Top

Gepubliceerd in:

01-06-2009

Non-pharmacological treatments for insomnia

Auteurs: Matthew R. Ebben, Arthur J. Spielman

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2009

Abstract

Insomnia is a common disorder effecting millions of people worldwide. Currently most individuals suffering from insomnia take medications to help them sleep. However, there are a variety of behavioral treatments, which have been shown to be effective in empirical studies that offer many advantages over medications. In addition, behavioral treatments have been shown to be more effective long-term than medication. This paper reviews the principles and practice of these behavioral treatments. At the end of the paper there is also a brief discussion of circadian rhythm disorders that can mimic insomnia.

vorige artikel Substance use behaviors as a mediator between posttraumatic stress disorder and physical health in trauma-exposed college students

volgende artikel Childhood trauma and adulthood physical health in Mexico

Adamson, J., & Burdick, J. A. (1973). Sleep of dry alcoholics. Archives of General Psychiatry, 28(1), 146–149.PubMed

American Academy of Sleep Medicine. (2005). The international classification of sleep disorders: Diagnostic and coding manual (xviii, 297 pp). Westchester, IL: American Academy of Sleep Medicine.

Ando, K., Kripke, D. F., & Ancoli-Israel, S. (1995). Estimated prevalence of delayed and advanced sleep phase syndromes. Sleep Research, 24, 509.

Ando, K., Kripke, D. F., & Ancoli-Israel, S. (2002). Delayed and advanced sleep phase symptoms. The Israel Journal of Psychiatry and Related Sciences, 39(1), 11–18.PubMed

Bastien, C. H., Vallieres, A., & Morin, C. M. (2004). Precipitating factors of insomnia. Behavioral Sleep Medicine, 2(1), 50–62. doi:10.1207/s15402010bsm0201_5.PubMedCrossRef

Benca, R. M., Obermeyer, W. H., Thisted, R. A., & Gillin, J. C. (1992). Sleep and psychiatric disorders. A meta-analysis. Archives of General Psychiatry, 49(8), 651–668. discussion 669–70.PubMed

Boivin, D. B., Duffy, J. F., Kronauer, R. E., & Czeisler, C. A. (1996). Dose–response relationships for resetting of human circadian clock by light. Nature, 379(6565), 540–542. doi:10.1038/379540a0.PubMedCrossRef

Bootzin, R. R. (1972). A stimulus control treatment for insomnia. In Proceedings of the American Psychological Association (pp. 395–396).

Bootzin, R. R., Epstein, D., & Wood, J. M. (1991). Stimulus control instructions. In P. Hauri (Ed.), Critical issues in psychiatry: Case studies in insomnia (pp. 19–28). New York: Plenum Medical Book.

Breslau, N., Roth, T., Rosenthal, L., & Andreski, P. (1996). Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young adults. Biological Psychiatry, 39(6), 411–418. doi:10.1016/0006-3223(95)00188-3.PubMedCrossRef

Coursey, R. D., Frankel, B. L., Gaarder, K. R., & Mott, D. E. (1980). A comparison of relaxation techniques with electrosleep therapy for chronic, sleep-onset insomnia a sleep-EEG study. Biofeedback and Self-Regulation, 5(1), 57–73. doi:10.1007/BF00999064.PubMedCrossRef

Czeisler, C. A., Buxton, O. M., & Khalsa, S. B. S. (2005). The human circadian timing system and sleep-wake regulation. In M. H. Kryger, T. Roth, & W. C. Dement (Eds.), Principles and practice of sleep medicine (4th ed., xxxiii, 1517 pp). Philadelphia, PA: Elsevier/Saunders.

Czeisler, C. A., Richardson, G. S., Coleman, R. M., Zimmerman, J. C., Moore-Ede, M. C., Dement, W. C., et al. (1981). Chronotherapy: Resetting the circadian clocks of patients with delayed sleep phase insomnia. Sleep, 4(1), 1–21.PubMed

Dahlitz, M., Alvarez, B., Vignau, J., English, J., Arendt, J., & Parkes, J. D. (1991). Delayed sleep phase syndrome response to melatonin. Lancet, 337(8750), 1121–1124. doi:10.1016/0140-6736(91)92787-3.PubMedCrossRef

Drake, C., Richardson, G., Roehrs, T., Scofield, H., & Roth, T. (2004). Vulnerability to stress-related sleep disturbance and hyperarousal. Sleep, 27(2), 285–291.PubMed

Ebben, M. R., & Fine, L. (2009). Insomnia: A risk for future psychiatric illness. In S. R. Pandi-Peumal & M. Kramer (Eds.), Sleep and mental illness. Cambridge: Cambridge University Press (in press).

Edinger, J. D., Wohlgemuth, W. K., Radtke, R. A., Marsh, G. R., & Quillian, R. E. (2001). Cognitive behavioral therapy for treatment of chronic primary insomnia: A randomized controlled trial. Journal of the American Medical Association, 285(14), 1856–1864. doi:10.1001/jama.285.14.1856.PubMedCrossRef

Engle-Friedman, M., Bootzin, R. R., Hazlewood, L., & Tsao, C. (1992). An evaluation of behavioral treatments for insomnia in the older adult. Journal of Clinical Psychology, 48(1), 77–90. doi:10.1002/1097-4679(199201)48:1<77::AID-JCLP2270480112>3.0.CO;2-J.PubMedCrossRef

Espie, C. A., & Lindsay, W. R. (1985). Paradoxical intention in the treatment of chronic insomnia: Six case studies illustrating variability in therapeutic response. Behaviour Research and Therapy, 23(6), 703–709. doi:10.1016/0005-7967(85)90070-1.PubMedCrossRef

Espie, C. A., Lindsay, W. R., Brooks, D. N., Hood, E. M., & Turvey, T. (1989). A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia. Behaviour Research and Therapy, 27(1), 79–88. doi:10.1016/0005-7967(89)90123-X.PubMedCrossRef

Espie, C. A., Inglis, S. J., Tessier, S., & Harvey, L. (2001). The clinical effectiveness of cognitive behaviour therapy for chronic insomnia: Implementation and evaluation of a sleep clinic in general medical practice. Behaviour Research and Therapy, 39(1), 45–60. doi:10.1016/S0005-7967(99)00157-6.PubMedCrossRef

Espie, C. A., Broomfield, N. M., MacMahon, K. M., Macphee, L. M., & Taylor, L. M. (2006). The attention-intention-effort pathway in the development of psychophysiologic insomnia: A theoretical review. Sleep Medicine Reviews, 10(4), 215–245. doi:10.1016/j.smrv.2006.03.002.PubMedCrossRef

Fava, M., McCall, W. V., Krystal, A., Wessel, T., Rubens, R., Caron, J., et al. (2006). Eszopiclone co-administered with fluoxetine in patients with insomnia coexisting with major depressive disorder. Biological Psychiatry, 59(11), 1052–1060. doi:10.1016/j.biopsych.2006.01.016.PubMedCrossRef

Ford, D. E., & Kamerow, D. B. (1989). Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention? Journal of the American Medical Association, 262(11), 1479–1484. doi:10.1001/jama.262.11.1479.PubMedCrossRef

Freedman, R., & Papsdorf, J. D. (1976). Biofeedback and progressive relaxation treatment of sleep-onset insomnia: A controlled, all-night investigation. Biofeedback and Self-Regulation, 1(3), 253–271. doi:10.1007/BF01001167.PubMedCrossRef

Friedman, L., Bliwise, D. L., Yesavage, J. A., & Salom, S. R. (1991). A preliminary study comparing sleep restriction and relaxation treatments for insomnia in older adults. Journal of Gerontology, 46(1), 1–8.

Greenblatt, D. J. (1992). Pharmacology of benzodiazepine hypnotics. The Journal of Clinical Psychiatry, 53(Suppl), 7–13.PubMed

Guilleminault, C., Clerk, A., Black, J., Labanowski, M., Pelayo, R., & Claman, D. (1995). Nondrug treatment trials in psychophysiologic insomnia. Archives of Internal Medicine, 155(8), 838–844. doi:10.1001/archinte.155.8.838.PubMedCrossRef

Gustafson, R. (1992). Treating insomnia with a self-administered muscle relaxation training program: A follow-up. Psychological Reports, 70(1), 124–126. doi:10.2466/PR0.70.1.124-126.PubMedCrossRef

Harvey, A. G., Sharpley, A. L., Ree, M. J., Stinson, K., & Clark, D. M. (2007). An open trial of cognitive therapy for chronic insomnia. Behaviour Research and Therapy, 45(10), 2491–2501. doi:10.1016/j.brat.2007.04.007.PubMedCrossRef

Hauri, P. (1981). Treating psychophysiologic insomnia with biofeedback. Archives of General Psychiatry, 38(7), 752–758.PubMed

Hauri, P. (1991). Sleep hygiene, relaxation therapy, and cognitive interventions. In P. Hauri (Ed.), Critical issues in psychiatry: Case studies in insomnia (pp. 65–84). New York: Plenum Medical Book.

Hauri, P. J., Percy, L., Hellekson, C., Hartmann, E., & Russ, D. (1982). The treatment of psychophysiologic insomnia with biofeedback: A replication study. Biofeedback and Self-Regulation, 7(2), 223–235. doi:10.1007/BF00998785.PubMedCrossRef

Jacobs, G. D., Rosenberg, P. A., Friedman, R., Matheson, J., Peavy, G. M., Domar, A. D., et al. (1993). Multifactor behavioral treatment of chronic sleep-onset insomnia using stimulus control and the relaxation response. A preliminary study. Behavior Modification, 17(4), 498–509. doi:10.1177/01454455930174005.PubMedCrossRef

Jacobs, G. D., Pace-Schott, E. F., Stickgold, R., & Otto, M. W. (2004). Cognitive behavior therapy and pharmacotherapy for insomnia: A randomized controlled trial and direct comparison. Archives of Internal Medicine, 164(17), 1888–1896. doi:10.1001/archinte.164.17.1888.PubMedCrossRef

Johnson, L. C., & Chernik, D. A. (1982). Sedative-hypnotics and human performance. Psychopharmacology, 76(2), 101–113. doi:10.1007/BF00435262.PubMedCrossRef

Johnson, E. O., Roth, T., & Breslau, N. (2006). The association of insomnia with anxiety disorders and depression: Exploration of the direction of risk. Journal of Psychiatric Research, 40(8), 700–708. doi:10.1016/j.jpsychires.2006.07.008.PubMedCrossRef

Kales, A., & Kales, J. D. (1984). Evaluation and treatment of insomnia (xi, 324 pp). New York: Oxford University Press.

Kales, A., Bixler, E. O., Tan, T. L., Scharf, M. B., & Kales, J. D. (1974). Chronic hypnotic-drug use. Ineffectiveness, drug-withdrawal insomnia, and dependence. Journal of the American Medical Association, 227(5), 513–517. doi:10.1001/jama.227.5.513.PubMedCrossRef

Karacan, I., Thornby, J. I., Anch, M., Booth, G. H., Williams, R. L., & Salis, P. J. (1976). Dose-related sleep disturbances induced by coffee and caffeine. Clinical Pharmacology and Therapeutics, 20(6), 682–689.PubMed

Katz, D. A., & McHorney, C. A. (1998). Clinical correlates of insomnia in patients with chronic illness. Archives of Internal Medicine, 158(10), 1099–1107. doi:10.1001/archinte.158.10.1099.PubMedCrossRef

Khalsa, S. B., Jewett, M. E., Cajochen, C., & Czeisler, C. A. (2003). A phase response curve to single bright light pulses in human subjects. The Journal of Physiology, 549(Pt 3), 945–952. doi:10.1113/jphysiol.2003.040477.PubMedCrossRef

Kuppermann, M., Lubeck, D. P., Mazonson, P. D., Patrick, D. L., Stewart, A. L., Buesching, D. P., et al. (1995). Sleep problems and their correlates in a working population. Journal of General Internal Medicine, 10(1), 25–32. doi:10.1007/BF02599573.PubMedCrossRef

Lacks, P., Bertelson, A. D., Sugerman, J., & Kunkel, J. (1983). The treatment of sleep-maintenance insomnia with stimulus-control techniques. Behaviour Research and Therapy, 21(3), 291–295. doi:10.1016/0005-7967(83)90211-5.PubMedCrossRef

Ladouceur, R., & Gros-Louis, Y. (1986). Paradoxical intention vs stimulus control in the treatment of severe insomnia. Journal of Behavior Therapy and Experimental Psychiatry, 17(4), 267–269. doi:10.1016/0005-7916(86)90062-5.PubMedCrossRef

Lichstein, K. L., & Johnson, R. S. (1993). Relaxation for insomnia and hypnotic medication use in older women. Psychology and Aging, 8(1), 103–111. doi:10.1037/0882-7974.8.1.103.PubMedCrossRef

Lick, J. R., & Heffler, D. (1977). Relaxation training and attention placebo in the treatment of severe insomnia. Journal of Consulting and Clinical Psychology, 45(2), 153–161. doi:10.1037/0022-006X.45.2.153.PubMedCrossRef

McClusky, H. Y., Milby, J. B., Switzer, P. K., Williams, V., & Wooten, V. (1991). Efficacy of behavioral versus triazolam treatment in persistent sleep-onset insomnia. The American Journal of Psychiatry, 148(1), 121–126.PubMed

Mitchell, K. R. (1979). Behavioral treatment of presleep tension and intrusive cognitions in patients with severe predormital insomnia. Journal of Behavioral Medicine, 2(1), 57–69. doi:10.1007/BF00846563.PubMedCrossRef

Morgenthaler, T., Kramer, M., Alessi, C., Friedman, L., Boehlecke, B., Brown, T., et al. (2006). Practice parameters for the psychological and behavioral treatment of insomnia: An update. An american academy of sleep medicine report. Sleep, 29(11), 1415–1419.PubMed

Morgenthaler, T. I., Lee-Chiong, T., Alessi, C., Friedman, L., Aurora, R. N., Boehlecke, B., et al. (2007). Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report. Sleep, 30(11), 1445–1459.PubMed

Morin, C. M. (1993). Cognitive therapy Component. Insomnia: Psychological assessment and management. Treatment manuals for practitioners (pp. 126–144). Guilford Press: New York.

Morin, C. M., & Azrin, N. H. (1987). Stimulus control and imagery training in treating sleep-maintenance insomnia. Journal of Consulting and Clinical Psychology, 55(2), 260–262. doi:10.1037/0022-006X.55.2.260.PubMedCrossRef

Morin, C. M., Gaulier, B., Barry, T., & Kowatch, R. A. (1992). Patients’ acceptance of psychological and pharmacological therapies for insomnia. Sleep, 15(4), 302–305.PubMed

Morin, C. M., Kowatch, R. A., Barry, T., & Walton, E. (1993a). Cognitive-behavior therapy for late-life insomnia. Journal of Consulting and Clinical Psychology, 61(1), 137–146. doi:10.1037/0022-006X.61.1.137.PubMedCrossRef

Morin, C. M., Stone, J., Trinkle, D., Mercer, J., & Remsberg, S. (1993b). Dysfunctional beliefs and attitudes about sleep among older adults with and without insomnia complaints. Psychology and Aging, 8(3), 463–467. doi:10.1037/0882-7974.8.3.463.PubMedCrossRef

Morin, C. M., Culbert, J. P., & Schwartz, S. M. (1994). Nonpharmacological interventions for insomnia: A meta-analysis of treatment efficacy. The American Journal of Psychiatry, 151(8), 1172–1180.PubMed

Morin, C. M., Colecchi, C., Stone, J., Sood, R., & Brink, D. (1999a). Behavioral and pharmacological therapies for late-life insomnia: A randomized controlled trial. Journal of the American Medical Association, 281(11), 991–999. doi:10.1001/jama.281.11.991.PubMedCrossRef

Morin, C. M., Hauri, P. J., Espie, C. A., Spielman, A. J., Buysse, D. J., & Bootzin, R. R. (1999b). Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review. Sleep, 22(8), 1134–1156.PubMed

Murtagh, D. R., & Greenwood, K. M. (1995). Identifying effective psychological treatments for insomnia: A meta-analysis. Journal of Consulting and Clinical Psychology, 63(1), 79–89. doi:10.1037/0022-006X.63.1.79.PubMedCrossRef

Nagtegaal, J. E., Kerkhof, G. A., Smits, M. G., Swart, A. C., & Van Der Meer, Y. G. (1998). Delayed sleep phase syndrome: A placebo-controlled cross-over study on the effects of melatonin administered five hours before the individual dim light melatonin onset. Journal of Sleep Research, 7(2), 135–143. doi:10.1046/j.1365-2869.1998.00102.x.PubMedCrossRef

Nicassio, P., & Bootzin, R. (1974). A comparison of progressive relaxation and autogenic training as treatments for insomnia. Journal of Abnormal Psychology, 83(3), 253–260. doi:10.1037/h0036729.PubMedCrossRef

Nicassio, P. M., Boylan, M. B., & McCabe, T. G. (1982). Progressive relaxation, EMG biofeedback and biofeedback placebo in the treatment of sleep-onset insomnia. The British Journal of Medical Psychology, 55(Pt 2), 159–166.PubMed

Nierenberg, A. A., Keefe, B. R., Leslie, V. C., Alpert, J. E., Pava, J. A., Worthington, J. J., III, et al. (1999). Residual symptoms in depressed patients who respond acutely to fluoxetine. The Journal of Clinical Psychiatry, 60(4), 221–225.PubMed

NIH State-of-the-Science Conference Statement on manifestations and management of chronic insomnia in adults. NIH Consensus and State-of-the-Science Statements, 22(2), 1–30 (2005).

Ohayon, M. M. (1997). Prevalence of DSM-IV diagnostic criteria of insomnia: Distinguishing insomnia related to mental disorders from sleep disorders. Journal of Psychiatric Research, 31(3), 333–346. doi:10.1016/S0022-3956(97)00002-2.PubMedCrossRef

Ohayon, M. M. (2007). Prevalence and comorbidity of sleep disorders in general population. La Revue du Praticien, 57(14), 1521–1528.PubMed

Ohayon, M. M., & Roth, T. (2003). Place of chronic insomnia in the course of depressive and anxiety disorders. Journal of Psychiatric Research, 37(1), 9–15. doi:10.1016/S0022-3956(02)00052-3.PubMedCrossRef

Ohayon, M. M., Shapiro, C. M., & Kennedy, S. H. (2000). Differentiating DSM-IV anxiety and depressive disorders in the general population: Comorbidity and treatment consequences. Canadian Journal of Psychiatry, 45(2), 166–172.

Oldani, A., Ferini-Strambi, L., Zucconi, M., Stankov, B., Fraschini, F., & Smirne, S. (1994). Melatonin and delayed sleep phase syndrome: Ambulatory polygraphic evaluation. NeuroReport, 6(1), 132–134.PubMedCrossRef

Ree, M. J., & Harvey, A. G. (2004). Investigating Safety Behaviours in Insomnia: The Development of the Sleep-related Behaviours Questionnaire (SRBQ). Behaviour Change, 21, 26–36. doi:10.1375/bech.21.1.26.35971.CrossRef

Riedel, B. W., Lichstein, K. L., & Dwyer, W. O. (1995). Sleep compression and sleep education for older insomniacs: Self-help versus therapist guidance. Psychology and Aging, 10(1), 54–63. doi:10.1037/0882-7974.10.1.54.PubMedCrossRef

Sanavio, E. (1988). Pre-sleep cognitive intrusions and treatment of onset-insomnia. Behaviour Research and Therapy, 26(6), 451–459. doi:10.1016/0005-7967(88)90139-8.PubMedCrossRef

Schutte-Rodin, S., Broch, L., Buysse, D., Dorsey, C., & Sateia, M. (2008). Evaluation and management of chronic insomnia in adults: An American Academy of Sleep Medicine clinical guideline. Journal of Clinical Sleep Medicine, in press.

Simon, G. E., & VonKorff, M. (1997). Prevalence, burden, and treatment of insomnia in primary care. The American Journal of Psychiatry, 154(10), 1417–1423.PubMed

Smith, M. T., Perlis, M. L., Park, A., Smith, M. S., Pennington, J., Giles, D. E., et al. (2002). Comparative meta-analysis of pharmacotherapy and behavior therapy for persistent insomnia. The American Journal of Psychiatry, 159(1), 5–11. doi:10.1176/appi.ajp.159.1.5.PubMedCrossRef

Spielman, A. J., Caruso, L. S., & Glovinsky, P. B. (1987a). A behavioral perspective on insomnia treatment. The Psychiatric Clinics of North America, 10(4), 541–553.PubMed

Spielman, A. J., Saskin, P., & Thorpy, M. J. (1987b). Treatment of chronic insomnia by restriction of time in bed. Sleep, 10(1), 45–56.PubMed

Stanton, H. E. (1989). Hypnotic relaxation and the reduction of sleep onset insomnia. International Journal of Psychosomatics, 36(1–4), 64–68.PubMed

Taylor, D. J., Lichstein, K. L., Durrence, H. H., Reidel, B. W., & Bush, A. J. (2005). Epidemiology of insomnia, depression, and anxiety. Sleep, 28(11), 1457–1464.PubMed

Turner, R. M., & Ascher, L. M. (1979). Controlled comparison of progressive relaxation, stimulus control, and paradoxical intention therapies for insomnia. Journal of Consulting and Clinical Psychology, 47(3), 500–508. doi:10.1037/0022-006X.47.3.500.PubMedCrossRef

Turner, R. M., & Ascher, L. M. (1982). Therapist factor in the treatment of insomnia. Behaviour Research and Therapy, 20(1), 33–40. doi:10.1016/0005-7967(82)90006-7.PubMedCrossRef

Walsh, J. K., & Schweitzer, P. K. (1999). Ten-year trends in the pharmacological treatment of insomnia. Sleep, 22(3), 371–375.PubMed

Weissman, M. M., Bland, R. C., Canino, G. J., Faravelli, C., Greenwald, S., Hwu, H. G., et al. (1996). Cross-national epidemiology of major depression and bipolar disorder. Journal of the American Medical Association, 276(4), 293–299. doi:10.1001/jama.276.4.293.PubMedCrossRef

Woolfolk, R. L., & McNulty, T. F. (1983). Relaxation treatment for insomnia: A component analysis. Journal of Consulting and Clinical Psychology, 51(4), 495–503. doi:10.1037/0022-006X.51.4.495.PubMedCrossRef

Yang, C. M., Spielman, A. J., & Glovinsky, P. (2006). Nonpharmacologic strategies in the management of insomnia. The Psychiatric Clinics of North America, 29(4), 895–919. doi:10.1016/j.psc.2006.09.005. abstract viii.PubMedCrossRef

Zee, P. C. (2006). Circadian rhythm sleep disorders. Primary Psychiatry, 13(8), 58–67.

Titel: Non-pharmacological treatments for insomnia
Auteurs: Matthew R. Ebben
Arthur J. Spielman
Publicatiedatum: 01-06-2009
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2009
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-008-9198-8

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2009

Co-occurrence of diabetes and hopelessness predicts adverse prognosis following percutaneous coronary intervention

Predictors of adherence to diabetes medications: the role of disease and medication beliefs

Substance use behaviors as a mediator between posttraumatic stress disorder and physical health in trauma-exposed college students

Childhood trauma and adulthood physical health in Mexico

Relationship between self-efficacy and physical activity among patients with type 2 diabetes

Patients’ reasons for electing to undergo total knee arthroplasty impact post-operative pain severity and range of motion