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Predictors of Treatment Response to Brief Behavioral Treatment of Insomnia (BBTI) in Older Adults
- Publication Year :
- 2013
- Publisher :
- American Academy of Sleep Medicine, 2013.
-
Abstract
- The extant literature on predictors of treatment response to behavioral treatments for insomnia is equivocal and limited in scope. The current study examined demographic, clinical, and sleep characteristics as predictors of clinically significant treatment response to brief behavioral treatment of insomnia (BBTI) in older adults with insomnia.Thirty-nine older adults with insomnia (67% females, mean age: 72.54 years) were randomized to BBTI treatment. Treatment outcomes were defined according to 2 criteria: (1) "response," defined as change in Pittsburgh Sleep Quality Index (PSQI) score ≥ 3 points or increase in sleep diary sleep efficiency ≥ 10%); or (2) remission, defined as absence of a clinical diagnosis of insomnia according to standard diagnostic criteria. Logistic regression examined whether baseline demographic, clinical, or sleep characteristics predicted treatment outcomes at 1 month follow-up.Demographic variables did not predict treatment outcomes for either criterion. Higher anxiety, depression, poorer sleep quality, and longer polysomnography (PSG)-assessed sleep latency predicted greater likelihood of response at follow-up (p0.05). Longer sleep duration at baseline (measured by sleep diary and PSG) predicted greater likelihood of the remission at follow-up (p0.05).Patients with insomnia who have greater distress at baseline or prolonged sleep latency are more likely to show positive response to BBTI. In contrast, short sleepers at baseline are less likely to have resolution of insomnia diagnosis following BBTI, perhaps due to the sleep restriction component of the treatment. Identifying the characteristics that predict positive BBTI treatment outcomes can facilitate personalized behavioral treatments to improve outcomes.
- Subjects :
- Pulmonary and Respiratory Medicine
Male
Treatment response
medicine.medical_specialty
Polysomnography
Treatment outcome
Interviews as Topic
Age Distribution
Extant taxon
Behavior Therapy
Sleep Initiation and Maintenance Disorders
Surveys and Questionnaires
Insomnia
medicine
Ethnicity
Humans
Sex Distribution
Psychiatry
Aged
medicine.diagnostic_test
Marital Status
Racial Groups
Follow up studies
Behavioral treatment
New Research
Treatment Outcome
Neurology
Marital status
Educational Status
Female
Neurology (clinical)
medicine.symptom
Psychology
Clinical psychology
Follow-Up Studies
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....f2f54a54f66188a9656b01e99124b2a4