Evidence-based psychological treatments for insomnia in older adults
Evidence-based psychological treatments for insomnia in older adults
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DOI：
10.1037/0882-7974.22.1.18
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发表时间：
2007-03-01
影响因子：
3.7
通讯作者：
Vitiello, Michael V.
中科院分区：
文献类型：
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作者：
McCurry, Susan M.;Logsdon, Rebecca G.;Vitiello, Michael V.
这篇综述描述了针对老年人失眠的循证心理治疗（EBTs）。根据美国心理学协会临床心理学学会科学与实践委员会制定的编码程序，两种治疗方法被发现符合EBT标准：睡眠限制-睡眠压缩疗法和多成分认知行为疗法。另一种治疗方法（刺激控制疗法）部分符合标准，但需要进一步的确证研究。目前，没有足够的证据表明其他心理治疗，包括认知疗法、放松疗法和睡眠卫生教育，可以作为治疗老年人失眠的独立干预措施。还需要进一步的研究来检验替代补充疗法的疗效，如强光疗法、运动和按摩。这篇综述强调了在回顾现有失眠文献时使用EBT编码手册中提出的编码程序的潜在问题。特别是，将老年人分类为60岁及以上的人，以及缺乏对医疗合并症的严格考虑，值得今后讨论。
The review describes evidence-based psychological treatments (EBTs) for insomnia in older adults. Following coding procedures developed by the American Psychological Association's Committee on Science and Practice of the Society for Clinical Psychology, two treatments were found to meet EBT criteria: sleep restriction-sleep compression therapy and multicomponent cognitive-behavioral therapy. One additional treatment (stimulus control therapy) partially met criteria, but further corroborating studies are needed. At the present time, there is insufficient evidence to consider other psychological treatments, including cognitive therapy, relaxation, and sleep hygiene education, as stand-alone interventions beneficial for treating insomnia in older adults. Additional research is also needed to examine the efficacy of alternative-complementary therapies, such as bright light therapy, exercise, and massage. This review highlights potential problems with using coding procedures proposed in the EBT coding manual when reviewing the existing insomnia literature. In particular, the classification of older adults as persons age 60 and older and the lack of rigorous consideration of medical comorbidifies warrant discussion in the future.