A Placebo-Controlled Test of cognitive-Behavioral Therapy for Comorbid Insomnia in Older Adults

The present study tested cognitive-behavioral therapy (CBT) for insomnia in older adults with osteoarthritis, coronary artery disease, or pulmonary disease. Ninety-two participants (mean age = 69 years) were randomly assigned to classroom CBT or stress management and wellness (SMW) training, which s...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2005-12, Vol.73 (6), p.1164-1174
Main Authors: Rybarczyk, Bruce, Stepanski, Edward, Fogg, Louis, Lopez, Martita, Barry, Paulette, Davis, Andrew
Format: Article
Language:English
Subjects:
Adulthood
Aged
Ageing
Arthritis
Behavior Modification
Behavior therapy. Cognitive therapy
Behavioural psychology
Biological and medical sciences
Cardiovascular Disorders
Chronic diseases
Chronic Illness
Clinical trials
Cognition
Cognitive Behavior Therapy
Cognitive behavioural therapy
Cognitive Restructuring
Cognitive therapy
Cognitive Therapy - methods
Comorbidity
Coronary Artery Disease - epidemiology
Diseases
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Elderly people
Female
Human
Humans
Insomnia
Lung Diseases - epidemiology
Lung Disorders
Male
Measurement Techniques
Medical sciences
Medical Services
Mental stress
Nervous system (semeiology, syndromes)
Neurology
Older Adults
Older people
Osteoarthritis - epidemiology
Psychological Patterns
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Randomized controlled trials
Regression analysis
Sleep
Sleep disorders
Sleep Initiation and Maintenance Disorders - diagnosis
Sleep Initiation and Maintenance Disorders - epidemiology
Sleep Initiation and Maintenance Disorders - therapy
Stress Management
Surveys and Questionnaires
Treatments
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Description
Summary:The present study tested cognitive-behavioral therapy (CBT) for insomnia in older adults with osteoarthritis, coronary artery disease, or pulmonary disease. Ninety-two participants (mean age = 69 years) were randomly assigned to classroom CBT or stress management and wellness (SMW) training, which served as a placebo condition. Compared with SMW, CBT participants had larger improvements on 8 out of 10 self-report measures of sleep. The type of chronic disease had no impact on these outcomes. The hypothesis that CBT would improve daytime functioning more than SMW was only supported by a global rating measure. These results add to findings that challenge the dichotomy between primary and secondary insomnia and suggest that psychological factors are likely involved in insomnias that are presumed to be secondary to medical conditions.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.73.6.1164