Evidence map›Paper›PMID 34639523›Full record

ReviewInternational journal of environmental research and public health2021

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

Mélinée Chapoutot, Laure Peter-Derex, Hélène Bastuji, Wendy Leslie, Benjamin Schoendorff, Raphael Heinzer, Francesca Siclari, Alain Nicolas, Patrick Lemoine, Susan Higgins and 7 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06446349 (Impact of Identification and Brief Motivational Intervention in Dispensing Pharmacies), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06446349 narecruitingnot on this mapstarted 2024, after this paper: background citation

Impact of Identification and Brief Motivational Intervention in Dispensing Pharmacies (BMI) on the Deprescription of Benzodiazepines and Related Substances in Adult Chronic Drug Users

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2024 to 2026Enrolled300ConditionsBenzodiazepine WithdrawalArmsBrief motivational intervention
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  10. Levodopa-synergistic CBT intervention improves Parkinson's disease with anxiety disorder by regulating the BDNF/PI3K/AKT pathway.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 2 countries.

Mélinée ChapoutotAssociation Nationale de Promotion des Connaissances sur Le Sommeil, 69001 Lyon, France.
Laure Peter-DerexAssociation Nationale de Promotion des Connaissances sur Le Sommeil, 69001 Lyon, France.ORCID 0000-0002-9938-9639
Hélène BastujiLyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028, Lyon 1 University, 69005 Bron, France.
Wendy LeslieXceltranslate, 06000 Nice, France.
Benjamin SchoendorffInstitut de Psychologie Contextuelle, Montreal, QC H2Y 2S9, Canada.
Raphael HeinzerCentre D'Investigation et de Recherche Sur le Sommeil, CHUV, 1011 Lausanne, Switzerland.
Francesca SiclariCentre D'Investigation et de Recherche Sur le Sommeil, CHUV, 1011 Lausanne, Switzerland.
Alain NicolasLyon Neuroscience Research Centre, CNRS UMR 5292-INSERM U1028, Lyon 1 University, 69005 Bron, France.
Patrick LemoineAssociation Nationale de Promotion des Connaissances sur Le Sommeil, 69001 Lyon, France.
Susan HigginsCentre Hospitalier Annecy Genevois, Service Pneumologie, 74000 Annecy, France.
Alexia BourgeoisLaboratory of Cognitive Neurorehabilitation, Faculty of Medicine, University of Geneva, 1201 Geneva, Switzerland.
Guillaume T ValletLAPSCO, Université Clermont Auvergne, CNRS, LAPSCO, 63000 Clermont-Ferrand, France.ORCID 0000-0002-9816-3267
Royce AndersLaboratoire EMC, Lyon 2 Université, 69500 Bron, France.
Marc OunnougheneCabinet de Psychiatrie du Plateau de Haye, 54320 Maxéville, France.
Jessica SpencerFaculty of Psychology, Swiss Distance Learning University, 3900 Brig, Switzerland.
Francesca MeloniFaculty of Psychology, Swiss Distance Learning University, 3900 Brig, Switzerland.
Benjamin PutoisAssociation Nationale de Promotion des Connaissances sur Le Sommeil, 69001 Lyon, France.ORCID 0000-0002-1484-6109
Université Claude Bernard Lyon 1 · FRUniDistance Suisse · CHAssociation pour l'Utilisation du Rein Artificiel dans la région Lyonnaise · FRCentre Hospitalier Annecy Genevois · FRCentre National de la Recherche Scientifique · FRGroupe d’Etude des Cétacés du Cotentin · FRUniversité de Lyon · FRUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Acceptance and Commitment TherapyCognitive Behavioral TherapySleep Initiation and Maintenance DisordersSubstance Withdrawal SyndromeAnxiety DisordersBenzodiazepinesHumansBenzodiazepinesacceptance and commitment therapybenzodiazepinebenzodiazepine tapercognitive behavioral therapydrug withdrawal

Identifiers

PMID34639523
PMCPMC8508349
OpenAlexW3204225041

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.