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Cited by 97Sleep and related disordersPsychotherapy Techniques and ApplicationsObstructive Sleep Apnea Research

Can We Mix Behavioral Therapy With Hypnotics When Treating Insomniacs?

Hauri, Peter J.·1997·Sleep
DOI 10.1093/sleep/20.12.1111
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Abstract

This study asks whether insomniacs undergoing behavioral training need to do so while totally free of hypnotics. Twenty-six insomniacs participated in the study, which included extensive monitoring of sleep both in the laboratory and at home. All subjects received six sessions of training in sleep hygiene and relaxation. About half the subjects were also given a hypnotic for occasional use; the others were asked to abstain from all hypnotics. Follow-up was performed immediately after treatment and again 10 months later. When compared with a waiting list, 6 hours of behavioral therapy improved insomniacs' sleep latency and sleep efficiency immediately after treatment, whether or not hypnotics were given concomitantly. Immediately following the 6 hours of therapy, those who had combined pharmacotherapy and behavior therapy improved about the same as those who had received behavior therapy alone. However, on the 10-month follow-up, those who had learned sleep hygiene and relaxation without the help of occasional hypnotics had more sleep and a better sleep efficiency than those who had been allowed an occasional hypnotic. We conclude that when teaching sleep hygiene and behavioral therapy to insomniacs, it might be advantageous to disallow the concomitant use of hypnotics as needed.

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Crossref · 10.1093/sleep/20.12.1111

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  • Taken as a whole, these investigations do not demonstrate a clear advantage for combined treatment over cognitive behavioral treatment alone.

    “Taken as a whole, these investigations do not demonstrate a clear advantage for combined treatment over cognitive behavioral treatment alone. 65,66,68-70”

    From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [69]

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Authors
Hauri, P. J.
Affiliations
Mayo Clinic (US)
Corresponding author
Hauri, Peter J.
Venue
Sleep
Publisher
Oxford University Press (OUP)
Published
1997-12
Volume
20
Issue
12
Pages
1111-1118
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
DOI
10.1093/sleep/20.12.1111
OpenAlex
W2415937502
Cited by
97
References
0
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 1 · 2019: 3 · 2017: 2 · 2016: 4 · 2015: 1 · 2014: 4 · 2013: 3 · 2012: 6
FWCI
4.44
Type
journal article
Language
en
Open access
closed
Locations
  • SLEEP (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
insomnia, hypnotics, sleep hygiene, relaxation training, sleep latency, sleep efficiency, pharmacotherapy, long-term follow-up
MeSH terms
Adult, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Hypnotics and Sedatives, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Relaxation Therapy, Triazolam

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