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KMID : 1118520070040020057
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Psychiatry Investigation
2007 Volume.4 No. 2 p.57 ~ p.60
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Hypnotics Versus the Alternatives
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Kripke Daniel.F
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Abstract
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When patients ask for hypnotics (sleeping pills), what should physicians advise? This review considers cognitive-behavioral therapy and hypnotics as alternative treatments. The effectiveness of cognitive-behavioral therapy for insomnia has been demonstrated. No appreciable risks have been reported. The risks of hypnotics include impairments of cognition and function, depression, cancer, and early mortality, but the newest hypnotics have surprisingly little objective benefit. The physician can help patients best by persuading them of the benefits of cognitive-behavioral approaches
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KEYWORD
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Hypnotics, Insomnia, Cognitive behavior therapy, Cancer, Depression, Mortality
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