Discontinuation of hypnotics during cognitive behavioural therapy for insomnia
2008

Stopping Sleeping Pills During Therapy for Insomnia

Sample size: 28 publication Evidence: moderate

Author Information

Author(s): Lucie Zavesicka, Martin Brunovsky, Milos Matousek, Peter Sos

Primary Institution: Prague Psychiatric Center

Hypothesis

Does treatment outcome with CBT for insomnia vary between subjects with respect to hypnotic abuse?

Conclusion

The study suggests that tapering off third-generation hypnotics during cognitive-behavioral therapy for chronic insomnia can improve sleep continuity.

Supporting Evidence

  • CBT was highly effective in both hypnotic-abusing and non-abusing patients.
  • Discontinuation of hypnotics was followed by an additional improvement in sleep efficiency.
  • No significant differences in baseline sleep characteristics were found between the two groups.

Takeaway

This study found that stopping sleeping pills while getting therapy for insomnia can actually help people sleep better.

Methodology

Twenty-eight outpatients were treated with cognitive-behavioral therapy for 8 weeks, with some tapering off hypnotics during treatment.

Potential Biases

Potential bias due to the non-randomized design and reliance on subjective measures.

Limitations

The study does not provide information regarding the durability of therapeutic effects and was not a comparative study.

Participant Demographics

28 outpatients (19 females, 9 males) aged 25 to 74 years, mean age 44.35 years.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-244X-8-80

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