intensive sleep retraining (ISR)

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Indications

Clinical significance

  • counters the conditioned psychophysiological arousal implicated in insomnia
  • allows practice in falling asleep rapidly
  • provides feedback about objectively recorded sleep onset
  • benefits are rapid & sustained[1]

Procedure

  • conducted in a sleep laboratory
  • requires polysomnography
  • procedure starts at 10:30 PM after a 5 hour restricted sleep the previous night
  • if patient falls asleep with 20 minutes, they are awakened, asked whether they thought they had been asleep, & told that they had been asleep for at least 3 minutes as confirmed by polysomnography

More general terms

References

  1. 1.0 1.1 Harris J et al. A randomized controlled trial of intensive sleep retraining (ISR): A brief conditioning treatment for chronic insomnia. Sleep 2012 Jan 1; 35:49. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22215918
    Spielman AJ and Glovinsky PB. What a difference a day makes. Sleep 2012 Jan 1; 35:11. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22215913