Short-term stimulus control treatment of insomnia in older adults

It is well established that insomniacs overestimate sleep‐onset latency. Furthermore, there is evidence that brief arousals from sleep may occur more frequently in insomnia. This study examined the hypothesis that brief arousals from sleep influence the perception of sleep‐onset latency. An average of four sleep onsets was obtained from each of 20 normal subjects on each of two nonconsecutive, counterbalanced, experimental nights. The experimental nights consisted of a control night (control condition) and a condition in which a moderate respiratory load was applied to increase the frequency of microarousals during sleep onset (mask condition). Subjective estimation of sleep‐onset latency and indices of sleep quality were assessed by self‐report inventory. Objective measures of sleep‐onset latency and microarousals were assessed using polysomnography. Results showed that sleep‐onset latency estimates were longer in the mask condition than in the control condition, an effect not reflected in objective sleep‐stage scoring of sleep‐onset latency. Furthermore, an increase in the frequency of brief arousals from sleep was detected in the mask condition, and this is a possible source for the sleep‐onset latency increase perceived by the subjects. Findings are consistent with the concept of a physiological basis for sleep misperception in insomnia.

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“…A single question of the type used in previous studies (e.g. Puder et al . 1983 ; Van‐Egeren et al .…”

Section: Methodsmentioning

confidence: 99%

The effect of arousals during sleep onset on estimates of sleep onset latency

Smith

Trinder

2000

Journal of Sleep Research

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“…In fact, it has been suggested that stimulus control is “one of the most effect single-component treatments” for late-life insomnia 62 . This contention is supported by several investigations that report moderate to strong effects of stimulus control on the subjective sleep (sleep onset latency; SOL and wake after sleep onset; WASO) of elders 63–65 . However, stimulus control does not meet the necessary criteria to be considered an Evidence-Based Treatment for late-life insomnia, primarily due to a lack of research examining the effect of this treatment modality in isolation from other forms of CBTi 59 .…”

Section: Treatmentmentioning

confidence: 71%

Treatment of Late-life Insomnia

McCrae

Dzierzewski

Kay

2009

Sleep Medicine Clinics

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“…64 Stimulus control has been demonstrated to be effective by itself as a treatment for insomnia in adults. 65 This can be a difficult portion of treatment to implement for a cancer patient. During hospitalizations, and even in outpatient care, they have often been instructed to remain in bed (or on a couch) by their providers in order to 'get as much rest as possible. '…”

Section: Sleep Restrictionmentioning

confidence: 99%

Adapting Cognitive-Behavior Therapy for Insomnia in Cancer Patients

et al. 2017

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Insomnia disorder is common in patients undergoing cancer treatment. There is compelling evidence demonstrating that cognitive-behavioral therapy for insomnia (CBT-I) should be the initial treatment, but there has been insufficient research has been conducted among cancer patients. This population presents with unique physical and psychosocial health issues that may interfere with standard CBT-I and addressing these issues can play a role in improving treatment adherence and efficacy. We explore potential adaptations that can be made to standard CBT-I for cancer patients. Further research for this growing population is essential.

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Short-term stimulus control treatment of insomnia in older adults

Cited by 73 publications

References 9 publications

The effect of arousals during sleep onset on estimates of sleep onset latency

The effect of arousals during sleep onset on estimates of sleep onset latency

Treatment of Late-life Insomnia

Adapting Cognitive-Behavior Therapy for Insomnia in Cancer Patients

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