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A primary care "friendly" cognitive behavioral insomnia therapy.

Publication ,  Journal Article
Edinger, JD; Sampson, WS
Published in: Sleep
March 15, 2003

OBJECTIVES: This study was conducted to test the effectiveness of an abbreviated cognitive-behavioral insomnia therapy (ACBT) with primary DESIGN: A single-blind, randomized group design was used in which study patients were randomized to either a brief, 2-session ACBT or a similarly brief intervention (SHC) that included only generic sleep hygiene recommendations. SETTING: A university-affiliated Department of Veterans Affairs medical center. PARTICIPANTS: Twenty (2 women) veteran patients (M(age) = 51.0 yrs., SD = 13.7 years) who met criteria for chronic primary insomnia. MEASUREMENTS AND RESULTS: Participants completed sleep logs for 2 weeks and questionnaires to measures insomnia symptoms, sleep-related self-efficacy, and dysfunctional beliefs about sleep before treatment, during a 2-week posttreatment assessment, and again at a 3-month posttreatment follow-up. Statistical analyses showed that ACBT produced significantly larger improvements across a majority of outcome measures than did SHC. Case-by-case analyses showed that only the ACBT produced consistent positive effects across study patients, and a sizeable proportion of these patients receiving this treatment achieved clinically significant improvements by their study endpoints. Approximately 52% of those receiving the ACBT reported at least a 50% reduction in their wake time after sleep onset, and 55.6% of ACBT-treated patients who entered the study with pathologic scores on an Insomnia Symptom Questionnaire (ISQ), achieved normal ISQ scores by their final outcome assessment. CONCLUSIONS: ACBT is effective for reducing subjective sleep disturbance and insomnia symptoms in primary care patients.

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Published In

Sleep

DOI

ISSN

0161-8105

Publication Date

March 15, 2003

Volume

26

Issue

2

Start / End Page

177 / 182

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Sleep Initiation and Maintenance Disorders
  • Single-Blind Method
  • Primary Health Care
  • Neurology & Neurosurgery
  • Middle Aged
  • Humans
  • Follow-Up Studies
  • Female
  • Culture
 

Citation

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Edinger, J. D., & Sampson, W. S. (2003). A primary care "friendly" cognitive behavioral insomnia therapy. Sleep, 26(2), 177–182. https://doi.org/10.1093/sleep/26.2.177
Edinger, Jack D., and William S. Sampson. “A primary care "friendly" cognitive behavioral insomnia therapy.Sleep 26, no. 2 (March 15, 2003): 177–82. https://doi.org/10.1093/sleep/26.2.177.
Edinger JD, Sampson WS. A primary care "friendly" cognitive behavioral insomnia therapy. Sleep. 2003 Mar 15;26(2):177–82.
Edinger, Jack D., and William S. Sampson. “A primary care "friendly" cognitive behavioral insomnia therapy.Sleep, vol. 26, no. 2, Mar. 2003, pp. 177–82. Pubmed, doi:10.1093/sleep/26.2.177.
Edinger JD, Sampson WS. A primary care "friendly" cognitive behavioral insomnia therapy. Sleep. 2003 Mar 15;26(2):177–182.
Journal cover image

Published In

Sleep

DOI

ISSN

0161-8105

Publication Date

March 15, 2003

Volume

26

Issue

2

Start / End Page

177 / 182

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Sleep Initiation and Maintenance Disorders
  • Single-Blind Method
  • Primary Health Care
  • Neurology & Neurosurgery
  • Middle Aged
  • Humans
  • Follow-Up Studies
  • Female
  • Culture