Cognitive behavioural therapy improved benzodiazepine discontinuation in chronic insomnia.

نویسنده

  • Diana E McMillan
چکیده

Baillargeon L, Landreville P, Verreault R, et al. Discontinuation of benzodiazepines among older insomniac adults treated with cognitive-behavioural therapy combined with gradual tapering: a randomized trial. CMAJ 2003;169:1015–20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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منابع مشابه

Discontinuation of benzodiazepines among older insomniac adults treated with cognitive-behavioural therapy combined with gradual tapering: a randomized trial.

BACKGROUND Long-term use of hypnotics is not recommended because of risks of dependency and adverse effects on health. The usual clinical management of benzodiazepine dependency is gradual tapering, but when used alone this method is not highly effective in achieving long-term discontinuation. We compared the efficacy of tapering plus cognitive-behavioural therapy for insomnia with tapering alo...

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Strategies for discontinuing long-term benzodiazepine use: meta-analysis.

BACKGROUND The prevalence of benzodiazepine consumption in European countries remains at 2-3% of the general population despite the well-documented disadvantages of long-term use. AIMS To review systematically the success rates of different benzodiazepine discontinuation strategies. METHOD Meta-analysis of comparable intervention studies. RESULTS Twenty-nine articles met inclusion criteri...

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Cognitive behavioral therapy aided discontinuation of benzodiazepine in chronic insomnia.

P a t i e n t s 65 patients ≥ 50 years of age (mean age 67 y, 58% women) with chronic insomnia (> 6 mo) who had impaired daytime functioning or mood disturbances, had been taking a benzodiazepine nightly for ≥ 3 months, and were unable to refrain from taking a hypnotic for fear of poor sleep, or reported sleep efficiency (total sleep time/time in bed × 100) < 80% over a 2-week period. Exclusion...

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Discontinuation of hypnotics during cognitive behavioural therapy for insomnia

BACKGROUND In practical sleep medicine, therapists face the question of whether or not to discontinue the ongoing use of hypnotics in patients, as well as the possible effects of discontinuation. The aim of this study was to evaluate the effects of discontinuing third-generation hypnotics on the results of cognitive-behavioural therapy (CBT) for primary insomnia in patients after long-term abus...

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Chronic Insomnia, Pharmacotherapy and the Cognitive Behavioral Approaches

Insomnia is a common complaint of patients presenting to primary care physician and sleep medicine experts. Approximately 10-20% of the general population worldwide has reported symptoms of chronic insomnia of which 25% have primary insomnia. Insomnia is more prevalent among females and the elderly subjects (over 65 years). Pharmacotherapy for insomnia is mainly focused on hypnotics such as ben...

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عنوان ژورنال:
  • Evidence-based nursing

دوره 7 2  شماره 

صفحات  -

تاریخ انتشار 2004