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Related Experiment Videos

Cognitive behavioural interventions for sleep problems in adults aged 60+.

P Montgomery1, J Dennis

  • 1The University of Oxford Section of Child and Adolescent Psychiatry, Park Hospital, Old Road, Headington, Oxford, UK, OX3 7LQ. paul.montgomery@psych.ox.ac.uk

The Cochrane Database of Systematic Reviews
|June 22, 2002
PubMed
Summary

Cognitive-behavioural treatments (CBT) show a mild effect in improving sleep problems for older adults, particularly for sleep maintenance insomnia. This non-pharmacological approach offers an alternative to hypnotics, though further research on long-term efficacy and predictors of success is needed.

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Area of Science:

  • Gerontology
  • Sleep Medicine
  • Behavioral Science

Background:

  • Sleep problems increase with age, potentially leading to depression, cognitive decline, and reduced quality of life.
  • Pharmacological treatments are common for insomnia but carry risks of tolerance and dependency.
  • Cognitive and behavioural interventions offer a non-drug alternative by addressing sleep habits and negative thought patterns.

Purpose of the Study:

  • To evaluate the effectiveness of cognitive-behavioural interventions for improving sleep quality, duration, and efficiency in adults aged 60 and above.

Main Methods:

  • Searched multiple databases (MEDLINE, EMBASE, CINAHL, PsychINFO, Cochrane Library, NRR) from 1966 to 2002.
  • Included randomized controlled trials of cognitive behavioural treatments for primary insomnia in participants aged 60+, excluding those with dementia or depression.

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  • Analyzed data separately based on subjective and objective outcome measures.
  • Main Results:

    • Six trials with 282 participants (224 in meta-analysis) examined cognitive-behavioural treatments (CBT) for sleep problems in older adults.
    • CBT demonstrated a mild effect on sleep problems, most notably for sleep maintenance insomnia.
    • The findings suggest a potential benefit of CBT compared to pharmacological interventions.

    Conclusions:

    • Cognitive-behavioural treatments present a viable clinical option for older adults with sleep problems, especially considering the side effects of hypnotic medications.
    • Further research is required to identify predictors of successful treatment outcomes.
    • Investigating the long-term durability of CBT effects and the utility of booster sessions is recommended.