Treatment preference and patient satisfaction in chronic insomnia
Abstract
STUDY OBJECTIVES: The purposes of this study were to examine treatment preference and satisfaction with group treatment in individual with chronic insomnia. DESIGN: Correlational. SETTING: The study was conducted in an outpatient hospital setting. PATIENTS OR PARTICIPANTS: Participants were 43 adult volunteers from the community. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: Prior to treatment, participants were presented with descriptions of behavioral and pharmacological treatment for the problem of insomnia and asked to rate the acceptability, presumed effectiveness, and presumed side-effects of treatment. A sub-sample of these individuals (n = 37) participated in a 6-week cognitive behavioral treatment group for insomnia. Sleep diary and questionnaire data were collected prior to and following treatment. Results showed that cognitive-behavioral therapy was significantly preferred over pharmacological therapy at pre-treatment and that more favorable assessments of cognitive-behavioral therapy at pre-treatment were associated with better adherence but not improved outcome. Of treatment techniques, participants least liked sleep restriction and most liked sleep hygiene. Results indicated that more favorable ratings of the usefulness of sleep restriction were associated with improvements in sleep efficiency, sleep-related impairment, and quality of life. CONCLUSIONS: Implications of these findings are that patient preference is important to assess prior to treating insomnia and that more work may be needed to increase patients' awareness of the benefits of sleep restriction.
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Most patients prefer nonpharmacological treatments for depression and insomnia.
“The latter is specifically important for most patients who prefer nonpharmacological treatments for depression [91] and insomnia [92].”
From The effects of exercise on sleep in unipolar depression: a systematic review and network meta-analysis (2021) · cites this paper as [92]
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“Studies have demonstrated sustained sleep improvements following CBT-I treatment,(48) as well as patient preference for CBT-I compared with pharmacotherapy.(49) Insomnia is a common sleep disorder in adults but is frequently overlooked by healthcare professionals.”
Keenan, 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
Low, T., Conduit, R., Varma, P., Meaklim, H., & Jackson, M. L. (2020) · Internet Interventions · doi:10.1016/j.invent.2020.100335 · Cited by 30 · see citing works
“However, many individuals with insomnia do not seek professional help, reporting preferences for non-pharmacological and self-help interventions (Holbrook et al., 2000; Vincent and Lionber, 2001; Morin et al., 2006b).”
BackgroundYung, K.-P., Chung, K., Ho, F. Y., Yeung, W., & Ng, T. H. (2015) · Behavioral Sleep Medicine · doi:10.1080/15402002.2015.1017097 · Cited by 31 · see citing works
“…and preference for Chinese medicine, our findings are in line with previous studies that most people have a negative attitude toward hypnotics (Vincent & Lionberg, 2001), Chinese people tend to prefer traditional Chinese medicine (Chung et al., 2012), and traditional Chinese medicine is more…”
ResultGarland, S. N., Gehrman, P., Barg, F. K., Xie, S. X., & Mao, J. J. J. (2016) · Contemporary Clinical Trials · doi:10.1016/j.cct.2016.02.010 · Cited by 29 · see citing works
“icine, 1429 First Avenue, New Acupuncture and Cognitive Behavioral Therapy (CBT) are both widely available and commonly used non-pharmacological treatments for insomnia and other co-morbid symptoms; however, there is a gap in the available evidence as to the comparative effectiveness of these options [8].”
BackgroundGumport, N. B., Dolsen, E. A., & Harvey, A. G. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103504 · Cited by 26 · see citing works
Koffel, E., Vitiello, M. V., McCurry, S. M., Rybarczyk, B., & Von Korff, M. (2018) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000546 · Cited by 26 · see citing works
“The following items were included in the scale: (1) Does this treatment and its rationale make sense to you?, (2) How acceptable do you consider this treatment?, (3) How suitable is this treatment for improving the quality of your life despite having osteoarthritis, and (4) How effective do you expect this treatment t…”
BackgroundInsomnia 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
“Moreover, people seeking treatment for insomnia have been shown to prefer behavioral treatments over medications (Morin, Gaulier, Barry, & Kowatch, 1992; Vincent & Lionberg, 2001).”
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
Computerized Cognitive Behavioral Therapy for Insomnia in a Community Health Setting
Feuerstein, S., Hodges, S. E., Keenaghan, B., Bessette, A. J., Forselius, E., & MORGAN, P. T. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6460 · Cited by 23 · see citing works
Archer, M., Brown, J. S. L., Idusohan, H., Coventry, S., Andiappan, M., & Espie, C. A. (2009) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465809005256 · Cited by 23 · see citing works
“CBT-I is also preferred by patients over drug treatment (Morin, Gaulier, Barry and Kowatch, 1992; Vincent and Lionberg, 2001) and has been shown to be clinically effective in routine general practice care when delivered by nonspecialists using a treatment manual (Espie, Inglis, Tessier and Harvey, 2001).”
MethodPatient Preferences for Managing Insomnia: A Discrete Choice Experiment
Cheung, J. M. Y., Bartlett, D. J., Armour, C. L., Saini, B., & Laba, T. (2018) · Patient · doi:10.1007/s40271-018-0303-y · Cited by 22 · see citing works
“It also provides further empirical evidence that increasingly shows patient preference for non-pharmacological insomnia treatments over pharmacotherapy [11, 14].”
BackgroundA Computer Device to Deliver Behavioral Interventions for Insomnia
Riley, W. T., Mihm, P., Behar, A., & Morin, C. M. (2009) · Behavioral Sleep Medicine · doi:10.1080/15402000903425314 · Cited by 22 · see citing works
“…(CBTI) is seldom offered, despite minimal safety concerns, considerable evidence of long-term efficacy (Edinger & Means, 2005; Morin et al., 2006), and patient preference for this approach when made aware of this treatment option (Morin, Gaulier, Barry, & Kowatch, 1992; Vincent & Lionberg, 2001).”
BackgroundOsteoporosis medication profile preference: results from the PREFER‐US study
Weiss, T. W., & McHorney, C. A. (2007) · Health Expectations · doi:10.1111/j.1369-7625.2007.00440.x · Cited by 22 · see citing works
Chronic insomnia: treatment methods based on the current «3P» model of insomnia
Poluektov, M. G., & Pchelina, P. V. (2015) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro2015115112141-147 · Cited by 20 · see citing works
“Свое предпочтение когнитивно-поведенческим методикам отдают 67—82% пациентов, что было подтверждено данными опросов [31, 32].”
Combined Insomnia and Poor CPAP Compliance: A Case Study and Discussion
Wickwire, E. M., Schumacher, J. A., Richert, A. C., Sinan Baran, A., & Roffwarg, H. P. (2008) · Clinical Case Studies · doi:10.1177/1534650107309187 · Cited by 21 · see citing works
“CBT-I is at least as effective as pharmacotherapy for insomnia (e.g., M. T. Smith et al., 2002), if not more so (e.g., Sivertsen et al., 2006), and patients prefer CBT-I over pharmacotherapy (Morin, Gaulier, Barry, & Kowatch, 1992; Vincent & Lionberg, 2001).”
MethodLiu, C., Zheng, S., Wu, W., Wang, X., Qin, S., Zhao, Y., Xi, H., & Wan, Q. (2019) · Trials · doi:10.1186/s13063-019-3964-5 · Cited by 20 · see citing works
Zao Ren An Shen for insomnia: a systematic review with meta-analysis
Birling, Y., Jia, M., Li, G., Sarris, J. J., Bensoussan, A., & Zhu, X. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2019.12.023 · Cited by 20 · see citing works
Insomnia Treatment Preferences Among Primary Care Patients
Perez, E., Donovan, E. K., Rybarczyk, B. D., & Dzierzewski, J. M. (2022) · Clinical Therapeutics · doi:10.1016/j.clinthera.2022.03.002 · Cited by 17 · see citing works
Heidenreich, S., Ross, M., Chua, G. N., Kinter, D. S., & Phillips-Beyer, A. (2022) · SLEEP · doi:10.1093/sleep/zsac204 · Cited by 18 · see citing works
González-Martín, A. M., Aibar‐Almazán, A., Rivas-Campo, Y., Marín-Gutiérrez, A., & Castellote‐Caballero, Y. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1242868 · Cited by 23 · see citing works
“Therefore, most patients prefer non-pharmacological strategies or treatments (12, 13), of which psychotherapy is one option to consider, but this requires a time contribution from health professionals (14).”
BackgroundInsomnia Treatment Experience and Preferences Among Veterans Affairs Primary Care Patients
Shepardson, R. L., Funderburk, J. S., Pigeon, W. R., & Maisto, S. A. (2014) · Military Medicine · doi:10.7205/milmed-d-14-00011 · Cited by 16 · see citing works
“group) of insomnia treatment may differ from those of providers,(20) and patient preferences may affect willingness to comply with and complete treatment.(21) With the exception of one study of Operation Enduring Freedom/Operation Iraqi Freedom Veterans receiving polytrauma services,(20) however, Veteran preferences f…”
BackgroundMaguen, S., Gloria, R., Huggins, J., Goldstein, L. A., Kanady, J. C., Straus, L. D., Metzler, T. J., Lujan, C., & Neylan, T. C. (2020) · SLEEP · doi:10.1093/sleep/zsaa205 · Cited by 17 · see citing works
Thiagarajah, K., Chee, H. P., & Sit, N. W. (2022) · Nutrients · doi:10.3390/nu14030652 · Cited by 18 · see citing works
“In addition, most of the affected people do not prefer a pharmacological approach for insomnia treatment [9] and often switch to alternative treatments such as nutritional supplements.”
BackgroundDissemination of CBT for Insomnia
Manber, R., & Simpson, N. S. (2016) · Current Sleep Medicine Reports · doi:10.1007/s40675-016-0048-x · Cited by 16 · see citing works
Levenson, J. C., Rollman, B. L., Ritterband, L. M., Strollo, P. J., Smith, K. J., Yabes, J. G., Moore, C. G., Harvey, A. G., & Buysse, D. J. (2017) · Trials · doi:10.1186/s13063-017-2001-9 · Cited by 16 · see citing works
- Authors
- Vincent, N., & Lionberg, C.
- Affiliations
- University of Manitoba (CA)
- Corresponding author
- Vincent, Norah
- ORCID
- Vincent, Norah
- Venue
- SLEEP
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-06
- Volume
- 24
- Issue
- 4
- Pages
- 411-417
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2418847208
- Cited by
- 221
- References
- 0
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 7 · 2023: 13 · 2022: 10 · 2021: 13 · 2020: 17 · 2019: 11 · 2018: 7 · 2017: 6 · 2016: 11 · 2015: 11 · 2014: 10 · 2013: 9 · 2012: 10
- FWCI
- 7.95
- 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
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- chronic insomnia, treatment preferences, patient satisfaction, cognitive behavioral therapy for insomnia, group therapy, sleep restriction, sleep hygiene, pharmacotherapy, medication adherence, sleep efficiency, quality of life
- MeSH terms
- Adult, Attitude to Health, Choice Behavior, Chronic Disease, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Cognitive Behavioral Therapy, Patient Satisfaction
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