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CBT added to tapering helped patients with chronic insomnia discontinue benzodiazepine use

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 Q In older patients with both chronic insomnia and long term use of benzodiazepines (BDPs), is cognitive behavioural therapy (CBT) plus supervised medical tapering (SMT) (combined therapy [CT]) more effective than CBT or SMT alone for discontinuing BDPs?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Mental Health ★★★★★☆☆

METHODS

Embedded ImageDesign:

randomised controlled trial.

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Embedded ImageBlinding:

blinded (technician who scored polysomnography sleep stages).*

Embedded ImageFollow up period:

12 months

Embedded ImageSetting:

a research based sleep clinic in a university hospital in Sainte-Foy, Québec, Canada.

Embedded ImagePatients:

76 patients ⩾55 years of age (mean age 63 y, 50% women) with chronic insomnia (for ⩾6 months), impaired daytime functioning or mood disturbances, and benzodiazepine use (on >50% of nights) for ⩾3 months. Exclusion criteria included medical or psychiatric disorders known to cause insomnia, sleep apnoea, periodic limb movements during …

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