Sequential combinations of drug and cognitive behavioral therapy for chronic insomnia : an exploratory study

Authors: Vallières, AnnieMorin, Charles M.Guay, Bernard
Abstract: This study explores the efficacy of sequential treatments involving medication and cognitive behavioral treatment (CBT) for primary insomnia. Seventeen participants took part in a multiple baseline design and were assigned to: (a) medication for 5 weeks, followed by combined medication plus CBT for 5 weeks; (b) combined treatment for 5 weeks, followed by CBT alone; or (c) CBT alone. Each treatment sequence produced significant sleep improvements, but at different points in time. For the first sequence, most of the sleep improvement was obtained after the introduction of CBT, while for the other sequence and CBT alone, improvement appeared during the first weeks. These results suggest that sleep improvement seems affected by the way treatments are combined. Also, a sequence beginning with a combined treatment followed by CBT alone seems to produce the best outcome. Additional research should be conducted with larger samples to determine the most effective sequence.
Document Type: Article de recherche
Issue Date: 11 February 2005
Open Access Date: Restricted access
Document version: VoR
This document was published in: Behaviour Research and Therapy, Vol. 43 (12), 1611–1630 (2005)
Alternative version: 10.1016/j.brat.2004.11.011
Collection:Articles publiés dans des revues avec comité de lecture

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