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Explore (NY). 2015 May-Jun;11(3):180-5. doi: 10.1016/j.explore.2015.02.005. Epub 2015 Feb 16.

Mindfulness-based stress reduction for chronic insomnia in adults older than 75 years: a randomized, controlled, single-blind clinical trial.

Author information

1
Medical Psychology Division, Chinese PLA General Hospital & Medical School PLA, Beijing, China; Navy Fengtai Retired Cadres Sanatorium, Beijing, China.
2
Medical Psychology Division, Chinese PLA General Hospital & Medical School PLA, Beijing, China.
3
Medical Psychology Division, Chinese PLA General Hospital & Medical School PLA, Beijing, China; Department of Psychiatry, Anhui Mental Health Center, Hefei, Anhui, China; Department of Psychiatry, Shenzhen Key Laboratory of Psychological Health Center, No. 1080 Cuizhu Road, Luohu, Shenzhen, China.
4
Department of Psychology, Shaanxi Normal University, Xi׳an, China.
5
Medical Psychology Division, Chinese PLA General Hospital & Medical School PLA, Beijing, China; 215 Clinical Department, PLA Dalian Sanatorium, Dalian, Liaoning, China.
6
General Surgery Department, Navy General Hospital, Beijing, China.
7
Department of Psychiatry, Anhui Mental Health Center, Hefei, Anhui, China.
8
Medical Psychology Division, Chinese PLA General Hospital & Medical School PLA, Beijing, China. Electronic address: xxh.med@gmail.com.

Abstract

OBJECTIVE:

To assess the effectiveness of mindfulness-based stress reduction (MBSR) for chronic insomnia and combined depressive or anxiety symptoms of older adults aged 75 years and over.

DESIGN:

A randomized, controlled, single-blind clinical trial.

PATIENTS AND METHODS:

Participants included 60 adults aged 75 years and over with chronic insomnia. Participants were randomly assigned to the eight-week MBSR group or the wait-list control group. Assessments using the Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Sale (SAS), and Geriatric Depression Scale (GDS) were taken at baseline and post-treatment. For each outcome measure, a repeated measures analysis of variance was used to detect changes across assessments.

RESULTS:

There was a significant time × group interaction for the PSQI global score (P = .006); the MBSR group had a decrease in the PSQI global score (Cohen׳s d = 1.12), while the control group did not (Cohen׳s d = -0.06). Among the PSQI components, there was a significant time × group interaction for daytime dysfunction (P = .048); Cohen׳s d of the MBSR group was 0.76, while Cohen׳s d of control group was -0.04. There was no significant time × group interaction for the SAS score (P = .116), while for the GDS there was a significant time × group interaction (P = .039); the Cohen׳s d value for the MBSR group was 1.20, and it was 0.12 for the control group.

CONCLUSION:

This study demonstrated that the MBSR program could be a beneficial treatment for chronic insomnia in adults aged 75 years and older.

KEYWORDS:

Mindfulness; anxiety; chronic insomnia; depression; old age

PMID:
25843539
DOI:
10.1016/j.explore.2015.02.005
[Indexed for MEDLINE]

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