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...despite our best efforts, about 10% of Americans still suffer from persistent insomnia (defined as difficulty initiating or maintaining sleep) - namely, falling asleep or being functionally impaired by sleepiness during the day - and researchers continue to search for its causes and cure. Now a new study in the journal Sleep suggests a surprising treatment for the sleepless: the Internet. Web-based treatments have emerged for all kinds of bad habits and disorders, such as overeating, smoking, depression - and insomnia. (Read "Can a Sleep Disorder Predict Parkinson...
...area that has been studied extensively is the benefits of cognitive-behavioral therapy vs. those of medication. A recent study in the Journal of the American Medical Association found that while cognitive therapy alone or in combination with medication worked equally well to treat insomnia in the short term, patients fared better over the long term with talk therapy alone. "Cognitive therapy should be a first-line approach," says the study's lead author, Charles Morin, "but many people do not have access...
...ensure their drugs meet the threshold. Sir Michael Rawlins, chairman of NICE, believes that if the U.S. adopted a similar system, it would revolutionize the culture of major pharmaceutical companies, many of which spend more on marketing than research and development. A 2008 study in the New England Journal of Medicine predicted that incorporating information about cost-effectiveness into the design of U.S. insurance would save $368 billion over 10 years...
...recent study published in the journal Addiction found that after naloxone training, addicts did just as well as medical professionals at recognizing the symptoms of overdose and determining when to use the medication. And addiction experts say the experience of coming back from an overdose is frightening enough - not to mention often accompanied by severe withdrawal symptoms - that few addicts would consider using naloxone as an insurance policy to justify taking more drugs...
While dramatic tales are many, it's still not clear how effective naloxone programs are overall. Research on their impact has only just begun. One study, published in the Journal of Addictive Diseases in 2006, found that after increasing for years, heroin-overdose deaths in Chicago dropped 20% in 2001, the year Bigg's program began, and fell an additional 10% the following year. So far, addiction researchers say no significant problems have been reported with naloxone use, but they concede that much more studying needs to be done...