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Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders

Author

Listed:
  • Mélinée Chapoutot

    (Association Nationale de Promotion des Connaissances sur Le Sommeil, 69001 Lyon, France
    Lyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028, Lyon 1 University, 69005 Bron, France)

  • Laure Peter-Derex

    (Association Nationale de Promotion des Connaissances sur Le Sommeil, 69001 Lyon, France
    Lyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028, Lyon 1 University, 69005 Bron, France
    Sleep Medicine and Respiratory Disease Centre, Croix-Rousse Hospital, CHU of Lyon, 69004 Lyon, France
    Faculty of Medicine Lyon Sud-Charles Mérieux, Lyon 1 University, 69622 Villeurbanne, France)

  • Hélène Bastuji

    (Lyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028, Lyon 1 University, 69005 Bron, France
    Sleep Medicine and Respiratory Disease Centre, Croix-Rousse Hospital, CHU of Lyon, 69004 Lyon, France
    Faculty of Medicine Lyon Sud-Charles Mérieux, Lyon 1 University, 69622 Villeurbanne, France)

  • Wendy Leslie

    (Xceltranslate, 06000 Nice, France)

  • Benjamin Schoendorff

    (Institut de Psychologie Contextuelle, Montreal, QC H2Y 2S9, Canada)

  • Raphael Heinzer

    (Centre D’Investigation et de Recherche Sur le Sommeil, CHUV, 1011 Lausanne, Switzerland)

  • Francesca Siclari

    (Centre D’Investigation et de Recherche Sur le Sommeil, CHUV, 1011 Lausanne, Switzerland)

  • Alain Nicolas

    (Lyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028, Lyon 1 University, 69005 Bron, France)

  • Patrick Lemoine

    (Association Nationale de Promotion des Connaissances sur Le Sommeil, 69001 Lyon, France)

  • Susan Higgins

    (Centre Hospitalier Annecy Genevois, Service Pneumologie, 74000 Annecy, France)

  • Alexia Bourgeois

    (Laboratory of Cognitive Neurorehabilitation, Faculty of Medicine, University of Geneva, 1201 Geneva, Switzerland)

  • Guillaume T. Vallet

    (LAPSCO, Université Clermont Auvergne, CNRS, LAPSCO, 63000 Clermont-Ferrand, France)

  • Royce Anders

    (Laboratoire EMC, Lyon 2 Université, 69500 Bron, France)

  • Marc Ounnoughene

    (Cabinet de Psychiatrie du Plateau de Haye, 54320 Maxéville, France)

  • Jessica Spencer

    (Faculty of Psychology, Swiss Distance Learning University, 3900 Brig, Switzerland)

  • Francesca Meloni

    (Faculty of Psychology, Swiss Distance Learning University, 3900 Brig, Switzerland)

  • Benjamin Putois

    (Association Nationale de Promotion des Connaissances sur Le Sommeil, 69001 Lyon, France
    Lyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028, Lyon 1 University, 69005 Bron, France
    Faculty of Psychology, Swiss Distance Learning University, 3900 Brig, Switzerland)

Abstract

Benzodiazepines have proven to be highly effective for treating insomnia and anxiety. Although considered safe when taken for a short period of time, a major risk–benefit dilemma arises in the context of long-term use, relating to addiction, withdrawal symptoms, and potential side effects. For these reasons, benzodiazepines are not recommended for treating chronic sleep disorders, anxiety disorders, nor for people over the age of 65, and withdrawal among long-term users is a public health issue. Indeed, only 5% of patients manage to discontinue using these drugs on their own. Even with the help of a general practitioner, this rate does not exceed 25 to 30% of patients, of which approximately 7% manage to remain drug-free in the long term. Cognitive Behavioral Therapies (CBT) offer a crucial solution to this problem, having been shown to increase abstinence success to 70–80%. This article examines traditional and novel CBT techniques in this regard, such as Acceptance and Commitment Therapy, which address both the underlying condition (insomnia/anxiety) and the substance-related disorder. The theoretical framework and evidence supporting the use of these approaches are reviewed. Finally, current research gaps are discussed, and key research perspectives are proposed.

Suggested Citation

  • Mélinée Chapoutot & Laure Peter-Derex & Hélène Bastuji & Wendy Leslie & Benjamin Schoendorff & Raphael Heinzer & Francesca Siclari & Alain Nicolas & Patrick Lemoine & Susan Higgins & Alexia Bourgeois , 2021. "Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders," IJERPH, MDPI, vol. 18(19), pages 1-19, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10222-:d:645577
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    References listed on IDEAS

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    1. Barbara Farrell & Kevin Pottie & Carlos H Rojas-Fernandez & Lise M Bjerre & Wade Thompson & Vivian Welch, 2016. "Methodology for Developing Deprescribing Guidelines: Using Evidence and GRADE to Guide Recommendations for Deprescribing," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-12, August.
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    Cited by:

    1. Evgenia Gkintoni & Georgios Nikolaou, 2024. "The Cross-Cultural Validation of Neuropsychological Assessments and Their Clinical Applications in Cognitive Behavioral Therapy: A Scoping Analysis," IJERPH, MDPI, vol. 21(8), pages 1-21, August.

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