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Current Sleep Medicine Reports

, Volume 4, Issue 4, pp 268–277 | Cite as

Psychological Interventions for Late-Life Insomnia: Current and Emerging Science

  • Joseph M. Dzierzewski
  • Sarah C. Griffin
  • Scott Ravyts
  • Bruce Rybarczyk
Sleep and Aging (AP Spira, Section Editor)
  • 27 Downloads
Part of the following topical collections:
  1. Topical Collection on Sleep and Aging

Abstract

Purpose of Review

Late-life insomnia is a serious medical condition associated with many untoward consequences. The high prevalence of late-life insomnia, along with the concomitant risks inherent in the use of hypnotic medications in older adults, necessitates non-pharmacological (i.e., psychological) treatment options. We aim to summarize and evaluate the state-of-the-science of psychological treatment options for late-life insomnia.

Recent Findings

Cumulative scientific evidence suggests the efficacy of psychological treatment of late-life insomnia. During the previous decade, trials of psychological treatments for insomnia have begun to test various modifications to treatments that have the potential to improve access for older adults, along with expanding their focus to include individuals with comorbid conditions that are common to older adults. While these modifications represent positive advances in the science of treatment for late-life insomnia, the evidence is still largely explanatory/efficacious in nature.

Summary

Psychological strategies represent the best approaches for the treatment of late-life insomnia. Future investigations would be wise to progressively move towards increasingly pragmatic/effectiveness investigations, adding to the literature base regarding the treatment of late-life insomnia under usual/real-world conditions as opposed to ideal/artificial conditions.

Keywords

Insomnia Sleep problems Older adults Late-life Treatment Intervention Nonpharmacological 

Notes

Compliance with Ethical Standards

Conflict of Interest

Sarah C Griffin, Scott Ravyts, and Bruce Rybarczyk declare no conflicts of interest.

Joseph M. Dzierzewski was supported by a grant from the National Institute on Aging (K23AG049955). No other authors report commercial or financial conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th edition: DSM-5. 5 edition. American Psychiatric Publishing; 2013.Google Scholar
  2. 2.
    Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014;146:1387–94.PubMedGoogle Scholar
  3. 3.
    Dragioti E, Levin L-Å, Bernfort L, Larsson B, Gerdle B. Insomnia severity and its relationship with demographics, pain features, anxiety, and depression in older adults with and without pain: cross-sectional population-based results from the PainS65+ cohort. Ann General Psychiatry. 2017;16:15.Google Scholar
  4. 4.
    Mellinger GD, Balter MB, Uhlenhuth EH. Insomnia and its treatment: prevalence and correlates. Arch Gen Psychiatry. 1985;42:225–32.PubMedGoogle Scholar
  5. 5.
    Jaussent I, Dauvilliers Y, Ancelin M-L, Dartigues J-F, Tavernier B, Touchon J, et al. Insomnia symptoms in older adults: associated factors and gender differences. Am J Geriatr Psychiatry. 2011;19:88–97.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Kaufmann CN, Mojtabai R, Hock RS, Thorpe RJ, Canham SL, Chen L-Y, et al. Racial/ethnic differences in insomnia trajectories among U.S. older adults. Am J Geriatr Psychiatry. 2016;24:575–84.PubMedPubMedCentralGoogle Scholar
  7. 7.
    • Bao Y-P, Han Y, Ma J, Wang R-J, Shi L, Wang T-Y, et al. Cooccurrence and bidirectional prediction of sleep disturbances and depression in older adults: meta-analysis and systematic review. Neurosci Biobehav Rev. 2017;75:257–73. This publication synthesizes the literature on sleep disturbance and depression in community-dwelling older adults to estimate prevalence rates and examine the longitudinal relationship between the two factors. PubMedGoogle Scholar
  8. 8.
    Gould CE, Karna R, Jordan J, Kawai M, Hirst R, Hantke N, et al. Subjective but not objective sleep is associated with subsyndromal anxiety and depression in community-dwelling older adults. Am J Geriatr Psychiatry. 2018;26:806–11.PubMedGoogle Scholar
  9. 9.
    Press Y, Punchik B, Freud T. The association between subjectively impaired sleep and symptoms of depression and anxiety in a frail elderly population. Aging Clin Exp Res. 2018;30:755–65.PubMedGoogle Scholar
  10. 10.
    Kay DB, Dzierzewski JM. Sleep in the context of healthy aging and psychiatric syndromes. Sleep Med Clin. 2015;10:11–5.PubMedPubMedCentralGoogle Scholar
  11. 11.
    Finan PH, Goodin BR, Smith MT. The association of sleep and pain: an update and a path forward. J Pain. 2013;14:1539–52.PubMedPubMedCentralGoogle Scholar
  12. 12.
    Chen T-Y, Lee S, Buxton OM. A greater extent of insomnia symptoms and physician-recommended sleep medication use predict fall risk in community-dwelling older adults. Sleep. 2017;40.  https://doi.org/10.1093/sleep/zsx142.
  13. 13.
    • Itani O, Jike M, Watanabe N, Kaneita Y. Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression. Sleep Med. 2017;32:246–56 This meta-analysis examines short sleep duration as a predictor of mortality and morbidity across 153 studies to identify a significant association between short sleep duration and mortality, diabetes mellitus, hypertension, cardiovascular disease, coronary heart diseases, and obesity.PubMedGoogle Scholar
  14. 14.
    da Silva AA, de Mello RGB, Schaan CW, Fuchs FD, Redline S, Fuchs SC. Sleep duration and mortality in the elderly: a systematic review with meta-analysis. BMJ Open. 2016;6:e008119.PubMedPubMedCentralGoogle Scholar
  15. 15.
    Ozminkowski RJ, Wang S, Walsh JK. The direct and indirect costs of untreated insomnia in adults in the United States. Sleep. 2007;30:263–73.PubMedGoogle Scholar
  16. 16.
    Kaufmann CN, Canham SL, Mojtabai R, Gum AM, Dautovich ND, Kohn R, et al. Insomnia and health services utilization in middle-aged and older adults: results from the health and retirement study. J Gerontol Ser A Biol Med Sci. 2013;68:1512–17.  https://doi.org/10.1093/gerona/glt050.Google Scholar
  17. 17.
    • McCrae CS, Bramoweth AD, Williams J, Roth A, Mosti C. Impact of brief cognitive behavioral treatment for insomnia on health care utilization and costs. J Clin Sleep Med. 2014;10:127–35. This study indicates that brief CBTi can lower health care utilization, an increasingly important healthcare goal. PubMedPubMedCentralGoogle Scholar
  18. 18.
    •• Qaseem A, Holty J-EC, Owens DK, Dallas P, Starkey M, Shekelle P. Management of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2013;159:471–83. This publication, developed by the American College of Physicians and informed by a recent comprehensive review of RCTs, provides recommendations for the management of chronic insomnia in adults. PubMedGoogle Scholar
  19. 19.
    Wilson SJ, Nutt DJ, Alford C, Argyropoulos SV, Baldwin DS, Bateson AN, et al. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders. J Psychopharmacol (Oxford). 2010;24:1577–601.Google Scholar
  20. 20.
    Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2008;4:487–504.PubMedPubMedCentralGoogle Scholar
  21. 21.
    Riemann D, Baglioni C, Bassetti C, Bjorvatn B, Dolenc Groselj L, Ellis JG, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017;26:675–700.PubMedGoogle Scholar
  22. 22.
    Pek EA, Remfry A, Pendrith C, Fan-Lun C, Bhatia RS, Soong C. High prevalence of inappropriate benzodiazepine and sedative hypnotic prescriptions among hospitalized older adults. J Hosp Med. 2017;12:310–6.PubMedGoogle Scholar
  23. 23.
    Billioti de Gage S, Moride Y, Ducruet T, Kurth T, Verdoux H, Tournier M, et al. Benzodiazepine use and risk of Alzheimer’s disease: case-control study. BMJ. 2014;349:g5205.PubMedPubMedCentralGoogle Scholar
  24. 24.
    Woolcott JC, Richardson KJ, Wiens MO, Patel B, Marin J, Khan KM, et al. Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Arch Intern Med. 2009;169:1952–60.PubMedGoogle Scholar
  25. 25.
    Zint K, Haefeli WE, Glynn RJ, Mogun H, Avorn J, Stürmer T. Impact of drug interactions, dosage, and duration of therapy on the risk of hip fracture associated with benzodiazepine use in older adults. Pharmacoepidemiol Drug Saf. 2010;19:1248–55.PubMedPubMedCentralGoogle Scholar
  26. 26.
    Dassanayake T, Michie P, Carter G, Jones A. Effects of benzodiazepines, antidepressants and opioids on driving: a systematic review and meta-analysis of epidemiological and experimental evidence. Drug Saf. 2011;34:125–56.PubMedGoogle Scholar
  27. 27.
    Rodriguez JC, Dzierzewski JM, Alessi CA. Sleep problems in the elderly. Med Clin N Am. 2015;99:431–9.PubMedGoogle Scholar
  28. 28.
    Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Med Rev. 2015;22:23–36.PubMedGoogle Scholar
  29. 29.
    Stepanski EJ, Wyatt JK. Use of sleep hygiene in the treatment of insomnia. Sleep Med Rev. 2003;7:215–25.PubMedGoogle Scholar
  30. 30.
    • Black DS, O’Reilly GA, Olmstead R, Breen EC, Irwin MR. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern Med. 2015;175:494–501. This study was the first RCT to examine the effect of a mindfulness-based intervention on sleep in a sample of older adults. PubMedPubMedCentralGoogle Scholar
  31. 31.
    Martin JL, Song Y, Hughes J, Jouldjian S, Dzierzewski JM, Fung CH, et al. A four-session sleep intervention program improves sleep for older adult day health care participants: results of a randomized controlled trial. Sleep. 2017;40.  https://doi.org/10.1093/sleep/zsx079.
  32. 32.
    Rybarczyk B, Stepanski E, Fogg L, Lopez M, Barry P, Davis A. A placebo-controlled test of cognitive-behavioral therapy for comorbid insomnia in older adults. J Consult Clin Psychol. 2005;73:1164–74.PubMedGoogle Scholar
  33. 33.
    Gong H, Ni C-X, Liu Y-Z, Zhang Y, Su W-J, Lian Y-J, et al. Mindfulness meditation for insomnia: a meta-analysis of randomized controlled trials. J Psychosom Res. 2016;89:1–6.PubMedGoogle Scholar
  34. 34.
    Zhang J-X, Liu X-H, Xie X-H, Zhao D, Shan M-S, Zhang X-L, et al. Mindfulness-based stress reduction for chronic insomnia in adults older than 75 years: a randomized, controlled, single-blind clinical trial. Explore (NY). 2015;11:180–5.Google Scholar
  35. 35.
    Sun J, Kang J, Wang P, Zeng H. Self-relaxation training can improve sleep quality and cognitive functions in the older: a one-year randomised controlled trial. J Clin Nurs. 2013;22:1270–80.PubMedGoogle Scholar
  36. 36.
    Epstein DR, Sidani S, Bootzin RR, Belyea MJ. Dismantling multicomponent behavioral treatment for insomnia in older adults: a randomized controlled trial. Sleep. 2012;35:797–805.PubMedPubMedCentralGoogle Scholar
  37. 37.
    Friedman L, Benson K, Noda A, Zarcone V, Wicks DA, O’Connell K, et al. An actigraphic comparison of sleep restriction and sleep hygiene treatments for insomnia in older adults. J Geriatr Psychiatry Neurol. 2000;13:17–27.PubMedGoogle Scholar
  38. 38.
    MacLeod S, Musich S, Kraemer S, Wicker E. Practical non-pharmacological intervention approaches for sleep problems among older adults. Geriatr Nurs. 2018.  https://doi.org/10.1016/j.gerinurse.2018.02.002.PubMedGoogle Scholar
  39. 39.
    Miller CB, Espie CA, Epstein DR, Friedman L, Morin CM, Pigeon WR, et al. The evidence base of sleep restriction therapy for treating insomnia disorder. Sleep Med Rev. 2014;18:415–24.PubMedGoogle Scholar
  40. 40.
    Kyle SD, Miller CB, Rogers Z, Siriwardena AN, Macmahon KM, Espie CA. Sleep restriction therapy for insomnia is associated with reduced objective total sleep time, increased daytime somnolence, and objectively impaired vigilance: implications for the clinical management of insomnia disorder. Sleep. 2014;37:229–37.PubMedPubMedCentralGoogle Scholar
  41. 41.
    Lichstein KL, Riedel BW, Wilson NM, Lester KW, Aguillard RN. Relaxation and sleep compression for late-life insomnia: a placebo-controlled trial. J Consult Clin Psychol. 2001;69:227–39.PubMedGoogle Scholar
  42. 42.
    Riedel BW, Lichstein KL, Dwyer WO. Sleep compression and sleep education for older insomniacs: self-help versus therapist guidance. Psychol Aging. 1995;10:54–63.PubMedGoogle Scholar
  43. 43.
    Belanger L, Savard J, Morin CM. Clinical management of insomnia using cognitive therapy. Behav Sleep Med. 2006;4:179–98.PubMedGoogle Scholar
  44. 44.
    Morin CM, Barlow DH. Insomnia: Psychological assessment and management. New York: Guilford Press; 1993.Google Scholar
  45. 45.
    Harvey AG, Bélanger L, Talbot L, Eidelman P, Beaulieu-Bonneau S, Fortier-Brochu É, et al. Comparative efficacy of behavior therapy, cognitive therapy, and cognitive behavior therapy for chronic insomnia: a randomized controlled trial. J Consult Clin Psychol. 2014;82:670–83.PubMedPubMedCentralGoogle Scholar
  46. 46.
    Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015;38:427–49.PubMedGoogle Scholar
  47. 47.
    Chen L-J, Fox KR, Ku P-W, Chang Y-W. Effects of aquatic exercise on sleep in older adults with mild sleep impairment: a randomized controlled trial. Int J Behav Med. 2016;23:501–6.PubMedGoogle Scholar
  48. 48.
    Vaz Fragoso CA, Miller ME, King AC, Kritchevsky SB, Liu CK, Myers VH, et al. Effect of structured physical activity on sleep-wake behaviors in sedentary elderly adults with mobility limitations. J Am Geriatr Soc. 2015;63:1381–90.PubMedPubMedCentralGoogle Scholar
  49. 49.
    Dzierzewski JM, Buman MP, Giacobbi PR, Roberts BL, Aiken-Morgan AT, Marsiske M, et al. Exercise and sleep in community-dwelling older adults: evidence for a reciprocal relationship. J Sleep Res. 2014;23:61–8.PubMedGoogle Scholar
  50. 50.
    Pa J, Goodson W, Bloch A, King AC, Yaffe K, Barnes DE. Effect of exercise and cognitive activity on self-reported sleep quality in community-dwelling older adults with cognitive complaints: a randomized controlled trial. J Am Geriatr Soc. 2014;62:2319–26.PubMedPubMedCentralGoogle Scholar
  51. 51.
    •• Brasure M, Fuchs E, MacDonald R, Nelson VA, Koffel E, Olson CM, et al. Psychological and behavioral interventions for managing insomnia disorder: an evidence report for a clinical practice guideline by the American College of Physicians. Ann Intern Med. 2016;165:113–24. This publication provides a comprehensive review of 62 psychological and behavioral RCTs for insomnia disorder published over the last decade and helped to inform the 2016 clinical practice guidelines published by the American College of Physicians. PubMedGoogle Scholar
  52. 52.
    Alessi C, Martin JL, Fiorentino L, Fung CH, Dzierzewski JM, Rodriguez Tapia JC, et al. Cognitive behavioral therapy for insomnia in older veterans using nonclinician sleep coaches: randomized controlled trial. J Am Geriatr Soc. 2016;64:1830–8.PubMedPubMedCentralGoogle Scholar
  53. 53.
    Fung CH, Martin JL, Josephson K, Fiorentino L, Dzierzewski JM, Jouldjian S, et al. Efficacy of cognitive behavioral therapy for insomnia in older adults with occult sleep-disordered breathing. Psychosom Med. 2016;78:629–39.PubMedPubMedCentralGoogle Scholar
  54. 54.
    Irwin MR, Olmstead R, Breen EC, Witarama T, Carrillo C, Sadeghi N, et al. Cognitive behavioral therapy and tai chi reverse cellular and genomic markers of inflammation in late-life insomnia: a randomized controlled trial. Biol Psychiatry. 2015;78:721–9.PubMedPubMedCentralGoogle Scholar
  55. 55.
    Buysse DJ, Germain A, Moul DE, Franzen PL, Brar LK, Fletcher ME, et al. Efficacy of brief behavioral treatment for chronic insomnia in older adults. Arch Intern Med. 2011;171:887–95.PubMedPubMedCentralGoogle Scholar
  56. 56.
    • McCrae CS, Curtis AF, Williams JM, Dautovich ND, McNamara JPH, Stripling A, et al. Efficacy of brief behavioral treatment for insomnia in older adults: examination of sleep, mood, and cognitive outcomes. Sleep Med. 2018;51:153–66. Available from: http://www.sciencedirect.com/science/article/pii/S1389945718302077. This study provides evidence for the use of BBTi as a cost-effective treatment for chronic insomnia among older adults while highlighting the potential limited effect of this treatment on secondary outcomes including mood and cognitive functioning. PubMedGoogle Scholar
  57. 57.
    Chan WS, Williams J, Dautovich ND, McNamara JPH, Stripling A, Dzierzewski JM, et al. Night-to-night sleep variability in older adults with chronic insomnia: mediators and moderators in a randomized controlled trial of brief behavioral therapy (BBT-I). J Clin Sleep Med. 2017;13:1243–54.PubMedPubMedCentralGoogle Scholar
  58. 58.
    Perils ML, Smith MT. How can we make CBT-I and other BSM services widely available? J Clin Sleep Med. 2008;4:11–3.PubMedGoogle Scholar
  59. 59.
    Gum AM, Iser L, Petkus A. Behavioral health service utilization and preferences of older adults receiving home-based aging services. Am J Geriatr Psychiatry. 2010;18:491–501.PubMedGoogle Scholar
  60. 60.
    Mack LJ, Rybarczyk BD. Behavioral treatment of insomnia: a proposal for a stepped-care approach to promote public health. Nat Sci Sleep. 2011;3:87–99.PubMedPubMedCentralGoogle Scholar
  61. 61.
    Espie CA. “Stepped care”: a health technology solution for delivering cognitive behavioral therapy as a first line insomnia treatment. Sleep. 2009;32:1549–58.PubMedPubMedCentralGoogle Scholar
  62. 62.
    • van Straten A, van der Zweerde T, Kleiboer A, Cuijpers P, Morin CM, Lancee J. Cognitive and behavioral therapies in the treatment of insomnia: a meta-analysis. Sleep Med Rev. 2018;38:3–16. This is the first meta-analysis to synthesize results from all studies using at least one component of CBTi, showing robust treatment effects across diverse populations. PubMedGoogle Scholar
  63. 63.
    Ellis JG, Cushing T, Germain A. Treating acute insomnia: a randomized controlled trial of a “single-shot” of cognitive behavioral therapy for insomnia. Sleep. 2015;38:971–8.PubMedPubMedCentralGoogle Scholar
  64. 64.
    Edinger JD, Sampson WS, et al. A primary care “friendly” cognitive behavioral insomnia therapy. Sleep. 2003;26:177–84.PubMedGoogle Scholar
  65. 65.
    Bothelius K, Kyhle K, Espie CA, Broman J-E. Manual-guided cognitive-behavioural therapy for insomnia delivered by ordinary primary care personnel in general medical practice: a randomized controlled effectiveness trial. J Sleep Res. 2013;22:688–96.PubMedGoogle Scholar
  66. 66.
    Espie CA, MacMahon KMA, Kelly H-L, Broomfield NM, Douglas NJ, Engleman HM, et al. Randomized clinical effectiveness trial of nurse-administered small-group cognitive behavior therapy for persistent insomnia in general practice. Sleep. 2007;30:574–84.PubMedGoogle Scholar
  67. 67.
    Espie CA, Fleming L, Cassidy J, Samuel L, Taylor LM, White CA, et al. Randomized controlled clinical effectiveness trial of cognitive behavior therapy compared with treatment as usual for persistent insomnia in patients with cancer. J Clin Oncol. 2008;26:4651–8.PubMedGoogle Scholar
  68. 68.
    Lichstein KL, Wilson NM, Johnson CT. Psychological treatment of secondary insomnia. Psychol Aging. 2000;15:232–40.PubMedGoogle Scholar
  69. 69.
    • Seyffert M, Lagisetty P, Landgraf J, Chopra V, Pfeiffer PN, Conte ML, et al. Internet-delivered cognitive behavioral therapy to treat insomnia: a systematic review and meta-analysis. PLoS One. 2016;11:e0149139. This publication synthesizes the work on internet-delivered CBTi, an increasingly viable treatment option to lower costs and increase the accessibility of behavioral sleep medicine. PubMedPubMedCentralGoogle Scholar
  70. 70.
    Karyotaki E, Riper H, Twisk J, Hoogendoorn A, Kleiboer A, Mira A, et al. Efficacy of self-guided internet-based cognitive behavioral therapy in the treatment of depressive symptoms: a meta-analysis of individual participant data. JAMA Psychiatry. 2017;74:351–9.PubMedGoogle Scholar
  71. 71.
    Zou JB, Dear BF, Titov N, Lorian CN, Johnston L, Spence J, et al. Brief internet-delivered cognitive behavioral therapy for anxiety in older adults: a feasibility trial. J Anxiety Disord. 2012;26:650–5.PubMedGoogle Scholar
  72. 72.
    Kang S-G, Kang JM, Cho S-J, Ko K-P, Lee YJ, Lee H-J, et al. Cognitive behavioral therapy using a mobile application synchronizable with wearable devices for insomnia treatment: a pilot study. J Clin Sleep Med. 2017;13:633–40.PubMedPubMedCentralGoogle Scholar
  73. 73.
    Koffel E, Kuhn E, Petsoulis N, Erbes CR, Anders S, Hoffman JE, et al. A randomized controlled pilot study of CBT-I coach: feasibility, acceptability, and potential impact of a mobile phone application for patients in cognitive behavioral therapy for insomnia. Health Informatics J. 2018;24:3–13.PubMedGoogle Scholar
  74. 74.
    Chen Y-X, Hung Y-P, Chen H-C. Mobile application-assisted cognitive behavioral therapy for insomnia in an older adult. Telemed J E Health. 2016;22:332–4.PubMedGoogle Scholar
  75. 75.
    Cassidy-Eagle E, Siebern A, Unti L, Glassman J, O’Hara R. Neuropsychological functioning in older adults with mild cognitive impairment and insomnia randomized to CBT-I or control group. Clin Gerontol. 2018;41:136–44.PubMedGoogle Scholar
  76. 76.
    Kuck J, Pantke M, Flick U. Effects of social activation and physical mobilization on sleep in nursing home residents. Geriatr Nurs. 2014;35:455–61.PubMedGoogle Scholar
  77. 77.
    Stepanski EJ, Rybarczyk B. Emerging research on the treatment and etiology of secondary or comorbid insomnia. Sleep Med Rev. 2006;10:7–18.PubMedGoogle Scholar
  78. 78.
    Rybarczyk B, Lopez M, Benson R, Alsten C, Stepanski E. Efficacy of two behavioral treatment programs for comorbid geriatric insomnia. Psychol Aging. 2002;17:288–98.PubMedGoogle Scholar
  79. 79.
    Rios Romenets S, Creti L, Fichten C, Bailes S, Libman E, Pelletier A, et al. Doxepin and cognitive behavioural therapy for insomnia in patients with Parkinson’s disease—a randomized study. Parkinsonism Relat Disord. 2013;19:670–5.PubMedGoogle Scholar
  80. 80.
    Vitiello MV, McCurry SM, Shortreed SM, Balderson BH, Baker LD, Keefe FJ, et al. Cognitive-behavioral treatment for comorbid insomnia and osteoarthritis pain in primary care: the lifestyles randomized controlled trial. J Am Geriatr Soc. 2013;61:947–56.PubMedPubMedCentralGoogle Scholar
  81. 81.
    McCurry SM, Shortreed SM, Von Korff M, Balderson BH, Baker LD, Rybarczyk BD, et al. Who benefits from CBT for insomnia in primary care? Important patient selection and trial design lessons from longitudinal results of the lifestyles trial. Sleep. 2014;37:299–308.PubMedPubMedCentralGoogle Scholar
  82. 82.
    Alessi CA, Martin JL, Fung CH, Dzierzewski JM, Fiorentino L, Stepnowsky C, et al. Randomized controlled trial of an integrated behavioral treatment in veterans with obstructive sleep apnea and coexisting insomnia. Sleep. 2018;41:A155.Google Scholar
  83. 83.
    Fung CH, Martin JL, Dzierzewski JM, Jouldjian S, Josephson K, Park M, et al. Prevalence and symptoms of occult sleep disordered breathing among older veterans with insomnia. J Clin Sleep Med. 2013;9:1173.PubMedPubMedCentralGoogle Scholar
  84. 84.
    Garland SN, Johnson JA, Savard J, Gehrman P, Perlis M, Carlson L, et al. Sleeping well with cancer: a systematic review of cognitive behavioral therapy for insomnia in cancer patients. Neuropsychiatr Dis Treat. 2014;10:1113–24.PubMedPubMedCentralGoogle Scholar
  85. 85.
    Taylor DJ, Pruiksma KE. Cognitive and behavioural therapy for insomnia (CBT-I) in psychiatric populations: a systematic review. Int Rev Psychiatry. 2014;26:205–13.PubMedGoogle Scholar
  86. 86.
    Wu JQ, Appleman ER, Salazar RD, Ong JC. Cognitive behavioral therapy for insomnia comorbid with psychiatric and medical conditions: a meta-analysis. JAMA Intern Med. 2015;175:1461–72.PubMedGoogle Scholar
  87. 87.
    • Sadler P, McLaren S, Klein B, Harvey J, Jenkins M. Cognitive behaviour therapy for older adults with insomnia and depression: a randomized controlled trial in community mental health services. Sleep. 2018;41.  https://doi.org/10.1093/sleep/zsy104. This study is the first study to show that older adults with comorbid insomnia and depression who receive CBTi with an additional mood module do not appear to benefit from greater reductions in insomnia or depression severity compared to individuals receiving only CBTi.
  88. 88.
    Li MJ, Kechter A, Olmstead RE, Irwin MR, Black DS. Sleep and mood in older adults: coinciding changes in insomnia and depression symptoms. Int Psychogeriatr. 2018;30:431–5.PubMedGoogle Scholar
  89. 89.
    Stanley MA, Wilson NL, Amspoker AB, Kraus-Schuman C, Wagener PD, Calleo JS, et al. Lay providers can deliver effective cognitive behavior therapy for older adults with generalized anxiety disorder: a randomized trial. Depress Anxiety. 2014;31:391–401.PubMedGoogle Scholar
  90. 90.
    Martin JL, Ancoli-Israel S. Napping in older adults. Sleep Med Clin. 2006;1:177–86.Google Scholar
  91. 91.
    Cohen-Mansfield J, Perach R. Sleep duration, nap habits, and mortality in older persons. Sleep. 2012;35:1003–9.PubMedPubMedCentralGoogle Scholar
  92. 92.
    Ancoli-Israel S, Martin JL. Insomnia and daytime napping in older adults. J Clin Sleep Med. 2006;2:333–42.PubMedGoogle Scholar
  93. 93.
    Cross N, Terpening Z, Rogers NL, Duffy SL, Hickie IB, Lewis SJG, et al. Napping in older people “at risk” of dementia: relationships with depression, cognition, medical burden and sleep quality. J Sleep Res. 2015;24:494–502.PubMedGoogle Scholar
  94. 94.
    Wennberg AM, Canham SL, Smith MT, Spira AP. Optimizing sleep in older adults: treating insomnia. Maturitas. 2013;76:247–52.PubMedGoogle Scholar
  95. 95.
    Monk TH, Buysse DJ, Carrier J, Billy BD, Rose LR. Effects of afternoon “siesta” naps on sleep, alertness, performance, and circadian rhythms in the elderly. Sleep. 2001;24:680–7.PubMedGoogle Scholar
  96. 96.
    Mehra R, Patel SR. To nap or not to nap: that is the question. Sleep. 2012;35:903–4.PubMedPubMedCentralGoogle Scholar
  97. 97.
    Kay DB, Buysse DJ, Germain A, Hall M, Monk TH. Subjective-objective sleep discrepancy among older adults: associations with insomnia diagnosis and insomnia treatment. J Sleep Res. 2015;24:32–9.PubMedGoogle Scholar
  98. 98.
    Williams JM, Kay DB, Rowe M, McCrae CS. Sleep discrepancy, sleep complaint, and poor sleep among older adults. J Gerontol B Psychol Sci Soc Sci. 2013;68:712–20.PubMedPubMedCentralGoogle Scholar
  99. 99.
    Lund HG, Rybarczyk BD, Perrin PB, Leszczyszyn D, Stepanski E. The discrepancy between subjective and objective measures of sleep in older adults receiving CBT for comorbid insomnia. J Clin Psychol. 2013;69:1108–20.PubMedGoogle Scholar
  100. 100.
    Bosch JL, Weiss JP. The prevalence and causes of nocturia. J Urol. 2010;184:440–6.PubMedGoogle Scholar
  101. 101.
    Vaughan CP, Bliwise DL. Sleep and nocturia in older adults. Sleep Med Clin. 2018;13:107–16.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Joseph M. Dzierzewski
    • 1
  • Sarah C. Griffin
    • 1
  • Scott Ravyts
    • 1
  • Bruce Rybarczyk
    • 1
  1. 1.Department of PsychologyVirginia Commonwealth UniversityRichmondUSA

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