Patients' acceptance of psychological and pharmacological therapies for insomnia
Abstract
This study evaluated the acceptance of psychological and pharmacological therapies among chronic insomniacs and noncomplaining good sleepers. After reading a brief written description of two treatment methods commonly used for persistent insomnia (i.e. cognitive-behavior therapy and pharmacotherapy), the subjects rated in a counter-balanced order several dimensions of these two treatment modalities. The results showed that the psychological intervention was rated as more acceptable and more suitable than the pharmacological one among both insomniacs and their noncomplaining significant others. Behavior therapy was also expected to be more effective on a long-term basis and to produce fewer side effects as well as more benefits on daytime functioning. The clinical implications and relevance of treatment acceptance in the management of insomnia are discussed.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Patients often prefer nonpharmacological treatment.
“and patients often prefer nonpharmacological treatment [25,26].”
From The effects of exercise on sleep in unipolar depression: a systematic review and network meta-analysis (2021) · cites this paper as [26]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The publisher hasn’t deposited this paper’s reference list.
Research works printed but not linked: 12
- Mellinger GD, Balter MB, Uhlenhuth EH. Insomnia and its treatment: prevalence and correlates. Arch Gen Psychiatry 1985; 42:225-32.
- I. Gillin JC, Byerley WF. The diagnosis and management of in- somnia. N Engl J Med 1990;322:239-48.
- Morin C, Kwentus JA. Behavioral and pharmacological treat- ments of insomnia. Ann Behav Med 1988;10:91-100.
- Morris HH, Estes ML. Transient global amnesia secondary to triazolam. JAm Med Assoc 1987;258:945-6.
- Shader RI, Greenblatt DJ. Triazolam and anterograde amnesia: all is not well in the Z-zone. J Clin Psychopharmacol 1983;3: 273 (editorial).
- Espie C. The psychological treatment of insomnia. Chichester: Wiley, 1991.
- Lacks P, Morin C. Recent advances in the assessment and treat- ment of insomnia. J Consult Clin Psychol 1992 (in press).
- Morin C, Culbert J, Kowatch RA, Walton E. Efficacy of cog- 15. Ford DE, Kamerow DB. Epidemiologic study of sleep distur- 16. 17. 18. 19. 20. 21. bances and psychiatric disorders. J Am Med Assoc 1989;262: 1479-84.
- Morgan K, Dallosso H, Ebrahim S, Arie T, Fentem PH. Prev- alence, frequency, and duration of hypnotic drug use among elderly living at home. Br Med J 1988;26:601-2 .
- McClusky HY, Milby JB, Switzer PK, Williams V, Wooten V. Efficacy of behavioral versus triazolam treatment in persistent sleep-onset insomnia. Am J Psychiatry 1991;148:121-6.
- Kazdin AE. Comparative outcome studies of psychotherapy: methodological issues and strategies. J Consult Clin Psychol 1986;54:95-105.
- Glovinsky PB, Spielman AJ. Sleep restriction therapy. In: Hauri P, ed. Case studies in insomnia. New York: Plenum, 1991:49- 63. Sleep, Vol. 15, No.4, 1992
Cited by
Sorted by citations
Nonpharmacological interventions for insomnia: a meta-analysis of treatment efficacy
(1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.8.1172 · Cited by 1,098 · see citing works
Self-citationEspie, C. A., Kyle, S. D., Williams, C., Ong, J. C., Douglas, N. J., Hames, P., & Brown, J. S. L. (2012) · Sleep · doi:10.5665/sleep.1872 · Cited by 550 · see citing works
“29,30 There is support for CBT being made widely available 19,24-27, 31 , 32 however, the outstanding challenge is its inherent inherent lack of scalability to meet population need .”
BackgroundEfficacy of Brief Behavioral Treatment for Chronic Insomnia in Older Adults
Buysse, D. J., Germain, A., Moul, D. E., Franzen, P. L., Brar, L. K., Fletcher, M. E., Begley, A. E., Houck, P. R., Mazumdar, S., Reynolds, C. F., et al. (2011) · Archives of Internal Medicine · doi:10.1001/archinternmed.2010.535 · Cited by 552 · see citing works
Sleep and anxiety: From mechanisms to interventions
Chellappa, S. L., & Aeschbach, D. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101583 · Cited by 509 · see citing works
Efficacy of an Internet-based behavioral intervention for adults with insomnia
Ritterband, L. M., Thorndike, F. P., Gonder-Frederick, L. A., Magee, J. C., Bailey, E. T., Saylor, D. K., & Morin, C. M. (2009) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.66 · Cited by 482 · see citing works
“”(15) In addition, individuals receiving CBT rate this intervention as more effective and acceptable than medication.(16,17) Unfortunately, availability of CBT is severely limited for many reasons, including lack of trained clinicians, poor geographical distribution of knowledgeable professionals, expense, and inacces…”
BackgroundSelf-citationEspie, C. A. (2009) · SLEEP · doi:10.1093/sleep/32.12.1549 · Cited by 422 · see citing works
Koffel, E., Bramoweth, A. D., & Ulmer, C. S. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4390-1 · Cited by 391 · see citing works
An American Academy of Sleep Medicine Review
Sateia, M. J., Doghramji, K., Hauri, P., & Morin, C. M. (2000) · Cited by 369 · see citing works
Self-citationA meta-analysis of group cognitive behavioral therapy for insomnia
Koffel, E. A., Koffel, J. B., & Gehrman, P. R. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.05.001 · Cited by 356 · see citing works
Cognitive-behavioral therapy for primary insomnia
Edinger, J. D., & Means, M. K. (2005) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.04.003 · Cited by 344 · see citing works
“Individuals with chronic insomnia not only prefer CBT to pharmacotherapy, but also expect that CBT produces greater improvements in daytime functioning, better long-term effects, and fewer negative side effects (Morin et al., 1992).”
BackgroundA Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia
Ong, J. C., Manber, R., Segal, Z., Xia, Y., Shapiro, S., & Wyatt, J. K. (2014) · Sleep · doi:10.5665/sleep.4010 · Cited by 332 · see citing works
A primary care "friendly" cognitive behavioral insomnia therapy.
Edinger, J., & Sampson, W. S. (2003) · Sleep · doi:10.1093/sleep/26.2.177 · Cited by 343 · see citing works
Sleep hygiene education as a treatment of insomnia: a systematic review and meta-analysis
Chung, K.-F., Lee, C.-T., Yeung, W.-F., Chan, M.-S., Chung, E. W.-Y., & Lin, W.-L. (2018) · Family Practice · doi:10.1093/fampra/cmx122 · Cited by 313 · see citing works
“Patients with sleep problems consult their general practitioners more frequently than other health professionals (2) and typically prefer non-pharmacological treatments (3), among which sleep hygiene education (SHE) is the most commonly used (4).”
Edinger, J. D., Arnedt, J. T., Bertisch, S. M., Carney, C. E., Harrington, J. J., Lichstein, K. L., Sateia, M. J., Troxel, W. M., Zhou, E. S., Kazmi, U., et al. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8988 · Cited by 309 · see citing works
“The limited available data indicate that CBT-I is preferred to pharmacological treatment because it is perceived to havebetter long-term efficacy,(150) to benefit daytime symptoms more, and to have fewer side effects.(150,151) Furthermore, patients may prefer CBTI over other single-component therapy options,(152) howe…”
Bhasin, M. K., Dusek, J. A., Chang, B.-H., Joseph, M. G., Denninger, J. W., Fricchione, G. L., Benson, H., & Libermann, T. A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0062817 · Cited by 304 · see citing works
“Several studies also reported that elicitation of the RR is an effective therapeutic intervention to counteract the adverse clinical effects of stress in disorders that include: hypertension [5]; anxiety [6,7]; insomnia [8,9]; diabetes [10]; rheumatoid arthritis [11]; and aging [12,13].”
Edinger, J. D., Olsen, M. K., Stechuchak, K. M., Means, M. K., Lineberger, M. D., Kirby, A. C., & Carney, C. E. (2009) · SLEEP · doi:10.1093/sleep/32.4.499 · Cited by 259 · see citing works
Self-help cognitive-behavioral therapy for insomnia: A meta-analysis of randomized controlled trials
Ho, F. Y., Chung, K., Yeung, W., Ng, T. H., Kwan, K.-S., Yung, K.-P., & Cheng, S. K. W. (2014) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.06.010 · Cited by 239 · see citing works
“treatment [8,10].”
Sleep and circadian functioning: critical mechanisms in the mood disorders?
Harvey, A. G. (2011) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032210-104550 · Cited by 237 · see citing works
“2) There is evidence that nonpharmacologic interventions for insomnia are more acceptable to patients than are medication treatments (Morin et al. 1992, Vincent & Lionberg 2001).”
BackgroundAssessment of preferences for treatment: Validation of a measure
Sidani, S., Epstein, D. R., Bootzin, R. R., Moritz, P., & Miranda, J. (2009) · Research in Nursing & Health · doi:10.1002/nur.20329 · Cited by 223 · see citing works
Dose-Response Effects of Cognitive-Behavioral Insomnia Therapy: A Randomized Clinical Trial
Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Coffman, C. J., & Carney, C. E. (2007) · SLEEP · doi:10.1093/sleep/30.2.203 · Cited by 228 · see citing works
Logging on for Better Sleep: RCT of the Effectiveness of Online Treatment for Insomnia
Vincent, N., & Lewycky, S. (2009) · Sleep · doi:10.1093/sleep/32.6.807 · Cited by 206 · see citing works
Cognitive-behavioral approaches to the treatment of insomnia.
Morin, C. M. (2004) · PubMed · Cited by 195 · see citing works
Self-citationExercise to Improve Sleep in Insomnia: Exploration of the Bidirectional Effects
Baron, K., Reid, K., & Zee, P. (2013) · Journal of Clinical Sleep Medicine (JCSM) · doi:10.5664/jcsm.2930 · Cited by 175 · see citing works
Insomnia in Elderly Patients: Recommendations for Pharmacological Management
Abad, V. C., & Guilleminault, C. (2018) · Drugs & Aging · doi:10.1007/s40266-018-0569-8 · Cited by 174 · see citing works
Measuring outcomes in randomized clinical trials of insomnia treatments
Morin, C. M. (2003) · Sleep Medicine Reviews · doi:10.1053/smrv.2002.0274 · Cited by 172 · see citing works
Self-citationSelf-help treatment for insomnia: Bibliotherapy with and without professional guidance.
Mimeault, V., & Morin, C. M. (1999) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.67.4.511 · Cited by 205 · see citing works
Self-citationSleep problems in midlife and beyond
Polo‐Kantola, P. (2011) · Maturitas · doi:10.1016/j.maturitas.2010.12.009 · Cited by 164 · see citing works
Effects of a tart cherry juice beverage on the sleep of older adults with insomnia: A pilot study
Pigeon, W. R., Carr, M., Gorman, C., & Perlis, M. L. (2010) · Journal of Medicinal Food · doi:10.1089/jmf.2009.0096 · Cited by 159 · see citing works
Randomized trial of a cognitive-behavioral intervention for insomnia in breast cancer survivors
Epstein, D. R., & Dirksen, S. R. (2007) · Oncology nursing forum · doi:10.1188/07.onf.e51-e59 · Cited by 152 · see citing works
“…& Nicassio, 2006; Morin et al., 1994) and no current evidence of adverse effects from their use (National Institutes of Health, 2005); in addition, individuals with insomnia find those treatments more acceptable and suitable than pharmacologic treatment (Morin, Gaulier, Barry, & Kowatch, 1992).”
BackgroundThe Complex Role of Sleep in Adolescent Depression
Clarke, G. N., & Harvey, A. G. (2012) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2012.01.006 · Cited by 139 · see citing works
Development and Perceived Utility and Impact of an Internet Intervention for Insomnia
Thorndike, F. P., Saylor, D. K., Bailey, E. T., Gonder-Frederick, L. A., Morin, C. M., & Ritterband, L. M. (2008) · E-Journal of Applied Psychology · doi:10.7790/ejap.v4i2.133 · Cited by 136 · see citing works
Self-citationInsomniacs' reported use of CBT components and relationship to long-term clinical outcome
Harvey, L., Inglis, S. J., & Espie, C. A. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00004-3 · Cited by 133 · see citing works
Zhang, J.-X., Liu, X.-H., Xie, X.-H., Zhao, D., Shan, M.-S., Zhang, X.-L., Kong, X.-M., & Cui, H. (2015) · EXPLORE · doi:10.1016/j.explore.2015.02.005 · Cited by 119 · see citing works
Jernelöv, S., Lekander, M., Blom, K., Rydh, S., Ljótsson, B., Axelsson, J., & Kaldo, V. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-5 · Cited by 127 · see citing works
“However, many individuals with insomnia would prefer nonpharmacological treatment if available [9,10].”
BackgroundA mindfulness‐based approach to the treatment of insomnia
Ong, J. C., & Sholtes, D. (2010) · Journal of Clinical Psychology · doi:10.1002/jclp.20736 · Cited by 125 · see citing works
A systematic review of acupuncture for sleep quality in people with insomnia.
Shergis, J., Ni, X., Jackson, M., Zhang, A., Guo, X., Li, Y., Lu, C., & Xue, C. (2016) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2016.02.007 · Cited by 119 · see citing works
Morin, C. M., Savard, J., Ouellet, M., & Daley, M. (2003) · Handbook of Psychology · doi:10.1002/0471264385.wei0914 · Cited by 123 · see citing works
Self-citationBehavioral Treatment of Insomnia in Bipolar Disorder
Kaplan, K. A., & Harvey, A. G. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.12050708 · Cited by 115 · see citing works
“Finally, there is evidence that nonpharmacological interventions for insomnia are more acceptable to patients (12) and produce more durable effects (13, 14) than hypnotic medications alone.”
BackgroundPsychological management of insomnia: A clinical replication series with 100 patients
Morin, C. M., Stone, J., McDonald, K., & Jones, S. (1994) · Behavior Therapy · doi:10.1016/s0005-7894(05)80289-8 · Cited by 113 · see citing works
Self-citationAltering misperception of sleep in insomnia: Behavioral experiment versus verbal feedback.
Tang, N. K. Y., & Harvey, A. G. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.4.767 · Cited by 104 · see citing works
Insomnia and Sleep-Related Breathing Disorders
Wickwire, E. M., & Collop, N. A. (2010) · CHEST Journal · doi:10.1378/chest.09-1485 · Cited by 108 · see citing works
Behavioral assessment and treatment of insomnia: A review with an emphasis on clinical application
Lichstein, K. L., & Riedel, B. W. (1994) · Behavior Therapy · doi:10.1016/s0005-7894(05)80203-5 · Cited by 103 · see citing works
TenHave, T. R., Coyne, J., Salzer, M. S., & Katz, I. R. (2003) · General Hospital Psychiatry · doi:10.1016/s0163-8343(02)00275-x · Cited by 98 · see citing works
Randomized Controlled Trial of Telephone-Delivered Cognitive Behavioral Therapy for Chronic Insomnia
Arnedt, J. T., Cuddihy, L. J., Swanson, L. M., Pickett, S. M., Aikens, J. E., & Chervin, R. D. (2013) · SLEEP · doi:10.5665/sleep.2448 · Cited by 98 · see citing works
Cassidy‐Eagle, E. L., Siebern, A. T., Unti, L. M., Glassman, J. R., & O'Hara, R. M. (2017) · Clinical Gerontologist · doi:10.1080/07317115.2017.1384777 · Cited by 87 · see citing works
Ho, F. Y., Chung, K., Yeung, W., Ng, T. H., & Cheng, S. K.-W. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.10.002 · Cited by 86 · see citing works
Non-pharmacological treatments for insomnia
Ebben, M. R., & Spielman, A. J. (2009) · Journal of Behavioral Medicine · doi:10.1007/s10865-008-9198-8 · Cited by 86 · see citing works
Adherence to Technology-Mediated Insomnia Treatment: A Meta-Analysis, Interviews, and Focus Groups
Horsch, C. H. G., Lancee, J., Beun, R. J., Neerincx, M. A., & Brinkman, W. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4115 · Cited by 81 · see citing works
“However, cognitive behavioral therapy for insomnia (CBT-I) is preferable, because CBT-I is equally effective in the short term and has more beneficial long-term effects than pharmacotherapy [9-11].”
Sleep as a public health concern: insomnia and mental health
Robotham, D. (2011) · Journal of Public Mental Health · doi:10.1108/17465721111188250 · Cited by 79 · see citing works
“Furthermore, people may prefer the idea of psychological therapies for insomnia to sleep medication (Morin et al., 1992).”
BackgroundEdinger, J. D., & Wohlgemuth, W. K. (1999) · Sleep Medicine Reviews · doi:10.1016/s1087-0792(99)90018-7 · Cited by 78 · see citing works
Patients' perceptions of pharmacological and cognitive-behavioral treatments for anxiety disorders
Deacon, B. J., & Abramowitz, J. S. (2005) · Behavior Therapy · doi:10.1016/s0005-7894(05)80062-0 · Cited by 78 · see citing works
Barriers to engagement in sleep restriction and stimulus control in chronic insomnia.
Vincent, N., Lewycky, S. T., & Finnegan, H. A. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.5.820 · Cited by 76 · see citing works
Wong, S. Y. S., Zhang, D., Chi-kwan, C. L., Yip, B. H. K., Chan, D. C.-C., Ling, Y.-M., Lo, C. S. L., Woo, D. M.-S., Sun, Y., Ma, H., et al. (2017) · Psychotherapy and Psychosomatics · doi:10.1159/000470847 · Cited by 76 · see citing works
Jansson‐Fröjmark, M., & Linton, S. J. (2005) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-005-1217-9 · Cited by 72 · see citing works
Vallières, A., Morin, C. M., & Guay, B. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.11.011 · Cited by 71 · see citing works
Self-citationMorin, C. M., & Wooten, V. D. (1996) · Clinical Psychology Review · doi:10.1016/0272-7358(96)00027-x · Cited by 72 · see citing works
Self-citationAre prescribed medications effective in the treatment of insomnia complaints?
Ohayon, M. M., Caulet, M., Arbus, L., Billard, M., Coquerel, A., Guieu, J.-D., Kullmann, B., Laffont, F., Lemoine, P., Paty, J., et al. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(98)00079-8 · Cited by 70 · see citing works
“Indeed, Morin et al [22] reported that chronic insomniacs had a better perception of psychological intervention, which is perceived to be more acceptable than pharmacological treatment.”
BackgroundInsomnia Patients' Help-Seeking Experiences
Cheung, J. M. Y., Bartlett, D. J., Armour, C. L., Glozier, N., & Saini, B. (2014) · Behavioral Sleep Medicine · doi:10.1080/15402002.2013.764529 · Cited by 68 · see citing works
“Existing literature on insomnia patients’ treatment preferences suggests that non-pharmacological interventions are viewed more favorably by patients (Morin et al., 1992).”
BackgroundHow to provide insomnia interventions to people with cancer: insights from patients
Davidson, J. R., Feldman‐Stewart, D., Brennenstuhl, S., & Ram, S. S. (2007) · Psycho-Oncology · doi:10.1002/pon.1183 · Cited by 69 · see citing works
“Research participants report greater acceptance of, and satisfaction with, nonpharmacologic treatments over pharmacologic ones [19,22].”
BackgroundTreatment preference in hypochondriasis
Walker, J., Vincent, N., Furer, P., Cox, B., & Kjernisted, K. (1999) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(99)00027-0 · Cited by 67 · see citing works
The conflict between random assignment and treatment preference: implications for internal validity
Corrigan, P. W., & Salzer, M. S. (2003) · Evaluation and Program Planning · doi:10.1016/s0149-7189(03)00014-4 · Cited by 66 · see citing works
Brupbacher, G., Gerger, H., Zander-Schellenberg, T., Straus, D., Porschke, H., Gerber, M., von Känel, R., & Schmidt-Trucksäss, A. (2021) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2021.101452 · Cited by 64 · see citing works
Cheung, J. M. Y., Bartlett, D. J., Armour, C. L., Laba, T., & Saini, B. (2016) · Behavioral Sleep Medicine · doi:10.1080/15402002.2016.1163702 · Cited by 66 · see citing works
A Comparison of the Efficacy of Stimulus Control for Medicated and Nonmedicated Insomniacs
Riedel, B. W., Lichstein, K. L., Peterson, B. A., Epperson, M. T., Means, M. K., & Aguillard, R. N. (1998) · Behavior Modification · doi:10.1177/01454455980221001 · Cited by 64 · see citing works
Sidani, S., Miranda, J., Epstein, D. R., Bootzin, R. R., Cousins, J. C., & Moritz, P. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.06.009 · Cited by 58 · see citing works
“The items were adapted from Morin et al. (1992) and Vincent and Lionberg (2001).”
ResultMcCrae, C. S., McGovern, R. J., Lukefahr, R., & Stripling, A. M. (2007) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e31813547e6 · Cited by 58 · see citing works
Simplified sleep restriction for insomnia in general practice: a randomised controlled trial
Falloon, K., Elley, C. R., Fernando, A. T., Lee, A. C.-L., & Arroll, B. (2015) · British Journal of General Practice · doi:10.3399/bjgp15x686137 · Cited by 56 · see citing works
Sleep in chronic pain: problems and treatments
Cohen, M. J. M., Menefee, L. A., Doghramji, K., Anderson, W. R., & Frank, E. D. (2000) · International Review of Psychiatry · doi:10.1080/09540260050007435 · Cited by 54 · see citing works
Lichstein, K. L. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.08.005 · Cited by 54 · see citing works
DATTA, K., TRIPATHI, M., VERMA, M., MASIWAL, D., & MALLICK, H. N. (2021) · The National Medical Journal of India · doi:10.25259/nmji_63_19 · Cited by 57 · see citing works
Pretherapy Cognitive Dispositions and Treatment Outcome in Cognitive Behavior Therapy for Insomnia
Edinger, J. D., Carney, C. E., & Wohlgemuth, W. K. (2008) · Behavior Therapy · doi:10.1016/j.beth.2007.12.001 · Cited by 52 · see citing works
Primary health care practitioner perspectives on the management of insomnia: a pilot study
Cheung, J. M. Y., Atternäs, K., Melchior, M., Marshall, N. S., Fois, R. A., & Saini, B. (2013) · Australian Journal of Primary Health · doi:10.1071/py12021 · Cited by 47 · see citing works
“However, studies exploring treatment preferences for insomnia increasingly show patients favouring non-pharmacological therapies over conventional pharmacotherapy (Morin et al. 1992; Vincent and Lionberg 2001).”
BackgroundIntegrative Medicine for Insomnia
Zhou, E. S., Gardiner, P. M., & Bertisch, S. M. (2017) · Medical Clinics of North America · doi:10.1016/j.mcna.2017.04.005 · Cited by 47 · see citing works
Plant Extracts for Sleep Disturbances: A Systematic Review
Guadagna, S., Barattini, D., Roşu, S., & Ferini-Strambi, L. (2020) · Evidence-Based Complementary and Alternative Medicine · doi:10.1155/2020/3792390 · Cited by 45 · see citing works
“Given these concerns and an increasing patient preference for nonpharmacological treatments [17], it is important to offer patients with insomnia evidence-based nonpharmacologic alternatives that may improve their sleep.”
BackgroundEpstein, D. R., Babcock-Parziale, J. L., Haynes, P. L., & Herb, C. A. (2012) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2011.06.0114 · Cited by 46 · see citing works
“found the short-term effects of behavioral and medication treatments were rated equivalently by participants, but participants thought nonpharmacological treatment would be more effective in the long term, have fewer side effects, and have a more beneficial effect on daytime functioning than pharmacotherapy [18].”
BackgroundZhao, Y., Liu, J., Lewis, F. M., Nie, Z.-H., Qiu, H., Han, J. D. J., Su, Y., & Yang, S. (2020) · European Journal of Cancer Care · doi:10.1111/ecc.13259 · Cited by 46 · see citing works
Nonpharmacologic Strategies in the Management of Insomnia
Yang, C., Spielman, A. J., & Glovinsky, P. B. (2006) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2006.09.005 · Cited by 46 · see citing works
Behavioral treatment of insomnia: a proposal for a stepped-care approach to promote public health
Rybarczyk, B. D., & Mack, L. (2011) · Nature and Science of Sleep · doi:10.2147/nss.s12975 · Cited by 45 · see citing works
Circadian clocks, brain function, and development
Frank, E., Sidor, M. M., Gamble, K. L., Cirelli, C., Sharkey, K. M., Hoyle, N. P., Tikotzky, L., Talbot, L. S., McCarthy, M. J., & Hasler, B. P. (2013) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12335 · Cited by 45 · see citing works
Development of a Just-in-Time Adaptive mHealth Intervention for Insomnia: Usability Study
Pulantara, I. W., Parmanto, B., & Germain, A. (2018) · JMIR Human Factors · doi:10.2196/humanfactors.8905 · Cited by 43 · see citing works
Ong, J. C., & Crisostomo, M. I. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.21958 · Cited by 42 · see citing works
Perceived benefits in a behavioral-medicine insomnia program: A clinical report
Jacobs, G. D., Benson, H., & Friedman, R. B. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(97)89461-2 · Cited by 42 · see citing works
Tackling sleeplessness: psychological treatment options for insomnia in older adults
McCrae, C. (2010) · Nature and Science of Sleep · doi:10.2147/nss.s7064 · Cited by 40 · see citing works
“126 Psychological treatments of insomnia produce medium-large effect sizes (ranging from 0.65–0.94), 127,128 with 70%–80% of individuals showing improvements following treatment.”
InfluentialAcceptability of Behavioral Treatments for Insomnia
Bluestein, D. A., Healey, A. C., & Rutledge, C. (2011) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2011.03.100246 · Cited by 39 · see citing works
“Conversely, demographic predictors of acceptance include female sex and higher educational attainment.(30) Effects of age are unclear; some studies show positive orientation and others negative.”
BackgroundEspie, C. A., Barrie, L. M., & Forgan, G. S. (2012) · Sleep · doi:10.5665/sleep.1702 · Cited by 38 · see citing works
An alternative paradigm for clinical nursing research: An exemplar
Sidani, S., Epstein, D. R., & Moritz, P. (2003) · Research in Nursing & Health · doi:10.1002/nur.10086 · Cited by 38 · see citing works
Internet-Based Cognitive-Behavioral Therapy for Insomnia in Adults With Asthma: A Pilot Study
Luyster, F. S., Ritterband, L. M., Sereika, S. M., Buysse, D. J., Wenzel, S. E., & Strollo, P. J. (2020) · Behavioral Sleep Medicine · doi:10.1080/15402002.2018.1518229 · Cited by 37 · see citing works
Weiss, T. W., Gold, D. T., Silverman, S. L., & McHorney, C. A. (2006) · Current Medical Research and Opinion · doi:10.1185/030079906x104740 · Cited by 37 · see citing works
The Insomnia Patient Perspective, A Narrative Review
Cheung, J. M. Y., Bartlett, D. J., Armour, C. L., & Saini, B. (2013) · Behavioral Sleep Medicine · doi:10.1080/15402002.2012.694382 · Cited by 35 · see citing works
“Moreover, when Morin et al. (1992) compared patient acceptability between psychological and pharmacological therapies, the former was rated by chronic insomniacs .n D 39/ and their significant other .n D 32/ as more acceptable and suitable than pharmacological treatment.”
BackgroundTreating Insomnia: A Review of Patient Perceptions Toward Treatment
Cheung, J. M. Y., Bartlett, D. J., Armour, C. L., & Saini, B. (2015) · Behavioral Sleep Medicine · doi:10.1080/15402002.2014.981818 · Cited by 34 · see citing works
“The items on the subscale gauge the patient’s acceptance of treatment, willingness to comply, suitability of treatment for managing sleep onset or maintenance problems, perceived effectiveness (long term and short term) of treatment, perceived side effects associated with treatment, perceived impact on daytime functio…”
BackgroundMethodInfluentialYoga Nidra: An innovative approach for management of chronic insomnia- A case report
Datta, K., Tripathi, M., & Mallick, H. N. (2017) · Sleep Science and Practice · doi:10.1186/s41606-017-0009-4 · Cited by 36 · see citing works
“and reduced emotional states are the probable reasons for improvement in insomnia patients with mindfulness meditation (Ong et al. 2014; Morin et al. 1992; Ong et al. 2008; Ong et al. 2009; Martires and Zeidler 2015).”
BackgroundKeenan, R. A., Wild, M. R., McArthur, I., & Espie, C. A. (2007) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/j.1468-3148.2007.00382.x · Cited by 33 · see citing works
The diagnostic interview and differential diagnosis for complaints of insomnia.
Spielman, A. J., & Glovinsky, P. B. (1997) · American Psychological Association eBooks · doi:10.1037/10233-006 · Cited by 31 · see citing works
Insomnia and symptoms of post-traumatic stress disorder among women veterans
Hughes, J., Jouldjian, S., Washington, D. L., Alessi, C. A., & Martin, J. L. (2013) · Behavioral Sleep Medicine · doi:10.1080/15402002.2012.683903 · Cited by 29 · see citing works
A study on the experience of insomnia in a psychiatric inpatient population
Collier, E. H., Skitt, G., & Cutts, H. (2003) · Journal of Psychiatric and Mental Health Nursing · doi:10.1046/j.1365-2850.2003.00654.x · Cited by 28 · see citing works
Insomnia Diagnosis, Assessment, and Evaluation
Ong, J. C., Arnedt, J. T., & Gehrman, P. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00083-0 · Cited by 31 · see citing works
Is it Time to Step Up to Stepped Care with our Cognitive-Behavioral Insomnia Therapies?
Edinger, J. D. (2009) · SLEEP · doi:10.1093/sleep/32.12.1539 · Cited by 26 · see citing works
Culver, N. C., Song, Y., McGowan, S. K., Fung, C. H., Mitchell, M. N., Rodrı́guez, J. C., Dzierzewski, J. M., Josephson, K. R., Jouldjian, S., Washington, D. L., et al. (2016) · Clinical Therapeutics · doi:10.1016/j.clinthera.2016.09.019 · Cited by 26 · see citing works
Insomnia among cancer caregivers: A proposal for tailored cognitive behavioral therapy.
Shaffer, K. M., Garland, S. N., Mao, J. J. J., & Applebaum, A. J. (2018) · Journal of Psychotherapy Integration · doi:10.1037/int0000105 · Cited by 24 · see citing works
Insomnia: psychological and neurobiological aspects and non-pharmacological treatments
Molen, Y. F., de Carvalho, L. B. C., do Prado, L. B. F., & do Prado, G. F. (2014) · Arquivos de Neuro-Psiquiatria · doi:10.1590/0004-282x20130184 · Cited by 23 · see citing works
- Authors
- Morin, C. M., Gaulier, B., Barry, T., & Kowatch, R. A.
- Affiliations
- Virginia Commonwealth University (US)
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Morin, Charles M.
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 1992-07
- Volume
- 15
- Issue
- 4
- Pages
- 302-305
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W111186213
- Cited by
- 211
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 4 · 2021: 8 · 2020: 13 · 2019: 7 · 2018: 8 · 2017: 11 · 2016: 9 · 2015: 13 · 2014: 8 · 2013: 13 · 2012: 7
- FWCI
- 2.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (1r03mh044338-01, 5r29mh047020-05)
- National Institute of Mental Health (MH47020, MH44338)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- insomnia, treatment acceptance, cognitive behavioral therapy, pharmacotherapy, patient preferences, chronic insomnia, treatment side effects, daytime functioning, significant others
- MeSH terms
- Aged, Analysis of Variance, Drug Therapy, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Acceptance of Health Care, Psychotherapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
