C M Morin

..Although benzodiazepines (BZDs) are commonly used in the treatment of insomnia, there is little information about psychological, health, and sociodemographic correlates associated with their use...

..Combined CBT and drug treatment can optimise outcomes, although evidence to guide clinical practice on the best way to integrate these approaches is scarce...

..To estimate the prevalence of insomnia and examine its correlates (for example, demographics and physical and mental health) and treatments...

..In conclusion, there is a substantial relapse rate following BZD discontinuation among prolonged users. CBT booster sessions might enhance compliance with CBT and prove useful in preventing relapse...

..Some clinical and practical issues that often arise when implementing this therapeutic approach for insomnia are also discussed...

..Insomnia is a prevalent health complaint that often remains untreated. Several interventions are efficacious but they are not widely available. This study evaluated the efficacy of a self-help behavioral intervention for insomnia...

..The extent to which episodes of insomnia will persist or remit over time is difficult to predict. We examined the natural history of insomnia and describe the most common trajectories over 3 years...

..Although it is often self-treated with herbal and dietary supplements or with over-the-counter sleep aids, there is still little evidence on the efficacy and safety of those products...

..To estimate the prevalence of insomnia symptoms and syndrome in the general population, describe the types of self-help treatments and consultations initiated for insomnia, and examine help-seeking determinants...

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..As with the original paper, this review was conducted by a task force commissioned by the American Academy of Sleep Medicine in order to update its practice parameters on psychological and behavioral therapies for insomnia...

..This paper presents new psychometric data on an abbreviated version of the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-16), a 16-item self-report measure designed to evaluate a subset of those sleep related cognitions...

..It is unclear whether combined or maintenance therapies would enhance outcome...

..This study evaluated the effectiveness of a supervised benzodiazepine taper, singly and combined with cognitive behavior therapy, for benzodiazepine discontinuation in older adults with chronic insomnia...

..Behavioral and pharmacological treatments have their benefits and limitations, but no placebo-controlled study has compared their separate and combined effects for late-life insomnia...

..These findings highlight the importance of targeting sleep-related beliefs and attitudes in the treatment of insomnia...

..Benzodiazepine-hypnotics are frequently used for treating insomnia in older adults; however, there is little information about adverse effects associated with their usage over several weeks, particularly in this segment of the population...

..We also discuss different types of evidence supporting the notion of psychological vulnerability in insomnia. Finally, we examine the clinical implications and propose avenues of future research...

..The present study examined the relationship of stress and coping skills, and the potential mediating role of presleep arousal, to sleep patterns in good sleepers and insomnia sufferers...

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..The need to evaluate outcome from multiple perspectives and to develop a core-assessment battery that would consider efficacy, clinical significance, and cost-effectiveness are discussed...

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..This study estimated the incidence of insomnia and examined potential risk factors in a cohort of good sleepers followed over a one-year period...

..To document and provide a micro analysis of the relationship between insomnia and health problems, health-care use, absenteeism, productivity and accidents...

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..The addition of a self-help treatment focusing on insomnia, a readily available and cost-effective alternative to individual psychotherapy, produced greater sleep improvement...

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..This study aimed to assess the prevalence, natural course, and risk factors of insomnia comorbid with cancer over a 2-month period...

..PARTICIPANTS AND PROCEDURE: Four hundred fifty-two participants aged 16 years and older with minor to severe TBI answered a questionnaire pertaining to quality of sleep and fatigue...

..Further research directly comparing placebo groups and untreated groups from the same randomized trials remains necessary...

..The objective of the present study was to document one aspect of sleep protection in chronic insomnia sufferers: the number and density of sleep spindles in Stage 2 sleep...

..To compare subjective and objective measures of sleep in traumatic brain injury patients (TBI) suffering from insomnia and in controls...

..The number of patients who no longer met GAD criteria was also greater in the CBT condition. The addition of specific CBT components thus seemed to facilitate benzodiazepine tapering among patients with GAD...

..This study assessed the efficacy of CT for depression administered individually in women with metastatic breast cancer and its effect on immune function...

..Specifically, the number and density of spontaneous K-complexes were studied in psychophysiological insomnia sufferers...

..The event-related potentials (ERPs) N1, P2, and N350 are useful indexes of arousal. The objective is to compare these ERPs in primary chronic psychophysiological insomniacs (INS) and good sleepers (GS) during multiple recordings...

..This study examined the relationship of psychological and health-related quality of life variables to insomnia in a population-based sample...

..To investigate the problem of insomnia and increased used of sleep medication among seniors and to look at an alternative form of treatment (cognitive-behavioural therapy [CBT]) that has been adapted specifically for this population...

..These findings suggest that cognitive-behavioral therapy, previously found effective for primary insomnia, is also of clinical benefit for insomnia secondary to cancer...

..To test the efficacy of a cognitive behavioral therapy (CBT) for insomnia with a patient with traumatic brain injury (TBI)...

..These results suggest that group therapy and telephone consultations represent cost-effective alternatives to individual therapy for the management of insomnia...

..The present study examined the sleep microstructure in relation to insomnia and chronic use of benzodiazepines in older adults...

..The goal of this study was to investigate whether clinical insomnia is associated with immune alterations by comparing immune functioning between patients with chronic insomnia and good sleepers...

..These events differed with the age of onset of insomnia but not with the gender of participants. These findings are useful to identify potential risk factors for insomnia and improve our understanding of the natural history of insomnia...

..Increased knowledge about the high prevalence, diagnosis, and potential etiological factors of insomnia following TBI may promote a better identification, evaluation, and treatment of sleeping difficulties in this population...

..Results indicate that this CBT package for GAD does have a significant impact on sleep quality even if sleep disturbances were not specifically addressed during treatment...

..These results have important clinical implications because SE may indicate key time points when patients are experiencing more difficulty during discontinuation...

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..Alternative interventions to benzodiazepine drugs, which are suited to long-term care residents while tailored to these specific care settings, should be developed...

..Also, a sequence beginning with a combined treatment followed by CBT alone seems to produce the best outcome. Additional research should be conducted with larger samples to determine the most effective sequence...

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..Previous analyses of this study showed that CBT was associated with improved sleep and quality of life, and reduced psychological distress...

..We compared the efficacy of tapering plus cognitive-behavioural therapy for insomnia with tapering alone in reducing the use of hypnotics by older adults with insomnia...

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..To assess as whether insomniacs have higher nighttime blood pressure (BP) and a blunted day-to-night BP reduction, recognized markers of increased risk of cardiovascular morbidity and mortality...

..To test the efficacy of a cognitive-behavioral therapy (CBT) for insomnia in persons having sustained traumatic brain injury (TBI)...

..However, the efficacy of these treatments has yet to be verified specifically in cancer patients...

..This study estimated from a societal perspective the direct and indirect costs of insomnia...

..To examine self-reported health care use and health care-seeking behaviour of patients meeting DSM-IV's diagnostic criteria for generalized anxiety disorder (GAD)...

..The worry and anxiety questionnaire (WAQ) is a questionnaire assessing specific GAD symptoms, as defined by the Diagnostic and Statistical Manual of Mental Disorders-4th Edition (DSM-IV)...

..This study aimed at examining the frequency of natural products' use for sleep and their correlates in a population-based sample...

..Future directions include the need to refine cognitive interventions and to examine the unique contribution of this therapeutic component to the overall efficacy of multifaceted cognitive-behavioral therapy...

..This study investigates the clinical effectiveness and the feasibility of applying cognitive behavior therapy (CBT) methods for insomnia in primary care...

..To present expert consensus recommendations for a standard set of research assessments in insomnia, reporting standards for these assessments, and recommendations for future research...

..Additional research is needed to characterize those sleep patterns in terms of clinical features and temporal course...

..This report outlines the WG's findings, the insomnia RDC derived, and research assessment procedures the WG recommends for identifying study participants who meet these RDC...

..The long-term objective is to contribute to the development and dissemination of evidence-based treatments for chronic insomnia and its common comorbidities. ..

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..The long-term objective is to contribute to the development and dissemination of evidence-based treatments for chronic insomnia and its common comorbidities. ..

..The long-term objective is to contribute to the development and dissemination of evidence-based treatments for chronic insomnia and its common comorbidities. ..