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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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“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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Items 201–221 of 221
Harvey, A. G., & Asarnow, L. D. (2013) · doi:10.1002/9781118528563.wbcbt24
Sidani, S., & Braden, C. J. (2011) · Wiley eBooks · doi:10.1002/9781118785553.refs
Sleep Restriction as Therapy for Insomnia
Morin, C. M., LeBlanc, M., & Daley, M. (2004) · Lung biology in health and disease · doi:10.1201/b14100-24
Preferences for sleep tip information
Torsein, A. S. (2022) · doi:10.32920/ryerson.14668446
Preferences for sleep tip information
Torsein, A. S. (2022) · doi:10.32920/ryerson.14668446.v1
Hrozanova, M., Meisingset, I., Kallestad, H., Pallesen, S., Nordstoga, A. L., & Skarpsno, E. S. (2023) · Research Square · doi:10.21203/rs.3.rs-2458313/v1
Kamei, H., Kitajima, T., Hatano, M., Takeuchi, I., Hanya, M., Fujita, K., & Iwata, N. (2023) · Research in Clinical Pharmacy · doi:10.59931/rcp.23.001
Behavioural Treatment Considerations for Insomnia: a Review of Meta-analyses
Pal, A., Basu, A., & Gupta, R. M. (2023) · Current Sleep Medicine Reports · doi:10.1007/s40675-023-00264-7
Improved sleep as an adjunctive treatment for smoking cessation
Patterson, F., & Ashare, R. L. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-13954-3.00029-2
Hrozanova, M., Meisingset, I., Kallestad, H., Pallesen, S., Nordstoga, A. L., & Skarpsno, E. S. (2023) · Figshare · doi:10.6084/m9.figshare.22609894
Rauwerda, N. L., Knoop, H., Pot, I., van Straten, A., Rikkert, M., Zondervan, A., Timmerhuis, T. P. J., Braamse, A. M. J., & Boss, H. M. (2021) · Figshare · doi:10.6084/m9.figshare.17163071
Hrozanova, M., Meisingset, I., Kallestad, H., Pallesen, S., Nordstoga, A. L., & Skarpsno, E. S. (2023) · Figshare · doi:10.6084/m9.figshare.22609897
Hrozanova, M., Meisingset, I., Kallestad, H., Pallesen, S., Nordstoga, A. L., & Skarpsno, E. S. (2023) · Figshare · doi:10.6084/m9.figshare.22609900
Liu, S. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1685297
Birling, Y., Bhuyan, D. J., Feng, F., Liu, J., Jia, M., Yu, W. Y., Rahimi, M. M., Carlson, L. E., Zhang, H., Jasim, N., et al. (2026) · Journal of Psychosocial Oncology Research and Practice · doi:10.1097/or9.0000000000000195
Zhang, J., Song, J., Hu, J., Zhang, W., Feng, Y., 丁婉琦, Xu, C., & Liu, H. (2026) · Frontiers in Neurology · doi:10.3389/fneur.2026.1855633
“Although CBT-I is recommended as first-line therapy, its use is often limited by availability, time burden, and cost, which may reduce uptake and adherence (7–9).”
Insomnia treatment preferences of older adults and people living with dementia: A qualitative study
McEvoy, A. M., Reeve, E., Ride, J., Langford, A. V., Lee, K. M. K., Loh, S., & Turner, J. P. (2026) · Journal of Alzheimer s Disease · doi:10.1177/13872877261487350
Metadata
- 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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