Sleep restriction rules

1. Determine the patient's average sleep time from a sleep diary.

2. Use this average sleep time as the new time allowed in bed each night.

3. Set a consistent wake time based upon the type of insomnia and patient need.

4. Have patient avoid daytime naps.

5. If sleep efficiency increases above 90 percent (85 percent for patients over 65 years of age), then increase time in bed by 15 to 30 minutes.

6. If sleep efficiency decreases below 85 percent (80 percent for patients over 65 years of age), then decrease time in bed by 15 to 30 minutes.

Adapted from: Spielman AJ, Yang CM, Glovinsky PB. Insomnia: Sleep restriction therapy. In: Insomnia Diagnosis and Treatment, Sateia MJ, Buysse DJ (Eds), Informa UK Ltd, London 2010.

Graphic 69303 Version 7.0

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Sleep restriction rules