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September 22/29, 1999

Behavioral and Pharmacological Treatment for Insomnia

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(12):1130-1131. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922

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?