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View Larger Image	Sequential combinations of drug and cognitive behavioral therapy for chronic insomnia: An exploratory study [An article from: Behaviour Research and Therapy] by A. Vallieres, C.M. Morin, B. Guay List Price:  $5.95 Available:  Available for download now Studio:  Elsevier Binding:  Digital Publication Date:  July 08, 2008 Publisher:  Elsevier
FORMATS HTML EDITORIAL REVIEWS Product Description This digital document is a journal article from Behaviour Research and Therapy, published by Elsevier in . The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser. Description: This study explores the efficacy of sequential treatments involving medication and cognitive behavioral treatment (CBT) for primary insomnia. Seventeen participants took part in a multiple baseline design and were assigned to: (a) medication for 5 weeks, followed by combined medication plus CBT for 5 weeks; (b) combined treatment for 5 weeks, followed by CBT alone; or (c) CBT alone. Each treatment sequence produced significant sleep improvements, but at different points in time. For the first sequence, most of the sleep improvement was obtained after the introduction of CBT, while for the other sequence and CBT alone, improvement appeared during the first weeks. These results suggest that sleep improvement seems affected by the way treatments are combined. Also, a sequence beginning with a combined treatment followed by CBT alone seems to produce the best outcome. Additional research should be conducted with larger samples to determine the most effective sequence.