An open trial of CBT for insomnia comorbid with alcohol dependence

Good news about the effectiveness of CBT for insomnia in alcoholics:

Diary-rated sleep latency [F (2, 10) = 14.4, p < .001], wake after sleep onset [F (2, 10) = 7.7, p = .009], and sleep efficiency [F (2, 10) = 28.3, p < .001] improved as did patient-rated and clinician-rated Insomnia Severity Index (ISI) and the Dysfunctional Beliefs and Attitudes about Sleep – Short Form (DBAS-SF). Compared to pre-treatment, significant post-treatment improvements were found on scales measuring depression and anxiety symptoms, fatigue, and quality of life. No one relapsed to alcohol during treatment.


Cognitive-behavioral insomnia therapy may benefit recovering alcoholics with mild to moderate insomnia by improving sleep and daytime functioning. Effects on relapse remain to be determined. Findings need to be interpreted cautiously due to the uncontrolled design and lack of follow-up assessments.