journal of Behavioral Sleep Medicine;
as a founding member of the American
Academy of Sleep Medicine Presidential Committee on Behavioral Sleep
Medicine (2000–2004); as the section chair for Behavioral Sleep Medicine
(2003–2004); as a member of the program committee for the first Behavioral
Sleep Medicine Conference (Spring 2009); as a founding member of the
Society of Behavioral Sleep Medicine; and as the SBSM’s first president
(2010–2011).
To Dick Bootzin and Don Posner – Where would I be without you?
I know only one thing for sure: It was seeing the world through your eyes
that “precipitated and perpetuates” (pun intended) my interest in
Behavioral Sleep Medicine.
To Donna Giles and Michael Thase – If not for you, there by the
“crates of cod go I” ... Thank you.
To Sean Drummond, Michael Smith, Phil Gehrman,
Jay Ellis, Ken Lichstein, Dieter Rieman, and Collin Espie – Thank you for
your friendship and collegiality – on any given day you guys are the wind,
the rudder, or both. How lucky am I?
To Dwight Evans, David Dinges, and Allan Pack – Thank you for
inviting me to be a part of Penn. I cherish the opportunity to work here and
all that can be accomplished as a crew member on this great ship.
To my parents (Edie and Marvin Perlis), my sister and brother
(Sue Marx and Jeff Perlis) and my wife and daughter (Ariana and
Mia Huberman Perlis) there would be no home port and no crew to sail
with … without you.
Michael L. Perlis
I would like to thank Donn Posner and Donna Giles for their
mentorship in sleep.
This book is dedicated to my wife, Jill, and our star sleepers, Jake & Zane.
They fulfill my life, inspire me and keep me going.
Mark S. Aloia
To my parents (Bob and Gwynne Kuhn), who wisely led me to the path
without pushing me down it.
To my girls (wife Tami, and daughters Kelsi, Kristen, and Karlie),
who make the path worth walking each day.
To the professors and psychologists who served as mentors and friends
(Ken Nikels, Bill Wozniak, Dan and Cheryl McNeil, Frank Collins,
Stan Shoemaker, Joe Evans, Keith Allen and Bill Warzak among others).
Thank you for helping me carve my career path and for showing me the
behavioral way.
Finally, thank you Meg Floress and Brandy Roane for assisting me in
reviewing and editing the chapters for this book.
Brett R. Kuhn
Contributors
Mark S. Aloia, National Jewish Health, Division of Psychosocial Medicine, Denver, CO
Delwyn Bartlett, Medical Psychology, Sleep & Circadian Group, Woolcock Institute
of Medical Research, Glebe, and University of Sydney, NSW, Australia
Lynda Bélanger, Université Laval, Québec City, Canada
Richard R. Bootzin, Departments of Psychology and Psychiatry; Sleep Research
Laboratory; and Insomnia Clinic, Arizona Health Sciences Center; University of
Arizona, Tucson, AZ, USA
Helen J. Burgess, Biological Rhythms Research Laboratory, Rush University Medical
Center, Chicago, IL, USA
Daniel J. Buysse, Department of Psychiatry, University of Pittsburgh School of
Medicine, Pittsburgh, PA, USA
Kelly Byars, Department of Clinical Psychology, Cincinnati Children’s Hospital
Medical Center, Cincinnati, OH, USA
Edward R. Christophersen, University of Missouri at Kansas City School of
Medicine and Staff Psychologist, Children’s Mercy Hospital and Clinics,
Kansas, MO, USA
Shannon L. O’Connor Christian, National Jewish Health, Division of Psychosocial
Medicine, Denver, CO, USA
Ronald E. Dahl, Department of Psychology, University of Pittsburgh, Pittsburgh, PA
Robert Didden, Behavioural Science Institute/Department of Special Education,
Radboud University, Nijmegen, The Netherlands
Jack D. Edinger, Department of Veterans Affairs, Medical Center and Duke
University Medical Center, Durham, NC, USA
Polina Eidelman, Golden Bear Sleep and Mood Research Clinic, Psychology
Department, University of California, Berkeley, CA, USA
Colin A Espie, University of Glasgow Sleep Centre, Sackler Institute of
Psychobiological Research, University of Glasgow, Scotland, UK
Karyn G. France, Health Sciences Centre, University of Canterbury, Christchurch,
New Zealand
Patrick C. Friman, Director of Boys Town Center for Behavioral Health, University
of Nebraska Medical Center, Boys Town, NE, USA
Phil Gehrman, Department of Psychiatry, University of Pennsylvania, Philadelphia,
PA, USA; Center for Sleep and Respiratory Neurobiology, University of
Pennsylvania, Philadelpia, PA, USA
xv
xvi Contributors
Anne Germain, Department of Psychiatry, University of Pittsburgh School of
Medicine, Pittsburgh, PA, USA
Paul B. Glovinsky, St Peter’s Sleep Center, Washington Avenue Extension, Albany,
NY; Cognitive Neuroscience Program, The City College of New York, New York,
NY, USA
Melanie A. Gold, Division of Adolescent Medicine, Department of Pediatrics,
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Student Health
Services, Division of Student Affairs, University of Pittsburgh Student Health
Service, Pittsburgh, PA, USA
Kathryn Harnett McConahay, Pediatric Associates, Kansas City, MO, USA
Jodie Harris, Adelaide Institute for Sleep Health, Repatriation General Hospital,
Adelaide, South Australia
Allison G. Harvey, Golden Bear Sleep and Mood Research Clinic, Psychology
Department, University of California, Berkeley, CA, USA
Tiffany Kodak, Department of Pediatrics, Center for Autism Spectrum Disorders,
Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, NE, USA
Barry Krakow, Sleep & Human Health Institute, Maimonides Sleep Arts & Sciences,
Ltd, Albuquerque, NM, USA
Brett R. Kuhn, Monroe-Meyer Institute Department of Pediatric Psychology,
University of Nebraska Medical Center, Children’s Sleep Disorders Center, Omaha,
NE, USA
Leon Lack, Department of Psychology, Flinders University, Adelaide, South Australia
Giulio E. Lancioni, Department of Psychology, University of Bari, Bari, Italy
Kenneth L. Lichstein, Department of Psychology, University of Alabama, Tuscaloosa,
AL, USA
Rachel Manber, Department of Psychology and Behavioral Sciences, Stanford
University, CA, USA
Christina S. McCrae, Department of Clinical Psychology, University of Florida,
Gainesville, FL, USA
Susan M. McCurry, Department of Psychosocial and Community Health, University
of Washington, Seattle, WA, USA
Melanie K. Means, Department of Veterans Affairs Medical Center and Duke
University Medical Center, Durham, NC, USA
Lisa J. Meltzer, Sleep Center, Children’s Hospital of Philadelphia, Philadelphia,
PA; Department of Pediatrics, University of Pennsylvania School of Medicine,
Philadelphia, PA, USA; Department of Pediatrics, National Jewish Health, Denver,
CO, USA
William L. Mikulas, Department of Psychology, University of West Florida,
Pensacola, FL, USA
Jodi A. Mindell, Department of Psychology, Saint Joseph’s University, Philadelphia,
PA; Sleep Center, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Charles M. Morin, Université Laval, Québec City, Canada
