Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age.
|Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age.
|Year of Publication
|Irwin MR, Cole JC, Nicassio PM
|Behavior Therapy, Female, Humans, Male, Middle Aged, Randomized Controlled Trials as Topic, Sleep Initiation and Maintenance Disorders, Treatment Outcome
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.
|1 R01 AR 49840-01 / AR / NIAMS NIH HHS / United States
AA13239 / AA / NIAAA NIH HHS / United States
AG18367 / AG / NIA NIH HHS / United States
AR/AG41867 / AG / NIA NIH HHS / United States
DA16541 / DA / NIDA NIH HHS / United States
M01-RR00865 / RR / NCRR NIH HHS / United States
MH55253 / MH / NIMH NIH HHS / United States
T32-MH19925 / MH / NIMH NIH HHS / United States