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

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

    Research output: Contribution to journalArticlepeer-review

    25 Scopus citations

    Abstract

    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
    Volume54
    Issue number1
    DOIs
    StatePublished - Jan 1 2003

    Keywords

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

    ASJC Scopus subject areas

    • Clinical Psychology
    • Psychiatry and Mental health

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