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To the Editor: The article by Dr Morin and colleagues¹ on therapies for insomnia refers to the effectiveness of cognitive behavioral and pharmacological therapy for the treatment of chronic insomnia, as well as the measured amelioration in several sleep variables, such as time to sleep onset and sleep efficiency. However, to my knowledge, no trial of an intervention for primary insomnia has shown benefit in an end point important to function. Focusing on the precise events that happen during the night to people with sleep complaints may be relatively less important than trying to make them more alert and functional the next day. Did the subjects experience measurable benefits during their waking hours as a result of the intervention to improve sleep?

Thomas E. Finucane, MD
Johns Hopkins Geriatrics Center
Baltimore, Md

1. Morin CM, Colecchi C, Stone J, Sood R, Brink D. Behavioral and pharmacological therapies for late-life insomnia. JAMA. 1999;281:991-999. FREE FULL TEXT

To the Editor: Dr Morin and colleagues¹ carried out a difficult study that adds to our knowledge and . . . [Full Text of this Article]

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RELATED ARTICLE

Behavioral and Pharmacological Therapies for Late-Life Insomnia: A Randomized Controlled Trial
Charles M. Morin, Cheryl Colecchi, Jackie Stone, Rakesh Sood, and Douglas Brink
JAMA. 1999;281(11):991-999.
ABSTRACT | FULL TEXT