A COGNITIVE BEHAVIORAL-THERAPY FOR SLEEP-MAINTENANCE INSOMNIA IN OLDER ADULTS

被引：78

作者：

EDINGER, JD

MARSH, GR

HOLESCHER, TJ

LIPPER, S

IONESCUPIOGGIA, M

机构：

[1] DUKE UNIV,MED CTR,DURHAM,NC 27710

[2] EASTERN VIRGINIA MED SCH,NORFOLK,VA 23501

[3] BURROUGHS WELLCOME CO,RES TRIANGLE PK,NC 27709

来源：

PSYCHOLOGY AND AGING | 1992年 / 7卷 / 02期

关键词：

D O I：

10.1037/0882-7974.7.2.282

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

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.

引用

页码：282 / 289

页数：8

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