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Cognitive behavioural therapy improved benzodiazepine discontinuation in chronic insomnia

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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?


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

not concealed.

Embedded ImageBlinding:


Embedded ImageFollow up period:

12 months.

Embedded ImageSetting:

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

Embedded ImagePatients:

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 …

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  • For correspondence: Dr L Baillargeon, Laval University, Sainte-Foy, Québec, Canada.

  • Source of funding: National Health Research and Development Program, Health Canada.

  • A modified version of this abstract appears in ACP Journal Club.