On the comparability of pharmacotherapy and behavior therapy for chronic insomnia
Abstract
Objectives Recently, we undertook an empirical review using meta-analytic techniques to assess the extent to which these therapeutic strategies produce comparable outcomes. No differences between the two therapeutic strategies were found, except for sleep latency (SL). Behavior therapy demonstrated a greater reduction in latency to sleep onset as compared to pharmacotherapy. In the present paper, we provide a brief summary of our meta-analysis and then (1) critically review the outcomes and (2) place the findings into a larger context that takes into account what factors represent barriers to treatment and how can we insure that in the future patients will have increased access to behavioral sleep medicine services.
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Most people with chronic insomnia do not have access to psychologically based treatment.
“However, most of those who suffer from chronic insomnia do not have access to psychologically based treatment [57].”
From A Behavior Change Model for Internet Interventions (2009) · cites this paper as [57]
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- Authors
- Perlis, M. L., Smith, M. T., Cacialli, D. O., Nowakowski, S., & Orff, H.
- Affiliations
- University of Rochester Medicine (US)
- Johns Hopkins University (US)
- Corresponding author
- Perlis, Michael L.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2003-01
- Volume
- 54
- Issue
- 1
- Pages
- 51-59
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1963926717
- Cited by
- 36
- References
- 31
- Citations by year
- 2026: 2 · 2025: 3 · 2021: 2 · 2020: 1 · 2019: 1 · 2015: 3 · 2014: 2 · 2013: 1 · 2012: 2
- FWCI
- 2.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- chronic insomnia, behavior therapy, pharmacotherapy, sleep latency, barriers to treatment, behavioral sleep medicine
- MeSH terms
- Behavior Therapy, Chronic Disease, Drug Therapy, Humans, Sleep Initiation and Maintenance Disorders, Prognosis, Relaxation Therapy, Treatment Outcome
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