The Effectiveness of Transdiagnostic Cognitive Behavioral Therapy For Comorbid Insomnia: A Case Report

Objective: similar cognitive and behavioral factors underlie and perpetuate insomnia and emotional disorders. this brief case report aims to evaluate the effectiveness of the unified protocol (up), a transdiagnostic treatment designed to target emotional disorders in treating comorbid insomnia. method: the patient was a 32-year-old male, who met the dsm-iv-tr criteria for chronic insomnia, major depressive disorder, and generalized anxiety disorder. after 3 baseline weeks, the patient underwent 14 sessions of up and was retested after 1-month follow-up. consensus sleep diary (csd), insomnia severity index (isi), and pittsburgh sleep quality index (psqi) were completed during baseline, treatment, and follow-up. results: the treatment led to improvements in sleep onset latency, time awake after sleep onset, terminal awakenings, sleep quality, and insomnia severity. these gains were maintained at 1-month follow-up. conclusion: up is effective in improving different symptoms of chronic insomnia. controlled clinical studies with more cases are required to investigate the effects of up in the treatment of insomnia.