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Evid Based Nurs 7:52 doi:10.1136/ebn.7.2.52
  • Treatment

Cognitive behavioural therapy improved benzodiazepine discontinuation in chronic insomnia


 
 Q In older patients with chronic insomnia who have been taking a benzodiazepine nightly for ⩾3 months, is cognitive behavioural therapy plus tapering (CBTT) more effective than tapering alone (TA) for inducing benzodiazepine discontinuation?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

not concealed.

GraphicBlinding:

unblinded.

GraphicFollow up period:

12 months.

GraphicSetting:

a university hospital in Sainte-Foy, Québec, Canada.

GraphicPatients:

65 patients ⩾50 years of age (mean age 67 y, 58% women) with chronic insomnia (⩾6 months); impaired daytime functioning or mood disturbances; nightly benzodiazepine use for ⩾3 months; and inability to refrain from taking a hypnotic for fear of poor sleep or reported <80% sleep efficiency (total sleep time/time in bed × 100) over a 2 week period. Exclusion criteria included cognitive impairment, severe psychiatric or physical problems, daytime benzodiazepine use, and consumption …

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