The effectiveness of three behavioral treatments for different degrees of sleep onset insomnia

Lacks, Patricia; Bertelson, Amy D.; Gans, Leslie L.; Kunkel, John

doi:10.1016/s0005-7894(83)80052-5

Cited by 97 publications

(53 citation statements)

References 20 publications

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“…Overall, it was hypothesized that the results of the present meta-analysis would replicate previous findings, i.e., the Complete Treatment effect size, the Complex effect size, and the Less Complex effect size would all be statistically significant (Lambert & Bergin, 1994;Lambert & Ogles, 2004).…”

Section: Hvpothp~ Essupporting

confidence: 66%

“…Meta-analyses that compare specific forms of therapy with common factor control conditions typically report that psychotherapy is more effective than common factor treatments, which are control conditions used to provide a baseline of nonspecific therapeutic factors such as expectancy of improvement and a therapeutic relationship. Typically, common factor treatments have been more effective than no therapy (Lambert & Bergin, 1994; Lambert & Ogles, 2004). These common findings, along with the reported magnitude of effects for both specific psychotherapies and common factor conditions, have led some researchers to estimate the relative contributions of the common factor and specific factor components of treatment.…”

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confidence: 99%

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Are Complex Psychotherapies More Effective than Biofeedback, Progressive Muscle Relaxation, or Both? A Meta-Analysis

et al. 2007

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A meta-analysis of 26 studies was conducted to assess whether more complex forms of psychotherapy would be superior to control treatments of either biofeedback, progressive muscle relaxation, or both. Consistent with hypotheses, more complex treatments provided a small, significant improvement over biofeedback and progressive muscle relaxation (r = .09). A subset of the more complex behavioral treatments accounted for most of this small incremental effectiveness of more complex treatments (r = .15). Possible sources of this incremental effectiveness are discussed.

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Section: Hvpothp~ Essupporting

confidence: 66%

mentioning

confidence: 99%

Are Complex Psychotherapies More Effective than Biofeedback, Progressive Muscle Relaxation, or Both? A Meta-Analysis

et al. 2007

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“…Past research has indicated that older participants had a poorer treatment response relative to younger participants [22,25], though insomnia severity and duration have not yet been consistently related to treatment outcome [21,23,25,26,41]. Dysfunctional beliefs and attitudes regarding sleep, sleep-related anxiety, and fatigue also were assessed as potential predictors of treatment response.…”

Section: Introductionmentioning

confidence: 99%

Predictors of improvement in subjective sleep quality reported by older adults following group-based cognitive behavior therapy for sleep maintenance and early morning awakening insomnia

et al. 2013

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Predictors of improvement in subjective sleep quality reported by older adults following group-based cognitive behavior therapy for sleep maintenance and early morning awakening insomnia Sleep Medicine, 2013; 14(9):888-893 © 2013 Elsevier Ltd. All rights reserved. NOTICE: this is the author's version of a work that was accepted for publication in Sleep Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Sleep Medicine, 2013; 14(9) Elsevier's AAM Policy: Authors retain the right to use the accepted author manuscript for personal use, internal institutional use and for permitted scholarly posting provided that these are not for purposes of commercial use or systematic distribution.Elsevier believes that individual authors should be able to distribute their AAMs for their personal voluntary needs and interests, e.g. posting to their websites or their institution's repository, e-mailing to colleagues. However, our policies differ regarding the systematic aggregation or distribution of AAMs to ensure the sustainability of the journals to which AAMs are submitted. Therefore, deposit in, or posting to, subjectoriented or centralized repositories (such as PubMed Central), or institutional repositories with systematic posting mandates is permitted only under specific agreements between Elsevier and the repository, agency or institution, and only consistent with the publisher's policies concerning such repositories. Group-based administration has demonstrated impressive potential for a brief and inexpensive answer to the effective treatment of insomnia in the older population. It is important to identify potential predictors of response to such a treatment format to guide clinicians when selecting the most suitable treatment for their patients. The aim of our study was to identify factors that predict subjective sleep quality of older adults following groupbased administration of cognitive behavior therapy for insomnia (CBT-I).Methods: Eighty-six adults (41 men; mean age, 64.10 y; standard deviation [SD], 6.80) with sleep maintenance or early morning awakening insomnia were selected from a communitybased sample to participate in a 4-week group-based treatment program of CBT-I.Participants were required to complete 7-day sleep diaries and a comprehensive battery of questionnaires related to sleep quality and daytime functioning. Hierarchical multiple regression analyses were used to identify factors predicting subjective sleep quality immediately following treatment and at 3-month follow-up. Sleep diaries reported average nightly sleep efficiency (SE), which was used as the outcome measure of sleep quality. Results and Conclusions:Participants with the greatest SE following treatment while controlling for pretreatment SE were relatively younger and h...

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“…The subject met weekly for 5 0 minutes with the therapist for sleep hygiene education. This procedure, modeled after Lacks et al [ 8 ] , includes instruction to avoid caffeine, vigorous exercise, and alcohol within 2 hours before bedtime. The patient was taught a modified desensitization procedure described by Steinmark and Borkovec [9] to cope with mid-sleep awakening problems.…”

Section: Methodsmentioning

confidence: 99%

Treatment of sleep disturbance in rheumatoid arthritis: A single‐subject experiment

Wegener

1988

Arthritis & Rheumatism

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Sleep disturbances are a relatively frequent complication of rheumatoid arthritis (RA). This study investigated the effectiveness of behavioral strategies for the control of sleep disturbances in a woman with RA. A single‐subject experimental design with a reversal phase was used to evaluate the efficacy of the treatment. Sleep parameters, pain, and mood were measured using daily diaries and home monitoring. A combined treatment of stimulus control and relaxation training was most effective in improving sleep parameters and mood when compared with baseline, treatment withdrawal, and sleep hygiene education phases. Treatment gains were maintained at 8‐week follow‐up.

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The effectiveness of three behavioral treatments for different degrees of sleep onset insomnia

Cited by 97 publications

References 20 publications

Are Complex Psychotherapies More Effective than Biofeedback, Progressive Muscle Relaxation, or Both? A Meta-Analysis

Are Complex Psychotherapies More Effective than Biofeedback, Progressive Muscle Relaxation, or Both? A Meta-Analysis

Predictors of improvement in subjective sleep quality reported by older adults following group-based cognitive behavior therapy for sleep maintenance and early morning awakening insomnia

Treatment of sleep disturbance in rheumatoid arthritis: A single‐subject experiment

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