Sequential treatment for chronic insomnia : a pilot study

DC FieldValueLanguage
dc.contributor.authorVallières, Annie-
dc.contributor.authorMorin, Charles M.-
dc.contributor.authorGuay, Bernard-
dc.contributor.authorBastien, Célyne H.-
dc.contributor.authorLeBlanc, Melanie-
dc.date.accessioned2016-06-16T14:01:14Z-
dc.date.available10000-01-01-
dc.date.issued2010-06-07-
dc.identifier.issn1540-2002fr_CA
dc.identifier.urihttp://hdl.handle.net/20.500.11794/6088-
dc.description.abstractThis 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.fr_CA
dc.languageengfr_CA
dc.publisherTaylor & Francisfr_CA
dc.titleSequential treatment for chronic insomnia : a pilot studyfr_CA
dc.typeCOAR1_1::Texte::Périodique::Revue::Contribution à un journal::Article::Article de recherche-
dcterms.bibliographicCitationBehavioral Sleep Medicine, Vol. 2 (2), 94–112 (2004)fr_CA
dc.audienceProfesseurs (Enseignement supérieur)fr_CA
dc.audienceÉtudiantsfr_CA
dc.audienceDoctorantsfr_CA
dc.audiencePsychothérapeutesfr_CA
dc.audiencePsychologuesfr_CA
dc.audiencePsychiatresfr_CA
dc.identifier.doi10.1207/s15402010bsm0202_2fr_CA
dc.identifier.pubmed15600227fr_CA
dc.subject.rvmInsomnie -- Traitementfr_CA
dc.subject.rvmThérapie cognitivefr_CA
dc.subject.rvmZopiclonefr_CA
rioxxterms.versionVersion of Recordfr_CA
rioxxterms.version_of_recordhttps://doi.org/10.1207/s15402010bsm0202_2fr_CA
rioxxterms.project.funder_namefqrfr_CA
bul.rights.periodeEmbargoInfinifr_CA
Collection:Articles publiés dans des revues avec comité de lecture

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