Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety.
Objective: To test whether an Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) program for older adults attenuates symptoms of depression and anxiety. Methods: Adults aged ≥ 55 with insomnia were randomized to SHUTi-OASIS (Sleep Healthy Using the Internet for Older Adult Sufferer...
| Publicado en: | Journal of Behavioral Medicine Vol. 45; no. 5; pp. 728 - 739 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159303561&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159303561 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Oct2022 vid: 45 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159303561 158363894 159303561 159303561 10.1007/s10865-022-00353-y 159303561 ppf: 728 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety. aug: au: Shaffer, Kelly M. Smith, Jessica G. Glazer, Jillian V. Camacho, Fabian Chow, Philip I. Mattos, Meghan Ingersoll, Karen Ritterband, Lee M. affil: Center for Behavioral Health and Technology, University of Virginia, PO Box 801075, 22908, Charlottesville, VA, USA sug: subj: Insomnia Therapy Insomnia Psychosocial Factors Internet-Based Intervention In Old Age Cognitive Therapy Methods Depression Symptoms Anxiety Symptoms Treatment Outcomes Human Middle Age Aged Secondary Analysis Methodological Research Coefficient alpha Data Analysis Software Prospective Studies Post Hoc Analysis Demography Linear Regression Chi Square Test Scales Psychological Distress Reliability Patient Education Comorbidity Self Report Health Services Accessibility Middle Aged: 45-64 years Aged: 65+ years ab: Objective: To test whether an Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) program for older adults attenuates symptoms of depression and anxiety. Methods: Adults aged ≥ 55 with insomnia were randomized to SHUTi-OASIS (Sleep Healthy Using the Internet for Older Adult Sufferers of Insomnia and Sleeplessness; N = 207) or Patient Education (PE; N = 104). Depression and anxiety were assessed (HADS-D and HADS-A, respectively) at baseline, post-assessment, and 6- and 12-month follow-ups. Results: Multilevel modeling of HADS-D showed a condition by time interaction (F[3,779] = 3.23, p =.02): SHUTi-OASIS participants reported lower symptoms than PE at post-assessment. There was no such interaction effect for HADS-A (F[3,779] = 2.12, p =.10). Generalized linear modeling showed no moderation of effects by baseline symptom severity. Conclusions: Participants randomized to Internet-delivered CBT-I showed stable depression and anxiety across time, while control participants' depressive symptoms briefly increased. CBT-I may help prevent development or worsening of psychological distress among older adults with insomnia. TRIAL REGISTRATION: [Registered at ClinicalTrials.gov; identifier removed for anonymity] pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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