Hypnotic taper with or without self-help treatment of insomnia: A randomized clinical trial

被引:54
作者
Belleville, Genevieve
Guay, Catherine
Guay, Bernard
Morin, Charles M.
机构
[1] Univ Laval, Ecole Psychol, Quebec City, PQ, Canada
[2] Univ Quebec, Dept Psychol, Montreal, PQ H3C 3P8, Canada
[3] Univ Laval Robert Giffard, Ctr Rech, Quebec City, PQ, Canada
关键词
cognitive-behavioral treatment; insomnia; hypnotic taper; self-help treatment;
D O I
10.1037/0022-006X.75.2.325
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study aimed to assess the efficacy of a minimal intervention focusing on hypnotic discontinuation and cognitive-behavioral treatment (CBT) for insomnia. Fifty-three adult chronic users of hypnotics were randomly assigned to an 8-week hypnotic taper program, used alone or combined with a self-help CBT. Weekly hypnotic use decreased in both conditions, from a nearly nightly use at baseline to less than once a week at posttreatment. Nightly dosage (in lorazepam equivalent) decreased from 1.67 mg to 0.12 mg. Participants who received CBT improved their sleep efficiency by 8%, whereas those who did not remained stable. Total wake time decreased by 52 min among CBT participants and increased by 13 min among those receiving the taper schedule alone. Total sleep time remained stable throughout withdrawal in both CBT and taper conditions. The present findings suggest that a systematic withdrawal schedule might be sufficient in helping chronic users stop their hypnotic medication. The addition of a self-help treatment focusing on insomnia, a readily available and cost-effective alternative to individual psychotherapy, produced greater sleep improvement.
引用
收藏
页码:325 / 335
页数:11
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