title: Multifactor behavioral treatment of chronic sleep-onset insomnia using stimulus control and the relaxation response. A preliminary study.
abstract: Sleep latency changes following behavioral interventions for sleep-onset insomnia are only moderate because the majority of insomniacs do not achieve good sleeper status at posttreatment. This study evaluated the efficacy of a multifactor behavior intervention consisting of stimulus control and relaxation-response training (n = 10) compared to stimulus control alone (n = 10) for sleep-onset insomnia. Only the multifactor subjects' mean posttest sleep latency fell within the good sleeper range. They also exhibited a 77% improvement on mean sleep-onset latency compared to the stimulus control group (63%). Thus a multifactor intervention may be more effective than stimulus control alone for treatment of sleep-onset insomnia.
authors.affiliation: Harvard Medical School.
authors.forename: G D
authors.initials: GD
authors.lastname: Jacobs
authors.forename: P A
authors.initials: PA
authors.lastname: Rosenberg
authors.forename: R
authors.initials: R
authors.lastname: Friedman
authors.forename: J
authors.initials: J
authors.lastname: Matheson
authors.forename: G M
authors.initials: GM
authors.lastname: Peavy
authors.forename: A D
authors.initials: AD
authors.lastname: Domar
authors.forename: H
authors.initials: H
authors.lastname: Benson
mesh_terms: D000328:Adult; D001143:Arousal; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012064:Relaxation Therapy; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology / Q000628:therapy*; D012894:Sleep Stages