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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.
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“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]
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Lebrun, C., Gély-Nargeot, M.-C., Cock, V. C. D., & Bayard, S. (2016) · Journal de Thérapie Comportementale et Cognitive · doi:10.1016/j.jtcc.2016.03.004
Accessible health care: What is the future?
Hansdóttir, I. (2015) · Læknablaðið · doi:10.17992/lbl.2015.04.22 · Cited by 1
Special Considerations for Treatment of Insomnia
Harvey, A. G., Hairston, I. S., Gershon, A., & Gruber, J. (2008) · CRC Press eBooks · doi:10.3109/9781420019926-11
Zur Neurobiologie der Insomnie
Spiegelhalder, K. (2016) · Schlaf · doi:10.1055/s-0038-1624643
Tuina for primary insomnia: a meta-analysis
Cao, M., Deng, F.-F., Yuan, Q., Zhang, J., & He, Q. (2018) · Journal of Acupuncture and Tuina Science · doi:10.1007/s11726-018-1056-9
Zhao, F.-Y., Xu, Y., Wang, G., Ma, Q.-Y., Yue, L.-P., Hong, X. U., Li, Z., & Fu, Q.-Q. (2020) · 世界针灸杂志：英文版 · doi:10.1016/j.wjam.2020.07.009
Prevalence and Characteristics of Insomnia Problems Among Adults in Central Istria
Zavidić, T., & Lang, V. B. (2021) · Archives of Psychiatry Research · doi:10.20471/dec.2021.57.02.03
“Patients rarely have insomnia as a separate diagnosis in their health records and the reasons for that vary [11,12].”
BackgroundHarvey, A. G., & Asarnow, L. D. (2013) · doi:10.1002/9781118528563.wbcbt24
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Metadata
- 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
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