An actigraphic comparison of sleep restriction and sleep hygiene treatments for insomnia in older adults
An actigraphic comparison of sleep restriction and sleep hygiene treatments for insomnia in older adults
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DOI：
10.1177/089198870001300103
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发表时间：
2000-03-01
影响因子：
2.6
通讯作者：
Yesavage, JA
中科院分区：
文献类型：
--
作者：
Friedman, L;Benson, K;Yesavage, JA
我们比较了睡眠限制疗法与睡眠卫生相结合、睡眠限制疗法的午睡修改与睡眠卫生相结合以及单独睡眠卫生作为治疗失眠的疗效，对39名55岁及以上社区居民的男性和女性进行了比较。在基线、治疗结束和S一个月的随访中，我们使用腕部活动记录仪作为所有受试者的客观结果测量；对受试者中的一组进行多导睡眠监测。尽管受试者似乎通过随访遵循了限制说明，但我们发现组间治疗效果几乎没有差异。缺乏治疗效果的原因可能是HYG本身的治疗效果以及这些健康的老年贫困睡眠者的症状水平相对较低。在基线上，在我们的样本中，活动监测结果被发现比睡眠日志数据与PSG的相关性更高。特别是动态总睡眠时间与PSG高度相关。
We compared the efficacy of sleep restriction therapy combined with sleep hygiene, nap modification of sleep restriction therapy combined with sleep hygiene, and sleep hygiene alone as treatments for insomnia in 39 community-dwelling men and women 55 years and older. We used the wrist actigraph as an objective outcome measure for all subjects at baseline, end of treatment, and S-month follow-up; polysomnography (PSG) was conducted in a subgroup of subjects. Although subjects appeared to follow restriction instructions through follow-up, we found few between-group differences in treatment efficacy. Lack of treatment effect might be explained by the efficacy of HYG as a treatment in itself and the relatively low symptom level in these healthy older poor sleepers. At baseline, actigraphic results were found to correlate more highly than sleep log data with PSG in our sample. Actigraphic total sleep time, in particular, was highly correlated with PSG.