Successful behavioral treatment for reported sleep problems in elderly caregivers of dementia patients: A controlled study
Successful behavioral treatment for reported sleep problems in elderly caregivers of dementia patients: A controlled study
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DOI：
10.1093/geronb/53b.2.p122
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发表时间：
1998-03-01
影响因子：
6.2
通讯作者：
Teri, L
中科院分区：
文献类型：
--
作者：
McCurry, SM;Logsdon, RG;Teri, L
虽然睡眠问题在痴呆症照顾者中很常见，但迄今为止还没有研究描述使用行为技术治疗此类问题。在这项研究中，36名老年痴呆症照顾者与睡眠障碍被随机分配到一个简短的行为干预或等待名单控制。积极的治疗包括标准的睡眠卫生，刺激控制和睡眠压缩策略，以及有关社区资源，压力管理和技术的教育，以减少患者的破坏性行为。积极治疗的护理人员在治疗后和3个月的随访中显示出睡眠的显着改善。两组之间在照顾者情绪、负担或患者行为问题方面没有观察到显著差异，这表明睡眠改善不是抑郁症治疗的人为因素。治疗应答者往往比无应答者更年轻，更依从治疗建议。结果表明，行为技术可能是一个可行的替代药物治疗老年护理人员的睡眠问题。
Although sleep problems are common among dementia caregivers, there has been no research thus far describing treatment of such problems using behavioral techniques. In this study, 36 elderly dementia caregivers with disturbed sleep were randomly assigned to either a brief behavioral intervention or a wait list control. The active treatment consisted of standard sleep hygiene, stimulus control, and sleep compression strategies as well as education about community resources, stress management, and techniques to reduce patient disruptive behaviors. Caregivers in active treatment showed significant improvements in sleep at post-treatment and 3-month follow up. No significant differences between groups were observed for caregiver mood, burden, or patient behavior problems, suggesting that sleep improvements were not an artifact of depression treatment. Treatment responders tended to be younger and more compliant with treatment recommendations than non-responders. Results suggest that behavioral techniques may well be a viable alternative to medication for sleep problems in aging caregivers.