Perceived benefits in a behavioral-medicine insomnia program: A clinical report

  • Gregg D. Jacobs
    Requests for reprints should be addressed to Gregg D. Jacobs, PhD, Division of Behavioral Medicine, 110 Francis Street, Suite 1A, Boston, Massachusetts 02215.
    From the Division of Behavioral Medicine (GDJ, HB), Department of Medicine, Deaconess Hospital/Harvard Medical School, Boston, Massachusetts, USA
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  • Herbert Benson
    From the Division of Behavioral Medicine (GDJ, HB), Department of Medicine, Deaconess Hospital/Harvard Medical School, Boston, Massachusetts, USA
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  • Richard Friedman
    From and the Division of Behavioral Medicine (RF), Department of Psychiatry, State University of New York at Stony Brook, New York, USA
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      This clinical replication series assessed the perceived outcome of individuals with chronic insomnia who spontaneously sought treatment at a hospital behavioral-medicine insomnia program. patients and methods: Chronic insomnia patients who were treated with a group multifactor behavioral intervention completed posttreatment (n = 102) and 6-month follow-up (n = 70) questionnaires that assessed improvement.


      All patients reported improved sleep at posttreatment, with the majority (58%, 59) reporting significant improvement. Of sleep medication users, 91% (62/68) either eliminated or reduced medication use. At 6-month follow-up, 90% (63/70) of respondents rated improvement in sleep as either maintained or enhanced.


      These results suggest that patients spontaneously seeking treatment for insomnia, including sleep medication users and those with psychological comorbidity, derive significant benefit from a group multifactor behavioral intervention. Several factors, including maintenance of therapeutic gains at long-term follow-up, the average pretreatment duration of insomnia, previous unsuccessful treatment with psychotherapy and pharmacotherapy, and previous research, argue against nonspecific effects playing a significant role in these results.
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