What is a typical component of CBT-I adaptations for youth sleep problems?

• A. Sleep hygiene and cognitive-behavioral strategies
• B. Pharmacological sedation as first-line
• C. Ignoring bedtime routines
• D. Only daytime activities modification

Answer: (A)

The main idea is that CBT-I adaptations for youth sleep problems combine practical sleep-hygiene education with cognitive-behavioral techniques to shape both behaviors and thoughts around sleep. Sleep hygiene helps establish a predictable, sleep-friendly routine and environment—regular bed and wake times, a dark quiet room, limiting caffeine and screens before bed, and minimizing stimulating activities before sleep. The cognitive-behavioral portion targets thoughts and arousal that interfere with sleep, using strategies like stimulus control (only using the bed for sleep and returning to bed only when sleepy), and when appropriate, structured sleep scheduling and relaxation skills. In youth, these components are often delivered with parental involvement and age-appropriate materials, making the approach practical and developmentally suitable. This combination directly addresses the behaviors and cognitions that sustain insomnia, which is why it’s the best fit. The other options stray from the CBT-I framework: relying on sedatives as a first-line treatment isn’t how CBT-I works; ignoring bedtime routines undermines the behavioral foundation; and focusing only on daytime activities misses the targeted sleep interventions.