A Comparative Study of the Efficacy of Cognitive Behavioral Therapy and Zopiclone in Chronic Insomnia
Pchelina P. V., Tabidze A. A., Poluekotov M. G.
Neuroscience and Behavioral Physiology
Vol.49, Issue1, P. 38-44
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.1007/s11055-018-0688-z
Аннотация:
Objectives. To assess the efficacy of the cognitive behavioral therapy of insomnia (CBT-I) compared with pharmacotherapy in chronic insomnia in the Russian population. Materials and methods. A crossover trial was performed in 42 patients with chronic insomnia (14 men and 28 women) aged 29–80 years old, who received two courses of treatment: using zopiclone and using an educational method with elements of CBT-I. All patients underwent nocturnal polysomnography studies. Treatment efficacy was evaluated using the Insomnia Severity Index, the Pittsburgh Sleep Quality Index questionnaire, the Dysfunctional Beliefs about Sleep Scale, the Sleep Hygiene Index, and the Beck Depression Scale. The efficacy of medication and nonmedication treatment methods in insomnia were found to be comparable. The insomnia severity index after CBT-I decreased by 3.6 (from 17.7 ± 5.3 to 12.8 ± 5.1) points, compared with a decrease by 4.9 (from 16.5 ± 5.8 to 12.9 ± 6.2) points after courses of zopiclone (p < 0.05
Ключевые слова:
chronic insomnia; cognitive behavioral therapy of insomnia; zopiclone
zopiclone; adult; age; aged; Article; Beck Depression Inventory; bedtime dosage; clinical article; cognitive behavioral therapy; controlled study; crossover procedure; drug efficacy; Dysfunctional Beliefs about Sleep Scale; female; human; insomnia; Insomnia Severity Index; intermethod comparison; male; middle aged; Pittsburgh Sleep Quality Index; polysomnography; prediction; Russian (people); sleep disorder assessment; Sleep Hygiene Index; treatment duration; treatment outcome; very elderly
Язык текста: Английский
ISSN: 1573-899X
Pchelina P. V. Polina Valeryevna 1989-
Tabidze A. A.
Poluekotov M. G.
Пчелина П. В. Полина Валерьевна 1989-
Табидзе А. А.
Полуекотов М. Г.
A Comparative Study of the Efficacy of Cognitive Behavioral Therapy and Zopiclone in Chronic Insomnia
Текст визуальный непосредственный
Neuroscience and Behavioral Physiology
Springer New York Consultants Bureau
Vol.49, Issue1 P. 38-44
2019
Статья
chronic insomnia cognitive behavioral therapy of insomnia zopiclone
zopiclone adult age aged Article Beck Depression Inventory bedtime dosage clinical article cognitive behavioral therapy controlled study crossover procedure drug efficacy Dysfunctional Beliefs about Sleep Scale female human insomnia Insomnia Severity Index intermethod comparison male middle aged Pittsburgh Sleep Quality Index polysomnography prediction Russian (people) sleep disorder assessment Sleep Hygiene Index treatment duration treatment outcome very elderly
Objectives. To assess the efficacy of the cognitive behavioral therapy of insomnia (CBT-I) compared with pharmacotherapy in chronic insomnia in the Russian population. Materials and methods. A crossover trial was performed in 42 patients with chronic insomnia (14 men and 28 women) aged 29–80 years old, who received two courses of treatment: using zopiclone and using an educational method with elements of CBT-I. All patients underwent nocturnal polysomnography studies. Treatment efficacy was evaluated using the Insomnia Severity Index, the Pittsburgh Sleep Quality Index questionnaire, the Dysfunctional Beliefs about Sleep Scale, the Sleep Hygiene Index, and the Beck Depression Scale. The efficacy of medication and nonmedication treatment methods in insomnia were found to be comparable. The insomnia severity index after CBT-I decreased by 3.6 (from 17.7 ± 5.3 to 12.8 ± 5.1) points, compared with a decrease by 4.9 (from 16.5 ± 5.8 to 12.9 ± 6.2) points after courses of zopiclone (p < 0.05