A comparison of the efficacy of stimulus control for medicated and nonmedicated insomniacs.

Journal Article (Clinical Trial;Journal Article)

A sample of 21 medicated and 20 nonmedicated insomniacs participated in a sleep medication withdrawal program that provided education about sleep medication and a gradual medication withdrawal schedule. Ten medicated participants received stimulus control treatment and the withdrawal program, and 11 medicated participants served as a control group that received only the withdrawal program. Half of the nonmedicated participants received stimulus control, and the remaining nonmedicated participants served as a wait-list control condition. Medicated participants significantly reduced sleep medication use without significant deterioration on sleep, anxiety, or depression measures from baseline to 8-week follow-up. Stimulus control participants, unlike control group participants, showed significant improvement at follow-up for total sleep time, sleep efficiency, and sleep quality. Stimulus control participants also reported less daytime sleepiness than control participants after treatment. Nonmedicated participants exhibited a more positive response to stimulus control than medicated participants.

Full Text

Duke Authors

Cited Authors

  • Riedel, B; Lichstein, K; Peterson, BA; Epperson, MT; Means, MK; Aguillard, RN

Published Date

  • January 1998

Published In

Volume / Issue

  • 22 / 1

Start / End Page

  • 3 - 28

PubMed ID

  • 9567734

International Standard Serial Number (ISSN)

  • 0145-4455

Digital Object Identifier (DOI)

  • 10.1177/01454455980221001


  • eng

Conference Location

  • United States