Open AccessPatient‐reported benefits from the pre‐sleep routine approach to treating insomnia: Findings from a treatment development trial
Author(s) -
WICKWIRE Emerson M,
SCHUMACHER Julie A,
CLARKE Erin J
Publication year - 2009
Publication title -
sleep and biological rhythms
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.371
H-Index - 30
eISSN - 1479-8425
pISSN - 1446-9235
DOI - 10.1111/j.1479-8425.2009.00389.x
Subject(s) - insomnia , primary insomnia , medicine , sleep (system call) , chronic insomnia , sleep hygiene , bedroom , physical therapy , sleep diary , neurology , sleep disorder , psychiatry , actigraphy , civil engineering , computer science , engineering , sleep quality , operating system
This uncontrolled trial evaluated the feasibility, acceptability, and initial changes in sleep associated with a novel cognitive‐behavioral treatment for insomnia, the pre‐sleep routine. Patients were encouraged to develop a “sacred” bedroom space only for sleep or sex, and a ritual for entering it. Nine chronic insomniacs (seven women, mean age, 57.9 ± 12.9 years) who met International Classification of Sleep Disorders Diagnostic and Coding Manual , second edition (ICSD‐2) criteria for primary insomnia completed daily sleep diaries throughout four weekly sessions and a 15‐min booster session. Post‐treatment and 1‐month follow‐up data indicated that the pre‐sleep routine was well liked and associated with numerous self‐reported improvements in sleep and daytime functioning. These findings need to be interpreted cautiously in light of the small sample and uncontrolled design.