Sleep Outcomes With Cognitive Behavioral Therapy for Insomnia Are Similar Between Older Adults With Low vs. High Self-Reported Physical Activity.
Sleep Outcomes With Cognitive Behavioral Therapy for Insomnia Are Similar Between Older Adults With Low vs. High Self-Reported Physical Activity.
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DOI：
10.3389/fnagi.2018.00274
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发表时间：
2018
影响因子：
4.8
通讯作者：
Alessi C
中科院分区：
文献类型：
--
作者：
Yeung T;Martin JL;Fung CH;Fiorentino L;Dzierzewski JM;Rodriguez Tapia JC;Song Y;Josephson K;Jouldjian S;Mitchell MN;Alessi C
我们研究了老年退伍军人自我报告的基线身体活动是否与失眠认知行为疗法（CBT-I）的疗效相关。在一项随机对照试验中，居住在社区的 60 岁及以上患有失眠症的退伍军人接受了 CBT-I。根据自我报告，接受积极治疗的参与者被分为低体力活动和高体力活动。通过睡眠日记、问卷和腕部体动记录仪来测量睡眠结果；在基线、治疗后、6 个月和 12 个月随访时收集。混合效应模型比较了体力活动组之间从基线到每次随访的睡眠结果变化的差异，并通过等价检验检查体力活动组在临床上是否相等。体力活动组之间的睡眠结果没有显着差异。等效性测试表明，七种睡眠结果中的五种在体力活动组中可能是平等的。 CBT-I 对老年退伍军人的疗效与自我报告的基线身体活动无关。身体活动水平较低的失眠老年人可以从 CBT-I 中受益。
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.
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影响因子：
6.3
作者：
Alessi C;Martin JL;Fiorentino L;Fung CH;Dzierzewski JM;Rodriguez Tapia JC;Song Y;Josephson K;Jouldjian S;Mitchell MN
通讯作者：
Mitchell MN
DOI：
10.1093/gerona/63.9.997
发表时间：
2008-09
期刊：
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子：
--
作者：
King AC;Pruitt LA;Woo S;Castro CM;Ahn DK;Vitiello MV;Woodward SH;Bliwise DL
通讯作者：
Bliwise DL
影响因子：
5.6
作者：
Jaussent, Isabelle;Bouyer, Jean;Dauvilliers, Yves
通讯作者：
Dauvilliers, Yves
影响因子：
5.6
作者：
EDINGER, JD;MOREY, MC;MCCALL, WV
通讯作者：
MCCALL, WV
影响因子：
11.3
作者：
BUYSSE, DJ;REYNOLDS, CF;KUPFER, DJ
通讯作者：
KUPFER, DJ