Psychol Aging. 1992 Jun;7(2):282-9.

A cognitive-behavioral therapy for sleep-maintenance insomnia in older adults.

Edinger JD, Hoelscher TJ, Marsh GR, Lipper S, Ionescu-Pioggia M.

Source

Psychology Service, Department of Veterans Affairs Medical Center, Durham, North Carolina 27705.

Abstract

Older adults (3 men, 4 women, aged 55 to 68 years) with chronic sleep-maintenance insomnia were treated sequentially with relaxation therapy (RT) and then with a cognitive-behavioral therapy (CBT) specifically designed for alleviating sleep maintenance problems. Sleep diaries and an objective measure of sleep, the sleep assessment device, showed only modest improvements in measures of wake time after sleep onset, sleep efficiency, and night-to-night sleep variability following RT. However, significant improvements in these measures were observed following CBT and at a 3-month follow-up. These findings, considered in conjunction with previous reports, suggest that CBT specifically addresses factors that sustain sleep maintenance complaints. Additional trials of CBT with larger samples are warranted.

PMID:: 1610517; [PubMed - indexed for MEDLINE]

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