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A Comparison of Hypnotic and Non-hypnotic Users in the Group Therapy of Insomnia

Published online by Cambridge University Press:  16 June 2009

Dilys R. Davies
Dilys R. Davies
Affiliation:
Central Nottinghamshire Health Authority
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Extract

The present study evaluated the effectiveness of a multiple treatment approach to the group treatment of hypnotic and non-hypnotic taking insomniacs. Twenty subjects sequentially assigned into four groups attended weekly group therapy over a period of 11–13 weeks. Pre- and post-treatment comparisons indicated an overall improvement of the total sample on measures of general health, benzodiazepine related symptom reduction, reduction from hypnotic sedative medication as well as on measures of the quality and quantity of sleep. Overall there was a marked similarity between hypnotic and non-hypnotic users on the measures both before and after treatment. Psychological approaches are suggested as an effective alternative to the prescription of sedative-hypnotics to both recent and chronic insomnia sufferers. The implications of the findings are discussed.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 19 , Issue 2 , April 1991 , pp. 193 - 204
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1991

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References

Ashton, H. (1984). Benzodiazepine withdrawal; an unfinished story. British Medical Journal 288, 1135–1140.CrossRefGoogle ScholarPubMed
Billings, A. G. and Moos, R. H. (1981). The role of coping responses and social resources in alleviating the stress of life events. Journal of Behavioural Medicine 4, 139–157.CrossRefGoogle Scholar
Borbely, A. (1988). Pharmacology of sleep: new perspectives in sleep ′86. In Koella, W. P., Obal, F., Schulz, H. and Visser, P. (Eds). New York: Gustav Fischer Verlag.Google Scholar
Clift, A. (1985). Treating insomnia. Journal of The Royal College of General Practitioners 08, 365–366.Google Scholar
Davies, D. R. (1989). A multiple treatment approach to the group treatment of insomnia: a follow-up study. Behavioural Psychotherapy 17, 323–331.CrossRefGoogle Scholar
Epsie, C. A. and Lindsay, W. R. (1985). Paradoxical intention in the treatment of chronic insomnia: six case studies illustrating variability in therapeutic responses. Behavioural Research and Therapy 23, 703–709.Google Scholar
Epsie, C. A., Lindsay, W. R., Brooks, D. N., Hood, E. M. and Turvey, T. (1989). A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia. Behavioural Research and Therapy 27, 79–88.Google Scholar
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire. London: Oxford University Press.Google Scholar
Haynes, S. N., Adams, A. and Franzen, M. (1981). The effects of pre-sleep stress on sleep-onset insomnia. Journal of Abnormal Psychology 90, 601–606.CrossRefGoogle Scholar
Institute of Medicine (1979). Sleeping pills, insomnia and medical practice. Report of a Study of a Committee of The Institute of Medicine, 1–98.Google Scholar
Kales, A., Bixler, E. O., Tan, T. L., Scharf, M. B. and Kales, J. D. (1974). Chronic hypnotic drug use. Journal of the American Medical Association 227(5), 513–517.CrossRefGoogle ScholarPubMed
Kales, A., Scharf, M. D. and Kales, J. D. (1978). Rebound insomnia: a new clinical syndrome. Science 201, 1039–1041.CrossRefGoogle ScholarPubMed
Kirmil-Gray, K., Eaglestone, J. R., Thorensen, C. E. and Zatcone, V. P. Jr. (1985). Brief consultation and stress management. Treatments for drug-dependent insomnia: effects on sleep quality, self-effacacy and daytime stress. Journal of Behavioural Medicine 8, 79–99.CrossRefGoogle ScholarPubMed
Lacks, P. (1987). Behavioural Treatment for Persistent Insomnia. Oxford: Pergamon Press.Google Scholar
Lacks, P., Bertelson, A. D., Gans, L. and Kunkel, J. (1983). The effectiveness of three behavioural treatments for different degrees of sleep-onset insomnia. Behaviour Therapy 14, 593–605.CrossRefGoogle Scholar
Nau, S. D. and Walsh, J. K. (1983). Sleep hygiene of insomnia patients. Sleep Research 12, 268.Google Scholar
Nicossia, P. and Bootzin, R. (1974). A comparison of progressive relaxation and autogenic training as treatments for insomnia. Journal of Abnormal Psychology 83, 253.CrossRefGoogle Scholar
Scharf, M. B. and Brown, L. (1986). Hypnotic drugs: use and abuse. Clinical Psychology Review 6, 39–50.CrossRefGoogle Scholar
Sleep Disorders Classification Committee (1979). Diagnostic Classification of Sleep and Arousal Disorders. New York: Raven.Google Scholar
Spielman, A. J. (1986). Assessment of insomnia. Clinical Psychology Review 6, 11–15.CrossRefGoogle Scholar
Thorensen, C. E., Coates, T. J., Zarcone, V. P., Kirmil-Gray, K. and Rosekind, M. R. (1980). Treating the complaint of insomnia: self-management perspectives. In Ferguson, J. M. and Taylor, C. B. (Eds). Advances in Behavioural Medicine. Englewood Cliffs, N.J.: Spectrum.Google Scholar
Turner, R. M. (1986). Behavioural self-control procedures for disorders of initiating and maintaining sleep. Clinical Psychology Review 6, 27–38.CrossRefGoogle Scholar
Turner, R. M. and Ascher, E. R. L. M. (1979). A controlled comparison of progressive relaxation, stimulus control and paradoxical intention therapies for insomnia. Journal of Consulting and Clinical Psychology 47, 500–508.CrossRefGoogle ScholarPubMed
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