{"id":2200,"date":"2015-03-11T12:04:27","date_gmt":"2015-03-11T04:04:27","guid":{"rendered":"http:\/\/www.appliedpsyj.org\/journal\/?p=2200"},"modified":"2015-03-11T12:04:43","modified_gmt":"2015-03-11T04:04:43","slug":"the-association-between-cognitive-factors-and-hypnotic-tapering-in-individuals-with-primary-insomnia","status":"publish","type":"post","link":"https:\/\/www.appliedpsyj.org.tw\/journal\/?p=2200","title":{"rendered":"The Association between Cognitive Factors and Hypnotic-Tapering in Individuals with Primary Insomnia"},"content":{"rendered":"

Ying-Si Lai<\/strong>
\nDepartment of Psychiatry of Chang-Hua Christian Hospital
\nChien-Ming Yang<\/strong>
\nDepartment of Psychology, National Cheng-Chi University
\nShih-Chieh Hsu<\/strong>
\nDepartment of Psychiatry of Tao Yang, Chang-Gung Memorial Hospital<\/p>\n

The present study aims to investigate the association between cognitive factors and hypnotic tapering, with the hypothesis that dysfunctional beliefs affect hypnotic tapering through the mediating effects of self-efficacy and decision balance. Thirty-seven patients with primary insomnia were recruited from a general hospital to participate in a 10-week hypnotic tapering program. All participants completed a set of questionnaires, including the Dysfunctional Beliefs and Attitudes about Sleep Questionnaire (DBAS), the Decision Balance Questionnaire that assesses the perceived pros and cons of hypnotic tapering and a single-item Self-Efficacy Scale. The data were obtained both before and after the hypnotic tapering program. During the 10-week tapering period, each participant was required to keep a sleep diary, which was used to evaluate the changes in sleep parameters and the use of medications. The results showed that the correlation between dysfunctional beliefs and the amount of drug tapering was not significant. Therefore, the hypothesis that dysfunctional beliefs affect hypnotic tapering through the mediating effect of self-efficacy and decision balance was not proven. However, decision balance and self-efficacy were found to be correlated with tapering behavior. Further analyses with hierarchical multiple regression revealed that after controlling demographic variables and variables relevant to disease and drug use, cognitive variables can still account for the amount of drug reductions up to 37.3 %. In sum, the results indicate that the level of drug tapering can be predicted by self-efficacy and decision balance. The higher the level of self-efficacy and the more positive evaluation of drug discontinuation a patient has, the more reduction of a hypnotic dose can be obtained following a graduate tapering program. This implies that psychological factors may be important for the evaluation and intervention of drug reduction in clinical patients.<\/p>\n

Keywords: primary insomnia, tapering, dysfunctional beliefs, decision balance, self-efficacy, hypnotic<\/p>\n","protected":false},"excerpt":{"rendered":"

Ying-Si Lai Department of Psychiatry of Chang-Hua Chris …<\/span> Read More →<\/span><\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[139],"tags":[],"class_list":["post-2200","post","type-post","status-publish","format-standard","hentry","category-139"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t