Non-pharmacological approaches to wakefulness Aging. Three treatments meet the American Psychological Metabolism booster Non-phramacological criteria qakefulness empirically-supported Herbal calorie burner treatments non-phzrmacological insomnia: Stimulus wakefylness, progressive muscle relaxation, and paradoxical intention; and three additional treatments meet APA criteria for probably efficacious treatments: Sleep restriction, biofeedback, and multifaceted cognitive-behavior therapy. Tricco Division of Geriatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada Zahra Goodarzi The Canadian Agency for Drugs and Technologies in Health, Carling Ave.

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Search dates: November to July This review updates a previous article on this topic by Hardosa and Kessmann. International Classification of Sleep Disorders , 3rd ed.

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Lack L, Wright H, Kemp K, Gibbon S. The treatment of early-morning awakening insomnia with 2 evenings of bright light. Harsora P, Kessmann J. Nonpharmacologic management of chronic insomnia. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.

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WHAT IS NEW ON THIS TOPIC: INSOMNIA TREATMENT Although the combination of stimulus control and sleep restriction therapy leads to a similar treatment response compared with either therapy alone, multicomponent therapy is associated with higher remission rates absence of insomnia posttreatment.

C 26 Cognitive behavior therapy for insomnia is recommended for first-line treatment of primary insomnia in older adults. C 9 , 16 , 26 Moderate-intensity exercise, tai chi, and low-impact aerobic exercise not within 4 hours of bedtime improve sleep quality in older adults.

C 16 , 26 , 37 , 38 Short-term hypnotic treatment should be supplemented with behavioral and cognitive therapies whenever possible. Sleep duration is also increased by a modest 30 minutes and sleep quality and patient's satisfaction with sleep patterns are significantly enhanced.

Sleep improvements achieved with these behavioral interventions are sustained for at least 6 months after treatment completion. However, there is no clear evidence that improved sleep leads to meaningful changes in daytime well-being or performance.

Three treatments meet the American Psychological Association APA criteria for empirically-supported psychological treatments for insomnia: Stimulus control, progressive muscle relaxation, and paradoxical intention; and three additional treatments meet APA criteria for probably efficacious treatments: Sleep restriction, biofeedback, and multifaceted cognitive-behavior therapy.

Additional outcome research is needed to examine the effectiveness of treatment when it is implemented in clinical settings primary care, family practice , by non-sleep specialists, and with insomnia patients presenting medical or psychiatric comorbidity.

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Close mobile search navigation Article Navigation. Volume Article Contents Abstract. Journal Article. Nonpharmacologic Treatment of Chronic Insomnia. Morin, PhD, , Charles M. Morin, PhD,. Morin, Ph. Oxford Academic. Google Scholar. Peter J. Hauri, PhD,. Colin A. Espie, PhD,. Arthur J.

Spielman, PhD,. Daniel J. Buysse, MD,. Richard R. Bootzin, PhD. PDF Split View Views. Cite Cite Charles M. Select Format Select format. ris Mendeley, Papers, Zotero. enw EndNote. bibtex BibTex.

txt Medlars, RefWorks Download citation. Permissions Icon Permissions. Abstract This paper reviews the evidence regarding the efficacy of nonpharmacological treatments for primary chronic insomnia. Insomnia , Treatment , Non-pharmacological treatment , Behavioral treatment.

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Insomnia is one of the more aakefulness complaints patients Metabolism booster to non-pharmacoligical physicians. Patients with non-pharmaxological insomnia generally respond well to various sedative hypnotic medications, Happiness chronic insomnia is a different non-pharmacological approaches to wakefulness. Physicians Glucose control techniques Metabolism booster may raise concerns about the long-term use of sedative hypnotic medications. Even in light of these concerns, however, the chronic insomnia remains, ostensibly leaving the physician few choices. A number of promising nonpharmacologic strategies are available that physicians can easily implement. Through the use of self-rating instruments and a sleep log, physicians can bring the sleep problem into better focus and monitor the efficacy of clinical interventions. Metabolism booster visceral fat reduction Page. Non-pharmacologixal Robert M ArnoldMichael MillerRohtesh Mehta. Non-phagmacological This Fast Fact Wakefhlness non-pharmacologic therapies for insomnia; Fast Fact discusses patient assessment and discusses pharmacologic treatment of insomnia. Improving Sleep Hygiene Sleep hygiene education should be provided to anyone with insomnia. First, there is no arbitrary rule for how much someone should sleep.