Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
To the Editor: The article by Dr Morin and
colleagues1 on therapies for insomnia refers
to the effectiveness of cognitive behavioral and pharmacological therapy for
the treatment of chronic insomnia, as well as the measured amelioration in
several sleep variables, such as time to sleep onset and sleep efficiency.
However, to my knowledge, no trial of an intervention for primary insomnia
has shown benefit in an end point important to function. Focusing on the precise
events that happen during the night to people with sleep complaints may be
relatively less important than trying to make them more alert and functional
the next day. Did the subjects experience measurable benefits during their
waking hours as a result of the intervention to improve sleep?
Finucane TE. Behavioral and Pharmacological Treatment for Insomnia. JAMA. 1999;282(12):1130-1131. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922