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KMID : 0389520180250020074
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Sleep Medicine.Psychophysiology
2018 Volume.25 No. 2 p.74 ~ p.81
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The Effects of a Brief Intervention for Insomnia on Community Dwelling Older Adults
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Oh Eui-Sun
Park Kyung-Mee
An Suk-Kyoon
Namkoong Kee
Shim Da-Hye
Lee Eun
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Abstract
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Objectives: Insomnia is one of the major concerns in the elderly population. Cognitive behavioral treatment for insomnia is the rst line treatment option, but there are some limitations including time and cost burdens and the requirement for suf cient cog- nitive resources to obtain a proper treatment effect. The Brief intervention for insomnia (BII) is a treatment that focuses on be- havioral aspects of insomnia in primary care practices. The purpose of this study was to evaluate the effects of BII in communi- ty-dwelling older adults.
Methods: A total of 47 older adults with insomnia were enrolled from community centers between May 2016 and January 2018. They participated in the BII program for three weeks. We gathered sleep-related participant information with using the Pittsburgh sleep quality index (PSQI), the Sleep hygiene index, and a sleep diary. Clinical ef cacy was evaluated by comparing total sleep time (TST), sleep latency (SL), waking after sleep onset (WASO), and sleep ef ciency (SE) before and after the treatment.
Results: There was signi cant improvement in sleep-related features after BII. Global score and sleep quality from the PSQI, freshness, and WASO from the sleep diary showed statistically signi cant improvement.
Conclusion: We found BII showed positive clinical ef cacy in community dwelling older adults, especially from the perspective of subjective sleep quality and WASO. This nding implies that BII can be effectively applied for the managment of elderly in- somnia patients in a community setting.
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KEYWORD
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Cognitive behavioral therapy for insomnia, Community, Elderly, Insomnia, Sleep
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