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Randomized Controlled Trial
. 2008 Jan;9(2):165-71.
doi: 10.1016/j.sleep.2007.02.009. Epub 2007 Jul 17.

Psychological treatment of insomnia in hypnotic-dependant older adults

James P Soeffing  1 , Kenneth L Lichstein, Sidney D Nau, Christina S McCrae, Nancy M Wilson, R Neal Aguillard, Kristin W Lester, Andrew J Bush
Affiliations
Randomized Controlled Trial

Psychological treatment of insomnia in hypnotic-dependant older adults

James P Soeffing et al. Sleep Med. 2008 Jan.

Abstract

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.

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References

    1. Lichstein KL, Durrence HH, Riedel BW, Taylor DJ, Bush AJ. Epidemiology of sleep: age, gender, and ethnicity. Lawrence Erlbaum Associates; Mahwah, New Jersey: 2004.
    1. Simon G, VonKorff M. Prevalence, burden, and treatment of insomnia in primary care. Am J Psychiatry. 1997;154:1417–1423. - PubMed
    1. Stoller MK. Economic effects of insomnia. Clin Ther. 1994;16:873–897. - PubMed
    1. Kupfer DJ, Reynolds CF. Management of insomnia. N Engl J Med. 1997;336:341–346. - PubMed
    1. Morin CM, Wooten V. Psychological and pharmacological approaches to treating insomnia: Critical issues in assessing their separate and combined effects. Clin Psychol Rev. 1996;16:521–542.

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