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Patient-reported benefits from the pre-sleep routine approach to treating insomnia: Findings from a treatment development trial

Abstract

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.

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Correspondence to Emerson M. Wickwire.

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Wickwire, E.M., Schumacher, J.A. & Clarke, E.J. Patient-reported benefits from the pre-sleep routine approach to treating insomnia: Findings from a treatment development trial. Sleep Biol. Rhythms 7, 71–77 (2009). https://doi.org/10.1111/j.1479-8425.2009.00389.x

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Key words

  • cognitive-behavioral treatment
  • insomnia
  • pre-sleep routine