Évaluation d'une bibliothérapie de l'insomnie avec sevrage des hypnotiques assisté chez des adultes souffrant d'insomnie

Authors: Belleville, Geneviève
Advisor: Morin, Charles M.
Abstract: This doctoral dissertation aimed to evaluate the efficacy of a hypnotic taper program with minimal clinical supervision. Results from a randomized clinical trial including 53 chronic hypnotic users suffering from insomnia showed that a brief intervention providing a systematic withdrawal schedule efficiently help chronic users stop their hypnotic medication. The addition of a self-help cognitive-behavior treatment focusing on insomnia, a readily accessible and cost-effective alternative to individual psychotherapy, produced greater sleep improvement relative to the taper condition alone. Decrease of insomnia symptoms and psychological distress, improvement of perceived health and increase of self-efficacy during withdrawal have been associated to complete hypnotic cessation. Furthermore, there has been no worsening of quality of life during the hypnotic taper. On the contrary, general and mental health, vitality and social functioning indicators showed an improvement after the withdrawal. For many chronic hypnotic users, it seems possible, and even desirable, to engage in a systematic hypnotic taper, which can be effectively realized with minimal clinical guidance.
Document Type: Thèse de doctorat
Issue Date: 2006
Open Access Date: 12 April 2018
Permalink: http://hdl.handle.net/20.500.11794/18719
Grantor: Université Laval
Collection:Thèses et mémoires

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