G D Jacobs1, H Benson, R Friedman. 1. Division of Behavioral Medicine, Deaconess Hospital/Harvard Medical School, Boston, Massachusetts 02215, USA.
Abstract
PURPOSE: This clinical replication series assessed the perceived outcome of individuals with chronic insomnia who spontaneously sought treatment at a hospital behavioral-medicine insomnia program. PATIENTS AND METHODS: Chronic insomnia patients who were treated with a group multifactor behavioral intervention completed posttreatment (n = 102) and 6-month follow-up (n = 70) questionnaires that assessed improvement. RESULTS: All patients reported improved sleep at posttreatment, with the majority (58%, 59) reporting significant improvement. Of sleep medication users, 91% (62/68) either eliminated or reduced medication use. At 6-month follow-up, 90% (63/70) of respondents rated improvement in sleep as either maintained or enhanced. CONCLUSION: These results suggest that patients spontaneously seeking treatment for insomnia, including sleep medication users and those with psychological comorbidity, derive significant benefit from a group multifactor behavioral intervention. Several factors, including maintenance of therapeutic gains at long-term follow-up, the average pretreatment duration of insomnia, previous unsuccessful treatment with psychotherapy and pharmacotherapy, and previous research, argue against nonspecific effects playing a significant role in these results.
PURPOSE: This clinical replication series assessed the perceived outcome of individuals with chronic insomnia who spontaneously sought treatment at a hospital behavioral-medicine insomnia program. PATIENTS AND METHODS: Chronic insomniapatients who were treated with a group multifactor behavioral intervention completed posttreatment (n = 102) and 6-month follow-up (n = 70) questionnaires that assessed improvement. RESULTS: All patients reported improved sleep at posttreatment, with the majority (58%, 59) reporting significant improvement. Of sleep medication users, 91% (62/68) either eliminated or reduced medication use. At 6-month follow-up, 90% (63/70) of respondents rated improvement in sleep as either maintained or enhanced. CONCLUSION: These results suggest that patients spontaneously seeking treatment for insomnia, including sleep medication users and those with psychological comorbidity, derive significant benefit from a group multifactor behavioral intervention. Several factors, including maintenance of therapeutic gains at long-term follow-up, the average pretreatment duration of insomnia, previous unsuccessful treatment with psychotherapy and pharmacotherapy, and previous research, argue against nonspecific effects playing a significant role in these results.
Authors: Manoj K Bhasin; Jeffery A Dusek; Bei-Hung Chang; Marie G Joseph; John W Denninger; Gregory L Fricchione; Herbert Benson; Towia A Libermann Journal: PLoS One Date: 2013-05-01 Impact factor: 3.240
Authors: Daniel B Hoch; Alice J Watson; Deborah A Linton; Heather E Bello; Marco Senelly; Mariola T Milik; Margaret A Baim; Kamal Jethwani; Gregory L Fricchione; Herbert Benson; Joseph C Kvedar Journal: PLoS One Date: 2012-03-28 Impact factor: 3.240
Authors: Louisa G Sylvia; Eric Bui; Allison L Baier; Darshan H Mehta; John W Denninger; Gregory L Fricchione; Aggie Casey; Leslee Kagan; Elyse R Park; Naomi M Simon Journal: Glob Adv Health Med Date: 2015-11-01
Authors: Manoj K Bhasin; John W Denninger; Jeff C Huffman; Marie G Joseph; Halsey Niles; Emma Chad-Friedman; Roberta Goldman; Beverly Buczynski-Kelley; Barbara A Mahoney; Gregory L Fricchione; Jeffery A Dusek; Herbert Benson; Randall M Zusman; Towia A Libermann Journal: J Altern Complement Med Date: 2018-04-04 Impact factor: 2.579