Forget counting sheep and drinking warm milk. An effective method of combating chronic insomnia is, according to the researchers, cognitive-behavioral therapy enough, with physicians who have limited knowledge and patients who have no access.
"There is a very effective treatment that does not take any medications that should be available through your primary care, and if it does not, it should be so," said Dr. Judith Davidson, co-author of a new study CBT in Insomnia at Queen's University in Ontario, Canada.
Chronic Insomnia, where Individuals Have Difficulties Descending or Sleeping It is believed that at least three nights a week for about three months or more The disease is associated with health problems such as depression and dysfunction and sometimes leads to accidents.
Sleeping pills are not recommended for long-term use and may have side effects and be a risk of addiction, instead the main treatment is chronic Insomnia the CBT – a program for changing the approach e and thinking about sleep. This includes staying awake from bed, questioning attitudes about lack of sleep, and limiting the number of hours spent in bed.
Davidson and colleagues have reported in the British Journal of General Practice, as they have examined the results of 13 previous studies conducted studies on the provision of CBT for insomnia by primary care. In some studies, participants also took medications to help sleep.
The results showed that CBT was effective in insomnia and led to an improvement in sleep that persisted many months later during a follow-up visit.
Looking at the results of four randomized control trials with 66 to 201 participants of mixed age, the team found that participants fell asleep on average nine to 30 minutes earlier after completing a CBT course for insomnia and a reduction of 22 to 36 minutes experienced time waking up after bedtime. In contrast, those who were on a waiting list or were treated as usual could only reduce the time to weaning by up to four minutes, and reduce the time they wake up after falling asleep by a maximum of eight minutes
The team said four to eight CBT sessions appeared to be required for such improvements, with one additional study providing little benefit if only two CBT sessions were offered for insomniacs.
Davidson said the new study supports the idea that CBT could be used for insomnia and should be offered through GPs – the first point of contact for patients – although, as with most studies, it is self-administered by others such as nurses, social workers or others Basic services could be offered.
] In Britain, she added, for example, access via IAPT services (improving access to psychological therapies), health visitors or even special apps and websites like Sleepio, which are currently available, could be improved in some parts of the Southeast In England it is possible in the NHS without restriction.
Prof. Helen Stokes-Lampard, chairwoman of the Royal College of GPs, welcomed the study. "An insomnia-based CBT has been a first treatment option for some time, and we know that many patients have found it beneficial, so it's really positive that this study proves its effectiveness," she said. She added that access to CBT via the NHS in the community could be extremely difficult and varied across the country.
"This needs to be addressed by firstly implementing NHS England's commitment to the foresight of general practitioners, that every GP practice in the country has access to one in 3,000 new psychotherapists by 2020-21, and many more psychologists have been trained, to perform a formal CBT. "