{"id":16400,"date":"2014-02-24T08:56:20","date_gmt":"2014-02-24T13:56:20","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=16400"},"modified":"2014-02-24T00:38:21","modified_gmt":"2014-02-24T05:38:21","slug":"cognitive-behavioral-therapy-for-insomnia-can-reduce-health-care-utilization-costs","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2014\/02\/cognitive-behavioral-therapy-for-insomnia-can-reduce-health-care-utilization-costs\/","title":{"rendered":"Cognitive behavioral therapy for insomnia can reduce health care utilization, costs"},"content":{"rendered":"<p>From the American Academy of Sleep Medicine media release:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/07\/insomnia-sleep-deprivation.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-14816\" alt=\"insomnia sleep deprivation\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/07\/insomnia-sleep-deprivation.jpg\" width=\"290\" height=\"193\" \/><\/a>A new study is the first to show decreases in health care utilization and costs following brief treatment with cognitive behavioral therapy for insomnia (CBTI).<\/p>\n<p>Results show that <strong>sleep improved in 86 percent of insomnia patients who completed at least three sessions of CBTI<\/strong>. In the six months following treatment, health care utilization decreased and health care-related costs were reduced by more than $200 on average among treatment completers.<\/p>\n<p>&#8220;Cognitive behavioral therapy for insomnia is a highly effective treatment, and this study shows that a <strong>relatively brief intervention also may have a positive economic impact<\/strong>,&#8221; said principal investigator Christina McCrae, PhD, associate professor of clinical and health psychology at the University of Florida in Gainesville, Fla. &#8220;Insomnia remains an undertreated disorder, and brief cognitive behavioral therapy can help to increase access to care and reduce the burden of insomnia.&#8221;<\/p>\n<p>The study results appear in the Feb. 15 issue of the <em>Journal of Clinical Sleep Medicine<\/em>, which is published by the American Academy of Sleep Medicine.<\/p>\n<p>&#8220;Each year in the U.S. <strong>millions of prescriptions are filled and billions of dollars are spent to treat insomnia<\/strong>,&#8221; said Society of Behavioral Sleep Medicine President Michael T. Smith, PhD. &#8220;This study reaffirms that cognitive behavioral therapy is clinically effective, and it provides promising new evidence that even brief treatment with CBTI may reduce health care utilization costs.&#8221;<\/p>\n<p>Together with colleagues from the VA Pittsburgh Healthcare System and Drexel University in Philadelphia, McCrae reviewed medical records of 84 outpatients treated in a behavioral sleep medicine clinic based in an accredited sleep disorders center. <strong>Components of the treatment included sleep education, sleep hygiene, stimulus control therapy, sleep restriction, a 10-minute relaxation exercise, and cognitive therapy<\/strong>. Up to six weekly treatment sessions were led by clinical psychology graduate students and predoctoral interns. Several indicators of health care utilization and costs were measured over a six-month period prior to and following treatment: number of physician office visits, costs related to office visits, number of medications, and estimated health care costs and utilization.<\/p>\n<p>The authors noted that <strong>the cost of brief treatment with CBTI &#8212; about $460 in the study &#8212; may negate the short-term savings produced in the first six months after treatment<\/strong>. However, the advantage of CBTI is that the effects are long-lasting, which means that there are no ongoing treatment costs. Therefore, CBTI has the potential to produce substantial long-term savings, especially when individual results are extrapolated to the large population of insomnia patients in the health care system.<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the American Academy of Sleep Medicine media release: A new study is the first to show decreases in health care utilization and costs following brief treatment with cognitive behavioral&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2014\/02\/cognitive-behavioral-therapy-for-insomnia-can-reduce-health-care-utilization-costs\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[332,43,338],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16400"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=16400"}],"version-history":[{"count":2,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16400\/revisions"}],"predecessor-version":[{"id":16406,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/16400\/revisions\/16406"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=16400"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=16400"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=16400"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}