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Community and primary care nursing
Nurse-led cognitive behavioural group treatment intervention for insomnia successfully reduces daytime symptomatology
  1. Lauren Scott,
  2. Jessica Bawden
  1. Faculty of Nursing, The University of Toronto, Toronto, Ontario, Canada
  1. Correspondence to Lauren Scott, The University of Toronto, Toronto M5T 1P8, Ontario, Canada; Lauren.scott{at}

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Commentary on: Sandlund C, et al. Impact of group treatment for insomnia on daytime symptomatology: Analyses from a randomized controlled trial in primary care. Int J Nurs Stud 2018;85:126–35

Implications for practice and research

  • Nurse-led initiatives can be successfully applied to group treatment for insomnia in primary care settings.

  • Future research should continue to explore the impact of daytime symptomatology of insomnia (fatigue, mood, health related quality of life and daytime functioning) on subgroups of patients and should be considered when designing a treatment intervention.


The burden of insomnia is significant in primary care.1 Standard care often involves hypnotic medications. Previous research has focused on improvement in sleep outcomes. This article discusses how extensive daytime symptomatology is attributed to sleep difficulties and how these symptoms have …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • Patient and public involvement none declared