A Comparison of the Efficacy of Stimulus Control for Medicated and Nonmedicated Insomniacs
A sample of 21 medicated and 20 nonmedicated insomniacs participated in a sleep medication withdrawal program that provided education about sleep medication and a, gradual medication withdrawal schedule. Ten medicated participants received stimulus control treatment and the withdrawal program, and 1...
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Veröffentlicht in: | Behavior modification 1998-01, Vol.22 (1), p.3-28 |
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creator | Riedel, Brant W. Lichstein, Kenneth L. Peterson, Britt Ann Epperson, Michael T. Means, Melanie K. Aguillard, R. N. |
description | A sample of 21 medicated and 20 nonmedicated insomniacs participated in a sleep medication withdrawal program that provided education about sleep medication and a, gradual medication withdrawal schedule. Ten medicated participants received stimulus control treatment and the withdrawal program, and 11 medicated participants served as a control grouip that received only the withdrawal program. Half of the nonmedicated participants received stimulus control, and the remaining nommedicated participants served as a wait-list control condition. Medicated participants significantly reduced sleep medication use without significant deterioration on sleep, anxiety, or depression measures from baseline to 8-week follow-up. Stimulus control participants, unlike control group participants, showed significant improvement at follow-up for total sleep time, sleep efficiency, and sleep quality. Stimulus control participants also reported less daytime sleepiness than control participants after treatment. Nonmedicated participants exhibited a more positive response to stimulus control than medicated participants. |
doi_str_mv | 10.1177/01454455980221001 |
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Stimulus control participants, unlike control group participants, showed significant improvement at follow-up for total sleep time, sleep efficiency, and sleep quality. Stimulus control participants also reported less daytime sleepiness than control participants after treatment. Nonmedicated participants exhibited a more positive response to stimulus control than medicated participants.</description><identifier>ISSN: 0145-4455</identifier><identifier>EISSN: 1552-4167</identifier><identifier>DOI: 10.1177/01454455980221001</identifier><identifier>PMID: 9567734</identifier><identifier>CODEN: BEMODA</identifier><language>eng</language><publisher>2455 Teller Road, Thousand Oaks, CA 91320: SAGE PUBLICATIONS, INC</publisher><subject>Adult ; Aged ; Anti-Anxiety Agents - administration & dosage ; Anti-Anxiety Agents - adverse effects ; Antidepressive Agents - administration & dosage ; Antidepressive Agents - adverse effects ; Behavior Therapy - methods ; Behavior therapy. Cognitive therapy ; Benzodiazepines ; Biological and medical sciences ; Combined Modality Therapy ; Control Groups ; Depression (Psychology) ; Drug Use ; Female ; Follow-Up Studies ; Health education ; Humans ; Hypnotics and Sedatives - administration & dosage ; Hypnotics and Sedatives - adverse effects ; Insomnia ; Male ; Medical sciences ; Middle Aged ; Modeling (Psychology) ; Prescription drugs ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Sleep ; Sleep Initiation and Maintenance Disorders - therapy ; Substance Withdrawal Syndrome - therapy ; Treatment Outcome ; Treatments</subject><ispartof>Behavior modification, 1998-01, Vol.22 (1), p.3-28</ispartof><rights>1998 INIST-CNRS</rights><rights>Copyright Sage Publications, Inc. 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N.</creatorcontrib><title>A Comparison of the Efficacy of Stimulus Control for Medicated and Nonmedicated Insomniacs</title><title>Behavior modification</title><addtitle>Behav Modif</addtitle><description>A sample of 21 medicated and 20 nonmedicated insomniacs participated in a sleep medication withdrawal program that provided education about sleep medication and a, gradual medication withdrawal schedule. Ten medicated participants received stimulus control treatment and the withdrawal program, and 11 medicated participants served as a control grouip that received only the withdrawal program. Half of the nonmedicated participants received stimulus control, and the remaining nommedicated participants served as a wait-list control condition. Medicated participants significantly reduced sleep medication use without significant deterioration on sleep, anxiety, or depression measures from baseline to 8-week follow-up. Stimulus control participants, unlike control group participants, showed significant improvement at follow-up for total sleep time, sleep efficiency, and sleep quality. Stimulus control participants also reported less daytime sleepiness than control participants after treatment. Nonmedicated participants exhibited a more positive response to stimulus control than medicated participants.</description><subject>Adult</subject><subject>Aged</subject><subject>Anti-Anxiety Agents - administration & dosage</subject><subject>Anti-Anxiety Agents - adverse effects</subject><subject>Antidepressive Agents - administration & dosage</subject><subject>Antidepressive Agents - adverse effects</subject><subject>Behavior Therapy - methods</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Benzodiazepines</subject><subject>Biological and medical sciences</subject><subject>Combined Modality Therapy</subject><subject>Control Groups</subject><subject>Depression (Psychology)</subject><subject>Drug Use</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health education</subject><subject>Humans</subject><subject>Hypnotics and Sedatives - administration & dosage</subject><subject>Hypnotics and Sedatives - adverse effects</subject><subject>Insomnia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Modeling (Psychology)</subject><subject>Prescription drugs</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Cognitive therapy</topic><topic>Benzodiazepines</topic><topic>Biological and medical sciences</topic><topic>Combined Modality Therapy</topic><topic>Control Groups</topic><topic>Depression (Psychology)</topic><topic>Drug Use</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health education</topic><topic>Humans</topic><topic>Hypnotics and Sedatives - administration & dosage</topic><topic>Hypnotics and Sedatives - adverse effects</topic><topic>Insomnia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Modeling (Psychology)</topic><topic>Prescription drugs</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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Half of the nonmedicated participants received stimulus control, and the remaining nommedicated participants served as a wait-list control condition. Medicated participants significantly reduced sleep medication use without significant deterioration on sleep, anxiety, or depression measures from baseline to 8-week follow-up. Stimulus control participants, unlike control group participants, showed significant improvement at follow-up for total sleep time, sleep efficiency, and sleep quality. Stimulus control participants also reported less daytime sleepiness than control participants after treatment. Nonmedicated participants exhibited a more positive response to stimulus control than medicated participants.</abstract><cop>2455 Teller Road, Thousand Oaks, CA 91320</cop><pub>SAGE PUBLICATIONS, INC</pub><pmid>9567734</pmid><doi>10.1177/01454455980221001</doi><tpages>26</tpages></addata></record> |
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subjects | Adult Aged Anti-Anxiety Agents - administration & dosage Anti-Anxiety Agents - adverse effects Antidepressive Agents - administration & dosage Antidepressive Agents - adverse effects Behavior Therapy - methods Behavior therapy. Cognitive therapy Benzodiazepines Biological and medical sciences Combined Modality Therapy Control Groups Depression (Psychology) Drug Use Female Follow-Up Studies Health education Humans Hypnotics and Sedatives - administration & dosage Hypnotics and Sedatives - adverse effects Insomnia Male Medical sciences Middle Aged Modeling (Psychology) Prescription drugs Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Sleep Sleep Initiation and Maintenance Disorders - therapy Substance Withdrawal Syndrome - therapy Treatment Outcome Treatments |
title | A Comparison of the Efficacy of Stimulus Control for Medicated and Nonmedicated Insomniacs |
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