Nonpharmacologic Treatment of Chronic Insomnia

Morin, Charles M.; Hauri, Peter; Espie, Colin A.; Spielman, Arthur J.; Buysse, Daniel J.; Bootzin, Richard R.

doi:10.1093/sleep/22.8.1134

Cited by 786 publications

(432 citation statements)

References 79 publications

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“…24,25 Psychological treatments targeting insomnia have also been successful in significantly reducing hypnotic intake and encouraging total withdrawal. 26 However, despite the potential for improved insomnia management and reduced hypnotic drug dependence through psychological treatments, such approaches are rarely deployed in non-specialised primary care settings.…”

Section: Psychological Treatments For Insomniamentioning

confidence: 99%

“…Emphasising this point, a recent review of psychological treatments for insomnia concluded "… research is needed to examine the effectiveness of treatment when it is implemented in clinical settings (primary care, family practice), by non-sleep specialists, and with insomnia patients presenting medical or psychiatric comorbidity." 25 In the UK a major factor inhibiting the wider provision of psychological interventions for insomnia is the lack of an evaluated and fully costed service delivery model. In contrast to the growing research literature addressing the efficacy of cognitive-behaviour therapy (CBT) treatments for insomnia, relatively little research attention has been paid to issues of service delivery, particularly the issues of who should deliver the treatments and how such treatments are best integrated within existing primary care structures.…”

Section: Psychological Treatments For Insomniamentioning

confidence: 99%

“…[2][3][4] A variety of effective treatment options has been developed in recent years, 5,6 but hypnotic drugs have remained the treatment of choice in primary care settings. 7,8 In England, for example, the total volume of general practice prescriptions for hypnotics [British National Formulary (BNF 4.1.1)] showed only a modest decline from 13.6 million in 1980 to 10.6 million in 2000 (a 22% fall).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Psychological treatment for insomnia in the regulation of long-term hypnotic drug use

Morgan

Dixon²,

Mathers³

et al. 2004

Health Technol Assess

195

117

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he NHS R&D Health Technology Assessment (HTA) Programme was set up in 1993 to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS.Initially, six HTA panels (pharmaceuticals, acute sector, primary and community care, diagnostics and imaging, population screening, methodology) helped to set the research priorities for the HTA Programme. However, during the past few years there have been a number of changes in and around NHS R&D, such as the establishment of the National Institute for Clinical Excellence (NICE) and the creation of three new research programmes: Service Delivery and Organisation (SDO); New and Emerging Applications of Technology (NEAT); and the Methodology Programme.This has meant that the HTA panels can now focus more explicitly on health technologies ('health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care) rather than settings of care. Therefore the panel structure was replaced in 2000 by three new pan...

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Section: Psychological Treatments For Insomniamentioning

confidence: 99%

Section: Psychological Treatments For Insomniamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Psychological treatment for insomnia in the regulation of long-term hypnotic drug use

Morgan

Dixon²,

Mathers³

et al. 2004

Health Technol Assess

195

117

View full text Add to dashboard Cite

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“…20 Therefore, it has been suggested that screening for insomnia during routine primary care visits might be an effective secondary prevention effort, 19,20 especially because there are several efficacious pharmacological and non-pharmacological treatments. 3,21 Similarly, sleep disturbances related to EDS and/or hypersomnia continue to be under-diagnosed 22 and, likely undertreated, despite the existence of effective treatments. 23 The implementation of interventions requires primary care providers (PCPs) to have an efficient and effective way of identifying sleep disturbance in their patients.…”

mentioning

confidence: 99%

Evaluation of the PHQ-9 Item 3 as a Screen for Sleep Disturbance in Primary Care

et al. 2011

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“…Sleep hygiene instructions aim to eliminate sleep-interfering habits, such as minimizing consumption of substances that interfere with sleep (e.g., caffeine, nicotine, alcohol, and large meals close to or during the sleep period) and ensuring the sleep environment is conducive to sleep (dark, quiet, comfortable, and safe). In addition to the strong evidence in support of the combination of these therapy components, there is significant empirical support for the use of stimulus control and sleep restriction as monotherapies (Morin et al [71]). Evidence for relaxation and sleep hygiene as single components is weak, and the efficacy of cognitive therapy alone has not been tested.…”

Section: Cognitive-behavioral Therapy For Insomniamentioning

confidence: 99%

Treatment of sleep disturbances in posttraumatic stress disorder: A review

Schoenfeld

DeViva²,

Manber³

2012

JRRD

217

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Abstract-Sleep disturbances are among the most commonly reported posttraumatic stress disorder (PTSD) symptoms. It is essential to conduct a careful assessment of the presenting sleep disturbance to select the optimal available treatment. Cognitivebehavioral therapies (CBTs) are at least as effective as pharmacologic treatment in the short-term and more enduring in their beneficial effects. Cognitive-behavioral treatment for insomnia and imagery rehearsal therapy have been developed to specifically treat insomnia and nightmares and offer promise for more effective relief of these very distressing symptoms. Pharmacotherapy continues to be an important treatment choice for PTSD sleep disturbances as an adjunct to CBT, when CBT is ineffective or not available, or when the patient declines CBT. Great need exists for more investigation into the effectiveness of specific pharmacologic agents for PTSD sleep disturbances and the dissemination of the findings to prescribers. The studies of prazosin and the findings of its effectiveness for PTSD sleep disturbance are examples of studies of pharmacologic agents needed in this area. Despite the progress made in developing more specific treatments for sleep disturbances in PTSD, insomnia and nightmares may not fully resolve.

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Nonpharmacologic Treatment of Chronic Insomnia

Cited by 786 publications

References 79 publications

Psychological treatment for insomnia in the regulation of long-term hypnotic drug use

Psychological treatment for insomnia in the regulation of long-term hypnotic drug use

Evaluation of the PHQ-9 Item 3 as a Screen for Sleep Disturbance in Primary Care

Treatment of sleep disturbances in posttraumatic stress disorder: A review

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