Objective: Because of the role of psychological factors in insomnia, the shortcomings of hypnotic medications, and patients’ greater acceptance ofnonpharmacological treatments for insomnia, the authors conducted a meta-analysis to examine the efficacy and durability of psychological treatments for the clinical management of chronic insomnia. Method: A total of 59 treatment outcome studies, involving 2, 1 02 patients, were selected for review on the basis of the following criteria: 1) the primary target problem was sleep-onset, maintenance, or mixed insomnia, 2) the treatment was nonpharmacological, 3) the study used a group design, and 4) the outcome measures included sleep-onset latency, time awake after sleep onset, number of nighttime awakenings, or total sleep time. Results: Psychological interventions, averaging 5.0 hours oftherapy time, produced reliable changes in two ofthe four sleep measures examined. The average effect sizes (i.e., z scores) were 0.88 for sleep latency and 0.65 for time awake after sleep onset. These results indicate that patients with insomnia were better offafter treatment than 81 % and 74% ofuntreated controlsubjects in terms ofsleep induction and sleep maintenance, respectively. Stimulus control and sleep restriction were the most eff ective single therapy procedures, whereas sleep hygiene education was not effective when used alone. Clinicalimprovements seen at treatment completion were well maintained at follow-ups averaging 6 months in duration. Conclusions: The findings indicate that nonpharmacological interventions produce reliable and durable changes in the sleep patterns of patients with chronic insomnia.