Cognitive Expectancies for Hypnotic Use among Older Adult Veterans with Chronic Insomnia

Autor: Jennifer L. Martin, Yeonsu Song, Karen R. Josephson, Juan Carlos Rodriguez Tapia, Constance H. Fung, Stella Jouldjian, Michael N. Mitchell, Lavinia Fiorentino, Cathy A. Alessi, Joseph M. Dzierzewski
Rok vydání: 2017
Předmět:
Male
Aging
Health Knowledge
Attitudes
Practice
Health (social science)
Medications
Logistic regression
Hypnotic
0302 clinical medicine
Sleep Initiation and Maintenance Disorders
Insomnia
Psychology
Hypnotics and Sedatives
030212 general & internal medicine
older adults
Veterans
Expectancy theory
Practice
Health Knowledge
Cognition
Clinical Psychology
Female
medicine.symptom
Sleep Research
Sleep Aids
Clinical psychology
medicine.medical_specialty
Social Psychology
medicine.drug_class
Dysfunctional family
Article
Odds
03 medical and health sciences
Clinical Research
Behavioral and Social Science
medicine
Humans
sleep
Psychiatry
Aged
Cognitive Behavioral Therapy
Attentional control
Good Health and Well Being
Cross-Sectional Studies
Geriatrics
Attitudes
Sleep Aids
Pharmaceutical
Pharmaceutical
Geriatrics and Gerontology
Gerontology
030217 neurology & neurosurgery
Zdroj: Clinical gerontologist, vol 41, iss 2
ISSN: 1545-2301
0731-7115
DOI: 10.1080/07317115.2017.1356895
Popis: ObjectivesTo examine relationships between cognitive expectancies about sleep and hypnotics and use of medications commonly used for insomnia (hypnotics).MethodsWe analyzed baseline data from older veterans who met diagnostic criteria for insomnia and were enrolled in a trial comparing CBTI delivered by a supervised, sleep educator to an attention control condition (N=159; 97% male, mean age 72years). We classified individuals as hypnotic users (N=23) vs. non-users (N=135) based upon medication diaries. Associations between hypnotic status and Dysfunctional Beliefs and Attitudes about Sleep-16 (DBAS) total score (0-10, higher=worse) and two DBAS medication item scores (Item 1: "…better off taking a sleeping pill rather than having a poor night's sleep;" Item 2: "Medication… probably the only solution to sleeplessness"; 0-10, higher=worse) were examined in logistic regression models.ResultsHigher scores on the DBAS medication items (both odds ratios=1.3; p-values < .001) were significantly associated with hypnotic use. DBAS-16 total score was not associated with hypnotic use.ConclusionCognitive expectancy (dysfunctional beliefs) about hypnotics was associated with hypnotic use in older adults with chronic insomnia disorder.Clinical implicationsStrategies that specifically target dysfunctional beliefs about hypnotics are needed and may impact hypnotic use in older adults.
Databáze: OpenAIRE
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