Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sequential treatment for chronic insomnia: a pilot study.

Annie Vallières1, Charles M Morin, Bernard Guay

  • 1Ecole de Psychologie, Université Laval, Québec, Canada.

Behavioral Sleep Medicine
|December 17, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Association of Prodromal Parkinson's Disease-Like Features in Long COVID With Dream-Enactment Behaviours.

Journal of sleep research·2026
Same author

Longitudinal gray matter volume changes associated with obstructive sleep apnea are age-dependent.

American journal of respiratory and critical care medicine·2026
Same author

Insomnia disorder.

Nature reviews. Disease primers·2026
Same author

Investigation of the "Not Better Explained" Diagnosis Criteria in Sleep Disorder Classifications: A Systematic Content Analysis and Critical Review.

Journal of sleep research·2026
Same author

Eelgrass ecosystem collapse and social-ecological regime shift driven by hydropower development and climate change.

Nature communications·2026
Same author

The effectiveness of Cognitive behavioral therapy for insomnia on sleep EEG hyperarousal: a multicentric polysomnographic study.

Translational psychiatry·2026
Same journal

Sleep Mediates the Relationship Between Stress and Blood Pressure in Older African American Women: A Cross-Sectional RiSE Study.

Behavioral sleep medicine·2026
Same journal

Culturally Adapted Cognitive-Behavioral Therapy for Insomnia in Adults From the Arab World: A Three-Arm Randomized Pilot Study.

Behavioral sleep medicine·2026
Same journal

Addressing Daytime Symptoms of Insomnia with CBT-I: An Overview and Practical Applications.

Behavioral sleep medicine·2026
Same journal

Insomnia disorder and occupational demand in commercial freight driving: A qualitative analysis of symptoms and attributions.

Behavioral sleep medicine·2026
Same journal

Measuring What Matters in Sleep: Development and Validation of the Sleep Health Dimensions Questionnaire.

Behavioral sleep medicine·2026
Same journal

Considering Substance Use in Dysfunctional Beliefs About Sleep: Validation of the DBAS-S.

Behavioral sleep medicine·2026
See all related articles

Sequential treatment combining medication and cognitive behavioral treatment (CBT) effectively improves chronic insomnia. The overlapping approach, integrating CBT earlier, showed a slight advantage for faster sleep improvements.

Area of Science:

  • Sleep Medicine
  • Behavioral Psychology
  • Clinical Psychology

Background:

  • Chronic insomnia significantly impacts quality of life and overall health.
  • Current treatments often involve medication or cognitive behavioral treatment (CBT) alone.
  • The optimal sequencing of medication and CBT for chronic insomnia remains under investigation.

Purpose of the Study:

  • To evaluate the efficacy of different sequential treatment protocols for primary chronic insomnia.
  • To compare the timing and extent of sleep improvements across various medication and CBT sequences.

Main Methods:

  • A multiple baseline, across-subjects design was employed with 6 participants diagnosed with primary chronic insomnia.
  • Three treatment sequences were investigated: Combined (medication + CBT for 10 weeks), Overlapping (medication with early CBT introduction), and Sequential (medication followed by CBT).

Related Experiment Videos

  • Sleep improvements were monitored throughout the 10-week intervention period.

    • Main Results:

    • All three treatment sequences resulted in significant improvements in sleep.
    • Participants in the Combined and Overlapping sequences showed improvements earlier in treatment compared to the Sequential group.
    • Sleep improvements were most consistently observed upon the introduction or integration of CBT.

    Conclusions:

    • Sequential treatment integrating medication and CBT is effective for managing chronic insomnia.
    • An overlapping treatment approach, introducing CBT while medication is still active, may offer a slight advantage for quicker sleep improvements.
    • Further research with larger sample sizes is warranted to confirm these preliminary findings.