Effectiveness of a cognitive behavioral self-help program for patients with primary insomnia in general practice - a pilot study

Sleep Medicine
Inga KatofskyFritz Hohagen

Abstract

This study was conducted to evaluate the effectiveness of a cognitive behavioral self-help program (SHP) in combination with pharmacotherapy in patients with primary insomnia in general practice. Patients were recruited from 31 general practitioners (GPs) in the Hamburg area, who were randomly assigned to the two different study conditions. Eighty patients completed the study. They had suffered from insomnia for several years and showed a high impairment according to the Pittsburgh Sleep Quality Index. According to assignment of their GP the patients either received a progressively reduced 4-week pharmacotherapy or a combination of pharmacotherapy and a SHP consisting of six chapters on progressive muscle relaxation, cognitive relaxation, modified stimulus control, thought stopping, and cognitive restructuring. After study enrollment patients had short weekly consultations with their GPs during treatment to receive sleep medication and questionnaires. They completed questionnaires measuring general sleep quality and sleep-disruptive beliefs and also sleep diaries before treatment, during treatment, immediately following treatment, and at a 6-week and 6-month follow-up time point. For collection of changes in mood the Beck Depre...Continue Reading

References

Apr 24, 2001·European Archives of Psychiatry and Clinical Neuroscience·J BackhausD Riemann
Jun 16, 2001·European Archives of Psychiatry and Clinical Neuroscience·G Hajak, UNKNOWN SINE Study Group. Study of Insomnia in Europe
Jan 5, 2002·The American Journal of Psychiatry·Michael T SmithDaniel J Buysse
Aug 23, 2002·European Archives of Psychiatry and Clinical Neuroscience·Jutta BackhausFritz Hohagen
Sep 10, 2002·Journal of Psychosomatic Research·Jutta BackhausFritz Hohagen
Nov 25, 2003·Clinical Cornerstone·Michael T Smith, David N Neubauer
Feb 6, 2004·Journal of Consulting and Clinical Psychology·Lars StrömGerhard Andersson
Aug 11, 2004·Journal of Consulting and Clinical Psychology·Célyne H BastienSébastien Bouchard
Apr 25, 2007·Clinical Drug Investigation·Maurizio De VannaEugenio Aguglia
Jul 8, 2009·Archives of General Psychiatry·Lee M RitterbandCharles M Morin

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Citations

Mar 19, 2014·Arquivos de neuro-psiquiatria·Yara Fleury MolenGilmar Fernandes do Prado
Jul 31, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Judith R DavidsonHan Han

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