Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety. Shaffer KM, et al, J Behav Med 2022.
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Résumé et points clés
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].
Références de l'article
- Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety.
- Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety.
- Shaffer KM, Smith JG, Glazer JV, Camacho F, Chow PI, Mattos M, Ingersoll K, Ritterband LM
- Journal of behavioral medicine
- 2022
- J Behav Med. 2022 Oct;45(5):728-738. doi: 10.1007/s10865-022-00353-y. Epub 2022 Aug 6.
- Aged, *Anxiety/complications/psychology/therapy, *Cognitive Behavioral Therapy, *Depression/complications/psychology/therapy, Follow-Up Studies, Humans, *Internet-Based Intervention, Middle Aged, *Sleep Initiation and Maintenance Disorders/complications/psychology/therapy, Treatment Outcome
- Syndromes_Geriatriques, Sommeil, Dépression, Anxiété
- Liens
- Traduction automatique en Français sur Google Translate
- DOI: 10.1007/s10865-022-00353-y
- PMID: 35932397
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