Psychological treatment for insomnia in the management of long-term hypnotic drug use: a pragmatic randomised controlled trial.

ABSTRACT:

Objective

To evaluate the clinical and cost impact of providing cognitive behaviour therapy (CBT) for insomnia (comprising sleep hygiene, stimulus control, relaxation and cognitive therapy components) to long-term hypnotic drug users in general practice.

Design

A pragmatic randomised controlled trial with two treatment arms (a CBT treated 'sleep clinic' group, and a 'no additional treatment' control group), with post-treatment assessments commencing at 3 and 6 months.

Setting

Twenty-three general practices in Sheffield, UK.

Participants

Two hundred and nine serially referred patients aged 31-92 years with chronic sleep problems who had been using hypnotic drugs for at least 1 month (mean duration = 13.4 years).

Results

At 3- and 6-month follow-ups patien

SUBMITTER: Morgan K 

PROVIDER: S-EPMC1314744 | biostudies-literature | 2003 Dec

REPOSITORIES: biostudies-literature