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Paradoxic Intention as an Adjunct Treatment to Cognitive Behavioral Therapy for Insomnia
Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet & Stockholm Health Care Services, Competence Center for Psychotherapy Research and Education, Liljeholmstorget 7, Stockholm 117 63, Sweden.
Department of Neurobiology, Care Sciences and Society, Academic Primary Health Care Centre, Karolinska Institutet, Solnavägen 1 E, Stockholm 113 65, Sweden.
Örebro University, School of Behavioural, Social and Legal Sciences. Centre for Research on Children's and Adolescent's Mental Health, Karlstad University, 651 88 Karlstad, Sweden; Faculty of Health Sciences, Kristianstad University, Kristianstad SE-291 88, Sweden.ORCID iD: 0000-0003-2008-0784
2023 (English)In: Sleep Medicine Clinics, ISSN 1556-407X, E-ISSN 1556-4088, Vol. 18, no 1, p. 9-19Article, review/survey (Refereed) Published
Abstract [en]

Paradoxic intention (PI) was one of the first psychological interventions for insomnia. Historically, PI has been incorporated in cognitive behavioral therapy for insomnia (CBT-I) or delivered as a sole intervention for insomnia. PI instructions have varied over the years, but a common denominator is the instruction to try to stay awake in bed for as long as possible. This article reviews and discuss treatment rationales and theoretic frameworks for PI, the current evidence base for PI, its clinical relevance, and considerations needed when PI is used as an adjunct treatment to CBT-I, or as a second-line intervention for insomnia.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 18, no 1, p. 9-19
Keywords [en]
Cognitive behavior therapy, Insomnia, Paradoxic intention, Performance anxiety, Sleep intention
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:oru:diva-104134DOI: 10.1016/j.jsmc.2022.10.001ISI: 000944601900001PubMedID: 36764790Scopus ID: 2-s2.0-85147817280OAI: oai:DiVA.org:oru-104134DiVA, id: diva2:1736281
Available from: 2023-02-13 Created: 2023-02-13 Last updated: 2023-03-31Bibliographically approved

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Norell-Clarke, Annika

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