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To assess the use of actigraphy in evaluating insomnia, 36 patients with a serious complaint of insomnia slept 3 nights each in the laboratory, where the usual polysomnograms (PSGs) were obtained as well as actigraphic assessments of their sleep. Patients also wore actigraphs for 7 days at home, were extensively interviewed and filled out psychometric(More)
This study investigates performance in insomnia patients, comparing it with performance in normals matched not only on age and sex but also on education and occupation. There were 26 pairs of insomniacs and normals; and the computer-driven performance battery, lasting about one hour, was administered three times over the course of a day. In addition, an(More)
We studied the efficacy of propranolol (Inderal) compared to alprazolam (Xanax) in 29 patients with a diagnosis of agoraphobia with panic disorder or panic disorder with or without limited phobic avoidance in a 6-week double-blind controlled experiment. Alprazolam is effective in those syndromes, whereas to date only negative or ambiguous results had been(More)
Twenty patients who had been insomniac since childhood were compared with 39 who had become insomniac during adult life. The childhood-onset insomniacs took longer to fall asleep, slept less, and showed excessive amounts of REM sleep without eye movements. Adult-onset insomniacs showed more restless sleep. No differences between childhood- and adult-onset(More)
OBJECTIVE The frequency and ranking of DSM-IV sleep disorder diagnoses of clinical patients with complaints of insomnia, as well as rates of diagnostic agreement and disagreement between two types of interviewers, were investigated. METHOD Interviewers at five clinical sites assessed 216 patients referred for insomnia complaints. One sleep specialist and(More)
To replicate a previous study, 16 psychophysiological insomniacs were randomly assigned to either Theta feedback or sensorimotor rhythm (SMR) feedback. Evaluations by home sleep logs and by 3 nights in the laboratory were done before biofeedback, immediately after biofeedback, and 9 months later. Results from this study replicate previous findings. Both(More)
OBJECTIVE Primary insomnia and insomnia related to mental disorders are the two most common DSM-IV insomnia diagnoses, but distinguishing between them is difficult in clinical practice. This analysis was performed to identify clinical factors used by sleep specialists to distinguish primary insomnia from insomnia related to mental disorders. METHOD(More)
This article contains the sleep results of the efficacy study of flurazepam 30 mg and 15 mg, midazolam 15 mg, and placebo in the 99 chronic insomniacs studied as part of this multicenter study. After a 20-day drug washout, all-night sleep was recorded on 2 baseline nights, on the first 2 treatment nights, on treatment night 7, and on the last 2 nights of(More)