TY - JOUR T1 - CBT added to tapering helped patients with chronic insomnia discontinue benzodiazepine use JF - Evidence Based Medicine JO - Evid Based Med SP - 147 LP - 147 DO - 10.1136/ebm.9.5.147 VL - 9 IS - 5 A2 - , Y1 - 2004/09/01 UR - http://ebm.bmj.com/content/9/5/147.abstract N2 - Morin CM, Bastien C, Guay B, et al. Randomized clinical trial of supervised tapering and cognitive behavior therapy to facilitate benzodiazepine discontinuation in older adults with chronic insomnia. Am J Psychiatry 2004;161:332–42.OpenUrlCrossRefPubMedWeb of Science 
 
 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 ★★★★★☆☆ Design: randomised controlled trial. Allocation: {allocation concealed*}.† Blinding: blinded (technician who scored polysomnography sleep stages).* Follow up period: 12 months Setting: a research based sleep clinic in a university hospital in Sainte-Foy, Québec, Canada. Patients: 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 … ER -