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Self-efficacy and compliance with benzodiazepine taper in older adults with chronic insomnia.

Abstract

Better understanding of compliance with BZD taper is warranted. Compliance with a taper program and perceived self-efficacy (SE) in being able to comply with hypnotic reduction goals was monitored weekly in 52 older adults (mean age: 63.0 years) with chronic insomnia (average duration: 21.9 years) who underwent a 10-week physician-supervised medication tapering. One group received cognitive- behavior therapy for insomnia during discontinuation, whereas the other did not. Compliant patients showed higher SE ratings at Weeks 6, 8, 9, and 10. Medication-free patients at the end of the treatment also reported higher mean SE ratings at those 4 weeks. Differences remained significant when withdrawal symptoms and sleep efficiency were controlled for. These results have important clinical implications because SE may indicate key time points when patients are experiencing more difficulty during discontinuation.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Ecole de Psychologie, Université Laval, Québec, Canada. lynda.belanger@psy.ulaval.ca

    , ,

    Source

    MeSH

    Aged
    Benzodiazepines
    Chronic Disease
    Female
    Humans
    Male
    Middle Aged
    Patient Compliance
    Quebec
    Self Efficacy
    Sleep Initiation and Maintenance Disorders

    Pub Type(s)

    Clinical Trial
    Comparative Study
    Journal Article
    Randomized Controlled Trial

    Language

    eng

    PubMed ID

    15898864

    Citation

    Bélanger, Lynda, et al. "Self-efficacy and Compliance With Benzodiazepine Taper in Older Adults With Chronic Insomnia." Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, vol. 24, no. 3, 2005, pp. 281-7.
    Bélanger L, Morin CM, Bastien C, et al. Self-efficacy and compliance with benzodiazepine taper in older adults with chronic insomnia. Health Psychol. 2005;24(3):281-7.
    Bélanger, L., Morin, C. M., Bastien, C., & Ladouceur, R. (2005). Self-efficacy and compliance with benzodiazepine taper in older adults with chronic insomnia. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 24(3), pp. 281-7.
    Bélanger L, et al. Self-efficacy and Compliance With Benzodiazepine Taper in Older Adults With Chronic Insomnia. Health Psychol. 2005;24(3):281-7. PubMed PMID: 15898864.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Self-efficacy and compliance with benzodiazepine taper in older adults with chronic insomnia. AU - Bélanger,Lynda, AU - Morin,Charles M, AU - Bastien,Céyne, AU - Ladouceur,Robert, PY - 2005/5/19/pubmed PY - 2005/9/10/medline PY - 2005/5/19/entrez SP - 281 EP - 7 JF - Health psychology : official journal of the Division of Health Psychology, American Psychological Association JO - Health Psychol VL - 24 IS - 3 N2 - Better understanding of compliance with BZD taper is warranted. Compliance with a taper program and perceived self-efficacy (SE) in being able to comply with hypnotic reduction goals was monitored weekly in 52 older adults (mean age: 63.0 years) with chronic insomnia (average duration: 21.9 years) who underwent a 10-week physician-supervised medication tapering. One group received cognitive- behavior therapy for insomnia during discontinuation, whereas the other did not. Compliant patients showed higher SE ratings at Weeks 6, 8, 9, and 10. Medication-free patients at the end of the treatment also reported higher mean SE ratings at those 4 weeks. Differences remained significant when withdrawal symptoms and sleep efficiency were controlled for. These results have important clinical implications because SE may indicate key time points when patients are experiencing more difficulty during discontinuation. SN - 0278-6133 UR - https://www.unboundmedicine.com/medline/citation/15898864/Self_efficacy_and_compliance_with_benzodiazepine_taper_in_older_adults_with_chronic_insomnia_ L2 - http://content.apa.org/journals/hea/24/3/281 DB - PRIME DP - Unbound Medicine ER -