Related Experiment Video
Updated: Jun 2, 2026
04:34
Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia
Published on: February 17, 2023
Acceptability of behavioral treatments for insomnia
Daniel Bluestein1, Amanda C Healey, Carolyn M Rutledge
1Department of Family and Community Medicine, Geriatrics Division, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA. bluestda@evms.edu
Summary
Patient acceptance of behavioral insomnia treatments is linked to beliefs about sleep and medication. Understanding these factors can improve engagement with effective, safe therapies for insomnia.
Area of Science:
- Sleep Medicine
- Behavioral Science
Background:
- Behavioral insomnia treatments are effective but face patient acceptance challenges in primary care.
- Identifying factors influencing acceptability is key to successful implementation.
- This study aimed to find demographic and psychosocial correlates of behavioral insomnia treatment acceptability.
Purpose of the Study:
- To identify demographic and clinical/psychosocial factors associated with the acceptability of behavioral insomnia treatments.
- To understand patient perspectives on behavioral therapies for insomnia.
Main Methods:
- A cross-sectional study involving 236 adult patients with clinically significant insomnia (Insomnia Severity Index score ≥ 8).
- Data collected via surveys, including the Acceptability Insomnia Treatment Acceptability Scale-Behavioral subscale (ITAS-B).
- Patients were recruited from primary care and academic family practice settings.
Main Results:
- Acceptability of medications (r = 0.259) and dysfunctional sleep beliefs (r = 0.234) showed significant correlations with behavioral treatment acceptability (P < .001).
- Medication acceptability, dysfunctional beliefs, and self-efficacy explained 12.45% of the variance in behavioral treatment acceptability.
Conclusions:
- Screening for dysfunctional sleep beliefs may identify patients open to behavioral insomnia therapies.
- Enhancing self-efficacy for sleep could increase acceptance of behavioral treatments.
- Interest in behavioral and medication treatments is not mutually exclusive, though other factors influence acceptance.
More Related Videos
05:34Auricular Acupuncture as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Sleep Disorders
Published on: August 18, 2023
04:59Heat-sensitive Moxibustion as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Insomnia
Published on: May 30, 2025
Related Concept Videos
01:19Management of Insomnia
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
01:27Insomnia
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
01:14CNS Depressants: Barbiturates and Benzodiazepines
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
01:22Behavior Therapy
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
01:17Sleepwalking and Sleep Talking
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...