Behavioral and hypnotic treatments for insomnia subtypes |
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Authors: | Waters William F Hurry Mark J Binks Paul G Carney Colleen E Lajos Laura E Fuller Kristi H Betz Brian Johnson Jack Anderson Tai Tucci James M |
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Institution: |
a Ochsner Clinic Foundation, Baton Rouge, Department of Psychology, Louisiana State University.
b Department of Psychology, Louisiana State University.
c Henry Ford Health System, Detroit, MI. |
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Abstract: | This investigation compared progressive muscle relaxation plus cognitive distraction (PMR/CD), hypothesized to better improve sleep onset, versus sleep restriction and stimulus control (SR/SC), hypothesized to better improve sleep maintenance, versus a flurazepam (Dalmane) positive contrast condition (MED) and a sleep hygiene education minimal treatment control condition (SHE). Participants with chronic insomnia (N = 53), completed 2 baseline weeks of sleep diaries, and were randomly assigned to a treatment group for 2 more weeks. In the second phase, PMR/CD participants were assigned to 2 weeks of PMR/CD + SR/SC + SHE while SHE participants continued SHE. Results indicated that PMR/CD had greater effect upon sleep onset than SR/SC and SHE, SR/SC had greater effect on sleep maintenance than PMR/CD, and MED was better than the other treatments. In the second phase, the treatment package produced modest additional improvements and SHE performed superior to expectations. |
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