Cognitive Behavioral Therapy for Insomnia in Older Adults: Background, Evidence, and Overview of Treatment Protocol
| Autor: | Andrea M. Garroway Ms, Laurin Mack Ms, Bruce Rybarczyk, Hannah G. Lund Ms |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Health (social science) Sleep hygiene Social Psychology medicine.medical_treatment Cognition Cognitive behavioral therapy for insomnia Sleep in non-human animals Cognitive behavioral therapy Clinical Psychology Pharmacotherapy mental disorders medicine Insomnia Circadian rhythm Geriatrics and Gerontology medicine.symptom Psychology Psychiatry Gerontology Clinical psychology |
| Zdroj: | Clinical Gerontologist. 36:70-93 |
| ISSN: | 1545-2301 0731-7115 |
| Popis: | Obtaining adequate sleep is a major factor contributing to mental and physical well-being. Sleep need and function does not change across the adult lifespan, but obtaining adequate sleep becomes more difficult with advancing age due to gradual changes in circadian functioning and sleep structure. Moreover, small deficits in sleep often develop into chronic insomnia as a result of cognitive and behavioral responses to these normative age-related changes. Fortunately, these intensifying and perpetuating factors can be reversed with cognitive behavioral therapy for insomnia (CBT-I). The evidence now indicates that CBT-I is equally effective in the short term and more effective in the long term relative to pharmacotherapy. It has fewer side effects and, therefore, should be the first line of treatment for all individuals with insomnia, regardless of age or comorbid conditions. Unfortunately, few clinicians are informed about how effective CBT-I is and how it differs from standard sleep hygiene recommendations... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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