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Hypnotic taper with or without self-help treatment of insomnia: a randomized clinical trial.
J Consult Clin Psychol. 2007 Apr; 75(2):325-35.JC

Abstract

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.

Authors+Show Affiliations

Departement de Psychologie, Universite du Quebec a Montreal, Montreal, Quebec, Canada.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

17469890

Citation

Belleville, Geneviève, et al. "Hypnotic Taper With or Without Self-help Treatment of Insomnia: a Randomized Clinical Trial." Journal of Consulting and Clinical Psychology, vol. 75, no. 2, 2007, pp. 325-35.
Belleville G, Guay C, Guay B, et al. Hypnotic taper with or without self-help treatment of insomnia: a randomized clinical trial. J Consult Clin Psychol. 2007;75(2):325-35.
Belleville, G., Guay, C., Guay, B., & Morin, C. M. (2007). Hypnotic taper with or without self-help treatment of insomnia: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 75(2), 325-35.
Belleville G, et al. Hypnotic Taper With or Without Self-help Treatment of Insomnia: a Randomized Clinical Trial. J Consult Clin Psychol. 2007;75(2):325-35. PubMed PMID: 17469890.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypnotic taper with or without self-help treatment of insomnia: a randomized clinical trial. AU - Belleville,Geneviève, AU - Guay,Catherine, AU - Guay,Bernard, AU - Morin,Charles M, PY - 2007/5/2/pubmed PY - 2007/6/2/medline PY - 2007/5/2/entrez SP - 325 EP - 35 JF - Journal of consulting and clinical psychology JO - J Consult Clin Psychol VL - 75 IS - 2 N2 - 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. SN - 0022-006X UR - https://www.unboundmedicine.com/medline/citation/17469890/Hypnotic_taper_with_or_without_self_help_treatment_of_insomnia:_a_randomized_clinical_trial_ L2 - http://content.apa.org/journals/ccp/75/2/325 DB - PRIME DP - Unbound Medicine ER -