Nonpharmacologic treatments of insomnia.
Nonpharmacologic treatments that have been evaluated for insomnia are reviewed. These include sleep hygiene techniques, stimulus control instructions, sleep restriction, chronotherapy, bright light therapy, relaxation training, biofeedback, paradoxical intention, and cognitive therapy. Comparative studies of the different treatments indicate considerable overlap in effectiveness. Direct comparisons between treatments have shown stimulus control instructions to be more effective than either relaxation training or paradoxical intention. Further research is needed on the tailoring of treatments to patient needs, as are more detailed comparisons between pharmacologic and nonpharmacologic treatments.
Bootzin
R R
RR
Department of Psychology, University of Arizona, Tucson 85721.
Perlis
M L
ML
D001521:Behavior Therapy / Q000379:methods; D001569:Benzodiazepines / Q000627:therapeutic use; D001676:Biofeedback, Psychology; D015928:Cognitive Behavioral Therapy; D006801:Humans; D008499:Medical Records; D010353:Patient Education as Topic; D010789:Phototherapy; D012064:Relaxation Therapy; D007319:Sleep Initiation and Maintenance Disorders / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*
D001569:Benzodiazepines