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Treatment
Cognitive behavioural therapy improved benzodiazepine discontinuation in chronic insomnia

http://dx.doi.org/10.1136/ebn.7.2.52

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    Baillargeon L, Landreville P, Verreault R, et al. Discontinuation of benzodiazepines among older insomniac adults treated with cognitive-behavioural therapy combined with gradual tapering: a randomized trial. CMAJ 2003;169:1015–20.OpenUrlAbstract/FREE Full Text

    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

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    not concealed.

    Embedded ImageBlinding:

    unblinded.

    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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    Footnotes

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

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

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