Cognitive behavioural therapy with behavioural analysis for pharmacological treatment-resistant chronic insomnia

Isa Okajima*, Masaki Nakamura, Shingo Nishida, Akira Usui, Ken ichi Hayashida, Meri Kanno, Shun Nakajima, Yuichi Inoue

*この研究の対応する著者

研究成果: Article査読

15 被引用数 (Scopus)

抄録

This study aimed to determine whether (1) cognitive behavioural therapy with behavioural analysis for insomnia (CBTi-BA) is more effective for insomnia and co-morbid depressive symptoms than treatment as usual (TAU) and (2) whether CBTi-BA promotes earlier reduction of the daily dose of hypnotic medication in chronic insomnia resistant to pharmacological treatment. A total of 63 patients with chronic insomnia aged 20-77 years who already received hypnotic medication regularly were assigned to two interventions: combined therapy or TAU alone. The subjects provided demographic information and completed self-rating scales for insomnia and depressive symptoms. After treatment, the combined therapy group showed significant decreases in the symptoms of both insomnia and depression and significant reductions in the daily dose of hypnotic medication compared with the group receiving TAU alone. In the combined therapy group, 71% of the participants reported a reduction in insomnia to normal levels and 79% succeeded in decreasing the daily dose of hypnotics to 50% or less of the baseline dose. These results revealed that CBTi-BA can reduce insomnia and depressive symptoms as well as the daily dose of hypnotic medication in patients with chronic insomnia resistant to pharmacological treatment.

本文言語English
ページ(範囲)515-521
ページ数7
ジャーナルPsychiatry Research
210
2
DOI
出版ステータスPublished - 2013 12 15
外部発表はい

ASJC Scopus subject areas

  • 精神医学および精神衛生
  • 生物学的精神医学
  • 医学(全般)

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