A Behavioral Therapy for Insomnia Co-existing With COPD

Exclusion Criteria

• •evidence of restrictive lung disease or asthma.
• •pulse oximetry reading of \< 90% at rest or \< 85% at night for \> 5 min.
• •evidence of a major sleep disorder other than insomnia.
• •hypnotic use.
• •acute respiratory infection within the previous 2 months.
• •presence of a potentially debilitating disease such as cancer, congestive heart failure, kidney disease, liver failure or cirrhosis; evidence of alcohol or drug abuse, musculoskeletal or degenerative nerve disease.
• •a self-reported current diagnosis of major depression or psychiatric disease or a Hospital Anxiety and Depression Scale (HADS) depression score of \> 11.
• •currently participating in pulmonary rehabilitation.