Sleep Outcomes With Cognitive Behavioral Therapy for Insomnia Are Similar Between Older Adults With Low vs. High Self-Reported Physical Activity

Frontiers in Aging Neuroscience

Lavinia Fiorentino²  Karen Josephson²  Juan C. Rodriguez Tapia²  Joseph M. Dzierzewski⁴  Jennifer L. Martin⁶  Yeonsu Song⁶  Constance H. Fung⁶  Stella Jouldjian⁶  Michael N. Mitchell⁶  Cathy Alessi⁶  Timothy Yeung⁷ 

[1]Jefferson College, Washington, PA, United States

[2]Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States

[3]Department of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile

[4]Department of Psychiatry, University of California, San Diego, San Diego, CA, United States

[5]Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States

[6]Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, CA, United States

[7]

[8]Washington &

关键词: insomnia;    chronic illness;    veterans;    older adults;    cognitive behavioral therapy for insomnia;    physical activity;   

DOI  :  10.3389/fnagi.2018.00274

来源: DOAJ

【 摘 要 】

We examined whether baseline self-reported physical activity is associated with the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older veterans. Community-dwelling veterans aged 60 years and older with insomnia received CBT-I in a randomized controlled trial. Participants who received active treatment were divided into low and high physical activity based on self-report. Sleep outcomes were measured by sleep diary, questionnaire and wrist actigraphy; collected at baseline, post-treatment, 6-month and 12-month follow-up. Mixed-effects models compared differences between physical activity groups in change in sleep outcome from baseline to each follow-up, and equivalence tests examined if physical activity groups were clinically equal. There were no significant differences in sleep outcomes between physical activity groups. Equivalence tests suggested possible equality in physical activity groups for five of seven sleep outcomes. Efficacy of CBT-I in older veterans was not associated with self-reported physical activity at baseline. Older adults with insomnia who report low levels of physical activity can benefit from CBT-I.

【 授权许可】

Unknown