期刊
SLEEP MEDICINE
卷 9, 期 2, 页码 165-171出版社
ELSEVIER
DOI: 10.1016/j.sleep.2007.02.009
关键词
insomnia; older adult; hypnotic dependant; psychological; treatment; RCT
资金
- NIA NIH HHS [R01 AG014738-01A2, R01 AG014738-03, R01 AG014738-02, R01 AG014738, AG14738, R01 AG014738-04S1, L30 AG024875] Funding Source: Medline
- NATIONAL INSTITUTE ON AGING [R01AG014738] Funding Source: NIH RePORTER
Background: The existing literature does not address the question of whether cognitive-behavioral therapy would have an impact on insomnia in older adults who are chronic users of sleep medication and have current insomnia, but are also stable in their quantity of medication usage during treatment. The present report seeks to answer this question. Methods: Hypnotic-dependant older adults, who were stable in their amount of medication usage and still met the criteria for chronic insomnia put forth by American Academy of Sleep Medicine, were treated using a cognitive-behavioral intervention for insomnia. The three-component treatment included relaxation training, stimulus control, and sleep hygiene instructions. Participants were randomly assigned to either the active treatment group or a comparably credible placebo control group, and were instructed not to alter their pattern of hypnotic consumption during treatment. Results: The active treatment group had significantly better self-report measures of sleep at post-treatment. Statistically significant improvement was paralleled by clinically meaningful improvement for key sleep variables. As planned, there was no significant change in sleep medication usage from pre- to post-treatment. Conclusions: The findings support the use of cognitive-behavioral therapy for insomnia in hypnotic-dependant older adults. (c) 2007 Elsevier B.V. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据