Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age.

Abstract

Meta-analyses support the effectiveness of behavioral interventions for the treatment of insomnia, although few have systematically evaluated the relative efficacy of different treatment modalities or the relation of old age to sleep outcomes. In this meta-analysis of randomized controlled trials (k = 23), moderate to large effects of behavioral treatments on subjective sleep outcomes were found. Evaluation of the moderating effects of behavioral intervention type (i.e., cognitive-behavioral treatment, relaxation, behavioral only) revealed similar effects for the 3 treatment modalities. Both middle-aged adults and persons older than 55 years of age showed similar robust improvements in sleep quality, sleep latency, and wakening after sleep onset. A research agenda is recommended to examine the mechanisms of action of behavioral treatments on sleep with increased attention to the high prevalence of insomnia in older individuals.

A Spanish version of the athens insomnia scale

“…They also make significantly greater use of health services and take more days of sick leave [1]. For this reason, it would seem necessary to have appropriate standardized procedures for diagnosing it [16]. However, there are relatively few instruments that take into account the issue of clinical utility and that have adequate psychometric properties.…”

When Thinking Impairs Sleep: Trait, Daytime and Nighttime Repetitive Thinking in Insomnia

“…Cognitive behavioral therapy for insomnia (CBT-I) is currently the most effective treatment for insomnia (Irwin, Cole, & Nicassio, 2006;Morin et al, 2006;Morin et al, 1999;Rieman & Perlis, 2009;Smith et al, 2002). However, even with the best available CBT-I treatment, a significant number of insomnia patients do not improve, or only partly improve (Morin & Benca, 2012).…”

Evidence-based psychological treatments for insomnia in older adults.

“…A number of reviews and meta-analyses over the past decade have supported the efficacy of behavioral and cognitivebehavioral therapies for treating sleep disturbances in older adults (Irwin, Cole, & Nicassio, 2006;Montgomery & Dennis, 2004;Morin, Hauri, et al, 1999;Morin, Mimeault, & Gagne, 1999;Murtagh & Greenwood, 1995;Nau, McCrae, Cook, & Lichstein, 2005;Pallesen, Nordhus, & Kvale, 1998). However, a recent state-of-the-science conference sponsored by the National Institutes of Health noted that the comparative benefits of a variety of treatments for insomnia remain to be demonstrated (National Institutes of Health, 2005).…”