Evaluation of a Brief Treatment Program of Cognitive Behavior Therapy for Insomnia in Older Adults

Conditions

None listed

Brief summary

The current study used a randomized controlled trial to investigate the effects of a brief, group-based CBT-I program in a large sample of older adults with chronic primary insomnia not currently taking hypnotic/sleep aid medications.

Nicole Lovato, Gorica Micic, Leon Lack

SLEEP2020-11-2415 citations

10.1093/sleep/zsaa250

Interventions

A 4-week, group-based treatment program of Cognitive Behaviour Therapy for Insomnia including bedtime restriction therapy, sleep education, and cognitive restructuring. The intervention comprised 1 x 1 hour consultations per week for 4 weeks with 6-8 people per group and delivered by a psychologist. Activities completed during the intervention sessions were educational sessions and open discussion of topics covered in the educational sessions. Participants were asked to keep a sleep diary and

A 4-week, group-based treatment program of Cognitive Behaviour Therapy for Insomnia including bedtime restriction therapy, sleep education, and cognitive restructuring. The intervention comprised 1 x 1 hour consultations per week for 4 weeks with 6-8 people per group and delivered by a psychologist. Activities completed during the intervention sessions were educational sessions and open discussion of topics covered in the educational sessions. Participants were asked to keep a sleep diary and complete questionnaires about their insomnia severity, daytime functioning, and their beliefs about and confidence in their sleep. The intervention was designed specifically for this study.

Study design

Allocation

Randomised controlled trial

Primary purpose

Treatment

Eligibility

Sex/Gender

All

Age

45 Years to No maximum

Healthy volunteers

No

Inclusion criteria

(1) wake after sleep onset of greater than 30 min, at least three nights per w for a reported duration of at least 6 mo, and (2) had impaired daytime functioning such as daytime fatigue or memory problems. All participants were required to remain free of sedatives/hypnotic medication for at least 1 mo prior to and throughout their involvement in the study

Exclusion criteria

Participants with clear clinical symptoms of other sleep disorders or severe medical/psychiatric disorders were excluded. Participants were excluded if they (1) indicated the presence of sleep apnea (AHI >15) or restless legs syndrome, (2) indicated the presence of major depression, anxiety, or serious cognitive impairment, or (3) consumed excessive amounts of caffeine (> 300 mg/day) or alcohol (> two standard drinks/day).

Outcome results