Patient-reported benefits from the pre-sleep routine approach to treating insomnia: Findings from a treatment development trial
Article first published online: 26 MAY 2009
© 2009 The Authors. Journal compilation © 2009 Japanese Society of Sleep Research
Sleep and Biological Rhythms
Volume 7, Issue 2, pages 71–77, April 2009
How to Cite
WICKWIRE, E. M., SCHUMACHER, J. A. and CLARKE, E. J. (2009), Patient-reported benefits from the pre-sleep routine approach to treating insomnia: Findings from a treatment development trial. Sleep and Biological Rhythms, 7: 71–77. doi: 10.1111/j.1479-8425.2009.00389.x
- Issue published online: 26 MAY 2009
- Article first published online: 26 MAY 2009
- Accepted for publication 15 February 2009.
- cognitive-behavioral treatment;
- pre-sleep routine
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.