The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

  • Recent Posts

  • Recent Comments

    More support for CBT to treat insomnia

    During the annual meeting of the Associated Professional Sleep Societies, researchers from Louisville, Kentucky presented more support for cognitive behavioral therapy (CBT) in the treatment of insomnia.

    First, the details.

    • The medical records of 115 patients who had undergone at least 2 sessions of CBT were reviewed.
    • All patients had either prolonged sleep onset latency (taking 30 minutes or longer to fall asleep) and/or wakefulness (poor sleep maintenance) after falling asleep.
    • Sleep was monitored using sleep diaries.

    And, the results.

    • After as few as 2 sessions, patients who had difficulty falling asleep fell asleep an average of 58 minutes sooner — a significant improvement.
    • Those with nighttime wakefulness got back to sleep in about 30 minutes — also a significant improvement.
    • Among 50 of these patients who had difficulty falling asleep and staying asleep, there was an average reduction of 40 minutes from the time needed to get to sleep, and they returned to sleep about 41 minutes faster.

    The bottom line?
    Others have reported positive results with CBT.

    Here are 2 studies in the past year that combined CBT with drugs or meditation.

    160 adults with persistent insomnia

    • Adding zolpidem (Ambien) to CBT produced added benefits during acute therapy.
    • Long-term outcome was better when zolpidem was discontinued during maintenance CBT.

    30 adults with psychophysiological insomnia

    • Mindfulness meditation combined with CBT was associated with reductions in both sleep arousal and sleep-related arousal.

    6/15/09 18:54 JR

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