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Behavior Modification
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Multifactor Behavioral Treatment of Chronic Sleep-Onset Insomnia Using Stimulus Control and the Relaxation Response

A Preliminary Study

Gregg D. Jacobs

Paul A. Rosenberg

Harvard Medical School

Richard Friedman

State University of New York at Stony Brook

Jean Matheson

Harvard Medical School

Guerry M. Peavy

University of California, San Diego

Alice D. Domar

Herbert Benson

Harvard Medical School

Sleep latency changes following behavioral interventions for sleep-onset insomnia are only moderate because the majority of insomniacs do not achieve good sleeper status at posttreatment. This study evaluated the efficacy of a multifactor behavioral intervention consisting of stimulus control and relaxation-response training (n = 10) compared to stimulus control alone (n = 10) for sleep-onset insomnia. Only the multifactor subjects' mean posttest sleep latency fell within the good sleeper range. They also exhibited a 77% improvement on mean sleep-onset latency compared to the stimulus control group (63%). Thus a multifactor intervention may be more effective than stimulus control alone for treatment of sleep-onset insomnia.

Behavior Modification, Vol. 17, No. 4, 498-509 (1993)
DOI: 10.1177/01454455930174005
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Home page
 AMERICAN JOURNAL OF LIFESTYLE MEDICINEHome page
A. M. Lynch, C. I. Jarvis, R. J. DeBellis, and A. K. Morin
State of the Art Reviews: Nonpharmacologic Approaches for the Treatment of Insomnia
American Journal of Lifestyle Medicine, August 1, 2007; 1(4): 274 - 282.
[Abstract] [PDF]