Sequential treatment for chronic insomnia : a pilot study

Auteur(s): Vallières, AnnieMorin, Charles M.Guay, BernardBastien, Célyne H.; LeBlanc, Melanie
Résumé: This article explores the efficacy of sequential treatment involving medication and cognitive behavioral treatment (CBT) for insomnia. In a multiple baseline across-subjects design, 6 participants with primary chronic insomnia received 1 of the following treatment sequences: (a) concurrent combination of medication and CBT for the 10-week treatment duration (Combined); (b) medication for the first 5 weeks, with introduction of CBT at week 4 and medication withdrawal after the 5th week resulting in treatment overlap during weeks 4 and 5 (Overlapping: Medication ¿ Combined ¿ CBT); and (c) medication alone for the first 5 weeks followed by CBT alone for an additional 5 weeks (Medication ¿ CBT). Each sequence led to significant sleep improvements, but these improvements occurred at different times during the intervention. Participants in the Combined and in the Overlapping sequences improved their sleep during the 1st phase of treatment, whereas those in the Medication ¿ CBT sequence improved mostly during the 2nd phase of treatment. These preliminary results suggest that a sequential treatment is effective for chronic insomnia. In addition, the results suggest that sleep improvements are more likely to emerge when CBT is introduced, with an Overlapping sequence showing a slight advantage over the other sequences. Additional clinical trials should be conducted with larger samples to replicate these preliminary findings.
Type de document: Article de recherche
Date de publication: 7 juin 2010
Date de la mise en libre accès: Accès restreint
Version du document: VoR
Lien permanent: http://hdl.handle.net/20.500.11794/6088
Ce document a été publié dans: Behavioral Sleep Medicine, Vol. 2 (2), 94–112 (2004)
https://doi.org/10.1207/s15402010bsm0202_2
Taylor & Francis
Autre version disponible: 10.1207/s15402010bsm0202_2
15600227
Collection :Articles publiés dans des revues avec comité de lecture

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