On the comparability of pharmacotherapy and behavior therapy for chronic insomnia: Commentary and implications

Michael L. Perlis, Michael T. Smith, D. O. Cacialli, Sara Nowakowski, Henry Orff

Research output: Contribution to journalArticle

25 Scopus citations


Objectives: Recently, we undertook an empirical review using meta-analytic techniques to assess the extent to which these therapeutic strategies produce comparable outcomes. No differences between the two therapeutic strategies were found, except for sleep latency (SL). Behavior therapy demonstrated a greater reduction in latency to sleep onset as compared to pharmacotherapy. In the present paper, we provide a brief summary of our meta-analysis and then (1) critically review the outcomes and (2) place the findings into a larger context that takes into account what factors represent barriers to treatment and how can we insure that in the future patients will have increased access to behavioral sleep medicine services.

Original languageEnglish (US)
Pages (from-to)51-59
Number of pages9
JournalJournal of Psychosomatic Research
Issue number1
StatePublished - Jan 1 2003
Externally publishedYes



  • Behavior therapy
  • Insomnia
  • Meta-analysis
  • Pharmacotherapy
  • Treatment outcome

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Psychology(all)

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