Article Text
Statistics from Altmetric.com
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
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 …