Cognitive-Behavior Therapy for Comorbid and Late-Life Insomnia

A randomized controlled intervention of workplace-based group cognitive behavioral therapy for insomnia

“…A moderating effect of level of burnout scores at baseline was found, showing that there was a positive effect of the intervention on insomnia symptoms for individuals who scored low levels of burnout at baseline. Earlier studies have found group CBT for insomnia to be effective despite comorbid anxiety and depression (Blom et al 2015 ; Lichtstein et al 2010 ; Rybarczyk et al 2009 ; Smith et al 2005 ; Stepanski and Rybarczyk 2006 ), whereas in this study it was shown that comorbid burnout interfered with the effect of the intervention. The moderating effect of level of burnout scores at baseline is an interesting finding since no other study has investigated treatment efficiency related to stress levels in a workplace setting, even though sleep and stress are so closely related (Armon et al 2008 ; Ekstedt et al 2009 ; Linton et al 2015 ; Van Laethem et al 2013 ).…”

“…Insomnia is commonly present together with other conditions, such as anxiety, depression and burnout (Bélanger et al 2004 ; Ekstedt et al 2009 ; Johnson et al 2006 ; Lustberg and Reynolds 2000 ; Riemann 2007 ; Roth and Drake 2004 ; Söderström et al 2012 ). Earlier studies have found that CBT for insomnia is effective even in the presence of anxiety and depression (Lichstein et al 2010 ; Manber et al 2008 ; Rybarczyk et al 2009 ; Smith et al 2005 ; Stepanski and Rybarczyk 2006 ) also when delivered in group settings (Blom et al 2015 ; Belleville et al 2011 ; Edinger et al 2009 ; Germain et al 2006 ; Järnefelt et al 2014 ; Okajima et al 2011 ; Ye et al 2015 ). However, there is a lack of studies investigating the effect of CBT for insomnia comorbid with burnout or stress-related exhaustion.…”

Cognitive Behavioral Therapy for Insomnia in Older Adults: Background, Evidence, and Overview of Treatment Protocol

“…As part of this shift, older adults were gradually integrated into the CBT-I literature and the results of more recent studies have refuted past concerns about including this demographic in study samples (Lichstein & Rybarczyk, 2010). Due to the higher prevalence of medical and psychiatric diagnoses in older adults, the majority of those with insomnia over the age of 60 have comorbid insomnia.…”