Constance H Fung, Cathy Alessi, Jennifer L Martin, Karen Josephson, Lara Kierlin, Joseph M Dzierzewski, Alison A Moore, M Safwan Badr, Michelle Zeidler, Monica Kelly, Jason P Smith, Ian A Cook, Erin Der-Mcleod, Sara Ghadimi, Saadia Naeem, Lisa Partch, Andrew Guzman, Austin Grinberg, Michael Mitchell
IMPORTANCE: Placebo effects are commonly observed in benzodiazepine receptor agonist hypnotic clinical trials. Clinical guidelines recommend discontinuing benzodiazepine receptor agonist hypnotics (particularly in older adults) and administering cognitive behavioral therapy for insomnia (CBTI) as first-line therapy for insomnia. It is unknown whether a novel intervention that masks the daily dose of benzodiazepine receptor agonist during tapering and augments CBTI with novel cognitive and behavioral exercises targeting placebo effect mechanisms improves benzodiazepine receptor agonist discontinuation...
October 7, 2024: JAMA Internal Medicine