Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2025-01-05T14:55:15.716Z Has data issue: false hasContentIssue false
  • English
  • Français

Behaviour Therapy for DIMS: Comparison of Three Treatment Procedures with Follow-up

Published online by Cambridge University Press:  16 June 2009

Ezio Sanavio ,
Giulio Vidotto ,
Ornella Bettinardi ,
Teresa Rolletto  and
Marina Zorzi
Ezio Sanavio
Affiliation:
Department of General Psychology, University of Padova, Italy
Giulio Vidotto
Affiliation:
Department of General Psychology, University of Padova, Italy
Ornella Bettinardi
Affiliation:
Department of General Psychology, University of Padova, Italy
Teresa Rolletto
Affiliation:
Department of General Psychology, University of Padova, Italy
Marina Zorzi
Affiliation:
Department of General Psychology, University of Padova, Italy
Get access Rights & Permissions [Opens in a new window]

Extract

Forty patients suffering from persistent psychophysiological Disorders of Initiating and Maintaining Sleep (DIMS) were assigned to one of the following groups: (1) EMG-biofeedback training; (2) cognitive modification treatment, combining paradoxical instructions, cognitive restructuring and thought stopping; (3) stimulus control and progressive relaxation treatment; (4) waiting list (control). Each active treatment consisted of six sessions over a period of 2 weeks.

After treatment, the patients in the three treatment groups showed shorter sleep onset latency (37%), shorter wake time after sleep onset (50%), and more positive evaluations of sleep quality and restedness on awakening in the morning. The waiting-list group did not show any changes. Benefits were maintained and further increased during the 1 and 3 year follow-ups. Results did not suggest substantial differences, among the three treatments, in amount and/or stability of benefits. The 3 year follow-up revealed seven failures, as against 23 successes. The initial variables differentiating the failures were shorter sleep time and higher scores on the P scale of the Eysenck Personality Questionnaire.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 18 , Issue 3 , July 1990 , pp. 151 - 167
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ascher, L. M. and Turner, R. M. (1979). Paradoxical intention and insomnia: an experimental investigation. Behaviour Research and Therapy 17, 408–411.CrossRefGoogle ScholarPubMed
Ascher, L. M. and Turner, R. M. (1980). A comparison of two methods for the administration of paradoxical intention. Behaviour Research and Therapy 18, 121–126.CrossRefGoogle ScholarPubMed
Association of Sleep Disorders Center (1979). Diagnostic classification of sleep and arousal disorders. Sleep 2, 1–137.Google Scholar
Bootzin, R. R. (1977). Effects of self-control procedures for insomnia. In Behavioural Self-management, Stuart, R. B. (Ed.), New York: Brunner/Mazel.Google Scholar
Bootzin, R. R. and Nicassio, P. M. (1978). Behavioral treatments for insomnia. In Progress in Behavior Modification. Hersen, M., Eisler, R. and Miller, P. (Eds.), New York: Academic Press.Google Scholar
Borkovec, T. D. (1982). Insomnia. Journal of Consulting and Clinical Psychology 50, 880–895.CrossRefGoogle ScholarPubMed
Coursey, R. D., Frankel, B. I., Gaarder, K. R. and Mott, D. E. (1980). A comparison of relaxation techniques with electrosleep therapy for chronic sleep onset insomnia. Biofeedback and Self-Regulation 5, 57–73.CrossRefGoogle ScholarPubMed
Espie, C. A., Brooks, D. N. and Lindsay, W. R. (1989 b). An evaluation of tailored psychological treatment of insomnia. Journal of Behavior Therapy and Experimental Psychiatry 20, 143–153.Google Scholar
Espie, C. A. and Lindsay, W. R. (1985). Paradoxical intention in the treatment of chronic insomnia: six case studies illustrating variability in therapeutic response. Behaviour Research and Therapy 23, 703–709.CrossRefGoogle ScholarPubMed
Espie, C. A., and Lindsay, W. R. (1987). Cognitive strategies for the management of severe sleep-maintenance insomnia: A preliminary investigation. Behavioural Psychotherapy 15, 388–395.Google Scholar
Espie, C. A., Lindsay, W. R., Brooks, D. N., Hood, E. H. and Turvey, T. (1989 a). A controlled comparison of psychological treatments for chronic sleep onset insomnia. Behaviour Research and Therapy 27, 79–88.CrossRefGoogle Scholar
Eysenck, S. B. G. (1981). National differences in personality: Sicily and England. Italian Journal of Psychology 8, 87–93.Google Scholar
Good, R. (1975). Frontalis muscle tension and sleep latency. Psychophysiology 12, 465–467.CrossRefGoogle ScholarPubMed
Hauri, P. (1981). Treating psychophysiologic insomnia with biofeedback. Archives of General Psychiatry 38, 752–758.Google Scholar
Haynes, S. N., Sides, H. and Lockwood, G. (1977). Relaxation instructions and frontalis electromyographic feedback intervention with sleep onset insomnia. Behavior Therapy 8, 644–652.CrossRefGoogle Scholar
Jason, L. (1975). Rapid improvement in insomnia following self-monitoring. Journal of Behavior Therapy and Experimental Psychiatry 6, 349–350.CrossRefGoogle Scholar
Lacks, P., Bertelson, A. D., Gans, L. and Kunkel, J. (1983). The effectiveness of three behavioral treatments for different degrees of sleep onset insomnia. Behavior Therapy 14, 593–605.CrossRefGoogle Scholar
Lacks, P., Bertelson, A. D., Sugerman, J. and Kunkel, J. (1983). The treatment of sleep-maintenance insomnia with stimulus control techniques. Behaviour Research and Therapy 21, 291–295.CrossRefGoogle ScholarPubMed
Lacks, P. and Powlishta, K. (1989). Improvement following behavioral treatment for insomnia: Clinical significance, long-term maintenance, and predictors of outcome. Behavior Therapy 20, 117–134.CrossRefGoogle Scholar
Mitchell, K. R. (1979). Behavioral treatment of presleep tension and intrusive cognitions in patients with severe predormital insomnia. Journal of Behavioural Medicine 2, 57–69.CrossRefGoogle ScholarPubMed
Mitchell, K. R. and White, R. G. (1977). Self-management of severe predormital insomnia. Journal of Behavior Therapy and Experimental Psychiatry 8, 57–63.Google Scholar
Monroe, K. J. (1967). Psychological and physiological differences between good and poor sleepers. Journal of Abnormal Psychology 72, 285–290.CrossRefGoogle ScholarPubMed
Rayan, T. A. (1960). Significance tests for multiple comparison of proportions, variances, and other statistics. Psychological Bulletin 57, 318–328.CrossRefGoogle Scholar
Sanavio, E. (1988). Pre-sleep cognitive intrusion and treatment of onset-insomnia. Behaviour Research and Therapy 26, 451–459.Google Scholar
Sanavio, E., Mina, S., Rolletto, M. T., Sollazzo, T., Springolo, G., Suardi, D. and Zorzi, M. (1982). Stimulus control and progressive relaxation in the treatment of insomnia.12th EEABT Congress of Behaviour Therapy,Rome,September 5–8, 1982 (proceedings).Google Scholar
Thoresen, C. E., Coates, T. J., Kirmil-Gray, K. and Rosekind, M. R. (1981). Behavioral self-management in treating sleep-maintenance insomnia. Journal of Behavioral Medicine 4, 41–52.Google Scholar
Turner, R. M. (1986). Behavioral self-control procedures for disorders of initiating and maintaining sleep (DIMS). Clinical Psychology Review 6, 27–38.CrossRefGoogle Scholar
Turner, R. M. and Ascher, L. M. (1979). Controlled comparison of progressive relaxation, stimulus control, and paradoxical intention therapies for insomnia. Journal of Consulting and Climical Psychology 47, 500–508.CrossRefGoogle ScholarPubMed
Turner, R. M., Di Tomasso, R. and Giles, T. (1983). Failures in the treatment of insomnia: A plea for differential diagnosis. In Failures in Behavior Therapy, Foa, E. B. and Emmelkamp, P. M. G. (Eds), New York: Wiley.Google Scholar
Winer, B. J. (1970). Statistical Principles in Experimental Design. London: McGraw-Hill.Google Scholar
Youkilis, H. D. and Bootzin, R. R. (1981). A psychophysiological perspective on the etiology and treatment of insomnia. In Psychosomatic disorders, Haynes, S. N. and Gannon, L. (Eds), New York: Praeger.Google Scholar
Submit a response

Comments

No Comments have been published for this article.