Cognitive Behavioral Therapy for Insomnia in Older Adults: Background, Evidence, and Overview of Treatment Protocol

REFERENCES

• Achermann , P. 2004 . The two-process model of sleep regulation revisited . Aviation, Space, and Environmental Medicine , 75 ( 3S ) : A37 – A43 .
   PubMedGoogle Scholar
• American Academy of Sleep Medicine. (2010). Evaluate your sleep. Retrieved from http://yoursleep.aasmnet.org/EvaluateSleep.aspx (http://yoursleep.aasmnet.org/EvaluateSleep.aspx)
   Google Scholar
• American Psychiatric Association (APA) . 1994 . Diagnostic and statistical manual of mental disorders , 4th , Washington , DC : Author .
   Google Scholar
• Ancoli-Israel , S. and Cooke , J. R. 2005 . Prevalence and comorbidity of insomnia and effect on functioning in elderly populations . Journal of the American Geriatrics Society , 53 ( S7 ) : S264 – S271 .
   PubMed Web of Science ®Google Scholar
• Bastien , C. H. , Morin , C. M. and Ouellet , M.C. 2004 . Cognitive-behavioral therapy for insomnia: Comparison of individual therapy, group therapy, and telephone consultations . Journal of Consulting and Clinical Psychology , 72 : 653 – 659 .
   PubMed Web of Science ®Google Scholar
• Bootzin , R. R. 1972 . Stimulus control treatment for insomnia . Proceedings of the 80th Annual Meeting of the American Psychological Association , 7 : 395 – 396 .
   Google Scholar
• Bootzin , R. R. and Nicassio , P. M. 1978 . “ Behavioral treatments for insomnia ” . In Progress in behavior modification , Edited by: Hersen , M. , Eisler , R. and Miller , P. 1 – 45 . New York , NY : Academic Press .
   Google Scholar
• Borbely , A. A. 1982 . A two-process model of sleep regulation . Human Neurobiology , 1 : 195 – 204 .
   PubMedGoogle Scholar
• Bursztyn , M. , Ginsberg , G. , Hammerman-Rozenberg , R. and Stessman , J. 1999 . The siesta in the elderly: Risk factor for mortality? . Archives of Internal Medicine , 159 : 1582 – 1586 .
   PubMed Web of Science ®Google Scholar
• Buysse , D. J. , Germain , A. , Moul , D. E. , Franzen , P. L. , Brar , L. K. , Fletcher , M.E. , … and Monk , T.H. 2011 . Efficacy of brief behavioral treatment for chronic insomnia in older adults . Archives of Internal Medicine , 171 : 887 – 895 .
   PubMed Web of Science ®Google Scholar
• Chung , F. , Yegneswaran , B. , Liao , P. , Chung , S. A. , Vairavanathan , S. , Islam , S. , … and Shapiro , C. M. 2008 . STOP questionnaire: A tool to screen patients for obstructive sleep apnea . Anesthesiology , 108 : 812 – 821 .
   PubMed Web of Science ®Google Scholar
• Creti , L. , Libman , E. , Bailes , S. and Fichten , C. S. 2005 . Effectiveness of cognitive-behavioral insomnia treatment in a community sample of older individuals: More questions than conclusions . Journal of Clinical Psychology in Medical Settings , 12 : 153 – 164 .
   Web of Science ®Google Scholar
• Davies , R. , Lacks , P. , Storandt , M. and Bertelson , A. D. 1986 . Countercontrol treatment of sleep-maintenance insomnia in relation to age . Psychology and Aging , 1 : 233 – 238 .
   PubMedGoogle Scholar
• Dijk , D. J. , Duffy , J. F. and Czeisler , C. A. 2000 . Contribution of circadian physiology and sleep homeostasis to age-related changes in human sleep . Chronobiology International , 17 : 285 – 311 .
   PubMed Web of Science ®Google Scholar
• Doghramji , K. 2010 . The evaluation and management of insomnia . Clinics in Chest Medicine , 31 : 327 – 339 .
   PubMed Web of Science ®Google Scholar
• Edinger , J. D. 2009 . Is it time to step up stepped care with our cognitive-behavioral insomnia therapies? . Sleep , 32 : 1539 – 1541 .
   PubMed Web of Science ®Google Scholar
• Edinger , J. D. and Sampson , W. S. 2003 . A primary care “friendly” cognitive behavioral insomnia therapy . Sleep , 26 : 177 – 182 .
   PubMed Web of Science ®Google Scholar
• Edinger , J. D. , Wohlgemuth , W. K. , Radtke , R. A. , Coffman , C. J. and Carney , C. E. 2007 . Dose-response effects of cognitive-behavioral insomnia therapy: A randomized clinical trial . Sleep , 30 : 203 – 212 .
   PubMed Web of Science ®Google Scholar
• Engle-Friedman , M. , Bootzin , R. R. , Hazlewood , L. and Tsao , C. 1992 . An evaluation of behavioral treatments for insomnia in the older adult . Journal of Clinical Psychology , 48 : 77 – 90 .
   PubMed Web of Science ®Google Scholar
• Espie , C. A. 2009 . Stepped care: A health technology solution for delivering cognitive behavioral therapy as a first line of insomnia treatment . Sleep , 32 : 1549 – 1558 .
   PubMed Web of Science ®Google Scholar
• Espie , C. A. , Lindsay , W. R. , Brooks , D. N. , Hood , E. M. and Turvey , T. 1989 . A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia . Behavior Research and Therapy , 27 : 79 – 88 .
   PubMed Web of Science ®Google Scholar
• Friedman , L. , Benson , K. , Noda , A. , Zarcone , V. , Wicks , D. A. , O'Connell , K. , … and Yesavage , J. A. 2000 . An actigraphic comparison of sleep restriction and sleep hygiene treatments for insomnia in older adults . Journal of Geriatric Psychiatry and Neurology , 13 : 17 – 27 .
   PubMed Web of Science ®Google Scholar
• Friedman , L. , Bliwise , D. L. , Yesavage , J. A. and Salom , S. R. 1991 . A preliminary study comparing sleep restriction and relaxation treatments for insomnia in older adults . Journal of Gerontology , 46 : 1 – 8 .
   PubMedGoogle Scholar
• Gigli , G. L. , Placidi , F. , Diomedi , M. , Maschio , M. , Silvestri , G. , Scalise , A. and Marciani , M. G. 1996 . Sleep in healthy elderly subjects: A 24-hour ambulatory polysomnographic study . The International Journal of Neuroscience , 85 : 263 – 271 .
   PubMed Web of Science ®Google Scholar
• Glass , J. , Lanctot , K. L. , Herrmann , N. , Sproule , B. A. and Busto , U. E. 2005 . Sedative hypnotics in older people with insomnia: Meta-analysis of risks and benefits . BMJ , 331 : 1169 – 1175 .
   PubMed Web of Science ®Google Scholar
• Goodie , J. L. , Isler , W. C. , Hunter , C. and Peterson , A. L . 2009 . Using behavioral health consultants to treat insomnia in primary care: A clinical case series . Journal of Clinical Psychology , 65 : 294 – 304 .
   PubMed Web of Science ®Google Scholar
• Gooneratne , N. S. , Weaver , T. E. , Cater , J. R. , Pack , F. M. , Arner , H. M. , Greenberg , A. S. and Pack , A. I. 2003 . Functional outcomes of excessive daytime sleepiness in older adults . Journal of the American Geriatrics Society , 51 : 642 – 649 .
   PubMed Web of Science ®Google Scholar
• Haaga , D.F. 2000 . Introduction to the special section on stepped care models in psychotherapy . Journal of Consulting and Clinical Psychology , 68 : 547 – 548 .
   PubMed Web of Science ®Google Scholar
• Irwin , M. R. , Cole , J. C. and Nicassio , P. M. 2006 . Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age . Health Psychology , 25 : 3 – 14 .
   PubMed Web of Science ®Google Scholar
• Jennum , P. 2002 . Sleep and nocturia . British Journal of Urology International , 90 ( S3 ) : 21 – 24 .
   Google Scholar
• Jernelöv , S. , Lekander , M. , Blom , K. , Rydh , S. , Ljótsson , B. , Axelsson , J. and Kaldo , V. 2012 . Efficacy of a behavioral self-help treatment with or without therapist guidance for co-morbid and primary insomnia—A randomized controlled trial . BMC Psychiatry , 12 ( 5 )
   Google Scholar
• Jacobs , G. D. , Pace-Schott , E. F. , Stickgold , R. and Otto , M. W. 2004 . Cognitive behavior therapy and pharmacotherapy for insomnia: A randomized controlled trial and direct comparison . Archives of Internal Medicine , 164 : 1888 – 1896 .
   PubMed Web of Science ®Google Scholar
• Kaplan , M. S. , Adamek , M. E. and Calderon , A. 1999 . Managing depressed and suicidal geriatric patients: Differences among primary care physicians . The Gerontologist , 39 : 417 – 425 .
   PubMed Web of Science ®Google Scholar
• Kripke , D. F. 2000 . Chronic hypnotic use: Deadly risks, doubtful benefit . Sleep Medicine Reviews , 4 : 5 – 20 .
   PubMed Web of Science ®Google Scholar
• Kripke , D. F. , Langer , R. D. and Kline , L. E. 2012 . Hypnotics associated with mortality or cancer: A matched cohort study . BMJ Open , 2 ( 1 ) : 1 – 8 .
   Google Scholar
• Lancee , J. , van den Bout , J. , van Straten , A. and Spoormaker , V.I. 2012 . Internet-delivered or mailed self-help treatment for insomnia? A randomized waiting-list controlled trial . Behaviour Research and Therapy , 50 : 22 – 29 .
   PubMed Web of Science ®Google Scholar
• Levendowski , D. J. , Olmstead , R. , Popovic , D. , Carper , D. L. , Berka , C. and Westbrook , P. R. 2007 . Assessment of obstructive sleep apnea risk and severity in truck drivers: Validation of a screening questionnaire . Sleep Diagnosis and Therapy , 2 ( 2 ) : 20 – 26 .
   Google Scholar
• Lichstein , K. L. , Riedel , B. W. , Wilson , N. M. , Lester , K. W. and Aguillard , R. N. 2001 . Relaxation and sleep compression for late-life insomnia: A placebo-controlled trial . Journal of Consulting and Clinical Psychology , 69 : 227 – 239 .
   PubMed Web of Science ®Google Scholar
• Lichstein , K. L. and Rybarczyk , B. 2010 . “ Cognitive-behavior therapy for co-morbid and late-life insomnia ” . In Insomnia: Diagnosis and treatment , Edited by: Bussye , D. and Sateia , M. J. New York , NY : Informa Healthcare, Inc .
   Google Scholar
• Mack , L. J. and Rybarczyk , B. D. 2011 . Behavioral treatment of insomnia: a proposal for a stepped-care approach to promote public health . Science and Nature of Sleep , 3 : 87 – 99 .
   PubMedGoogle Scholar
• Maggi , S. , Langlois , J. A. , Minicuci , N. , Grigoletto , F. , Mara , P. , Foley , D. J. and Enzi , G. 1998 . Sleep complaints in community-dwelling older persons: Prevalence, associated factors, and reported causes . Journal of the American Geriatrics Society , 46 : 161 – 168 .
   PubMed Web of Science ®Google Scholar
• McClusky , H. Y. , Milby , J.B. , Switzer , P. K. , Williams , P. K. and Wooten , V. 1991 . Efficacy of behavioral versus triazolam treatment in persistent sleep-onset insomnia . American Journal of Psychiatry , 148 : 121 – 126 .
   PubMed Web of Science ®Google Scholar
• McCrae , C. S. , McGovern , R. , Lukefahr , R. and Stripling , A. M. 2007 . Research evaluating brief behavioral sleep treatments for rural elderly (RESTORE): A preliminary examination of effectiveness . The American Journal of Geriatric Psychiatry , 15 : 979 – 982 .
   PubMed Web of Science ®Google Scholar
• McCurry , S. M. , Gibbons , L. E. , Logsdon , R. G. , Vitiello , M. V. and Teri , L. 2005 . Nighttime insomnia treatment and education for Alzheimer's disease: A randomized, controlled trial . Journal of the American Geriatrics Society , 53 : 793 – 802 .
   PubMed Web of Science ®Google Scholar
• McCurry , S. M. , Logsdon , R. G. , Vitiello , M. V. and Teri , L. 1998 . Successful behavioral treatment for reported sleep problems in elderly caregivers of dementia patients: A controlled study . Journal of Gerontology: Psychological Sciences , 53B : P122 – P129 .
   Google Scholar
• Monk , T. H. 2005 . Aging human circadian rhythms: Conventional wisdom may not always be right . Journal of Biology Rhythms , 20 : 366 – 374 .
   PubMed Web of Science ®Google Scholar
• Morgan , K. , Dixon , S. , Mathers , N. , Thompson , J. and Tomeny , M. 2003 . Psychological treatment for insomnia in the management of long-term hypnotic drug use: A pragmatic randomised controlled trial . The British Journal of General Practice , 53 : 923 – 928 .
   PubMed Web of Science ®Google Scholar
• Morin , C. M. 1993 . Insomnia: Psychological assessment and management , New York , NY : Guilford Press .
   Google Scholar
• Morin , C. M. 2004 . Cognitive-behavioral approaches to the treatment of insomnia . The Journal of Clinical Psychiatry , 65S : 33 – 40 .
   Google Scholar
• Morin , C. M. and Azrin , N. H. 1988 . Behavioral and cognitive treatments of geriatric insomnia . Journal of Consulting and Clinical Psychology , 56 : 748 – 753 .
   PubMed Web of Science ®Google Scholar
• Morin , C. M. , Bastien , C. , Guay , B. , Raduoco-Thomas , M. , Leblanc , J. and Vallieres , A. 2004 . Randomized clinical trial of supervised tapering and cognitive behavior therapy to facilitate benzodiazepine discontinuation in older adults with chronic insomnia . American Journal of Psychiatry , 161 : 332 – 342 .
   PubMed Web of Science ®Google Scholar
• Morin , C. M. , Bootzin , R. R. , Buysse , D. J. , Edinger , J. D. , Espie , C. A. and Lichstein , K. L. 2006 . Psychological and behavioral treatment of insomnia: Update of recent evidence (1998–2004) . Sleep , 29 : 1398 – 1414 .
   PubMed Web of Science ®Google Scholar
• Morin , C. M. , Colecchi , C. A. , Stone , J. , Sood , R. and Brink , D. 1999 . Behavioral and pharmacological therapies for late-life insomnia: A randomized clinical trial . The Journal of the American Medical Association , 281 : 991 – 999 .
   PubMed Web of Science ®Google Scholar
• Morin , C. M. , Culbert , J. P. and Schwartz , S. M. 1994 . Nonpharmacological interventions for insomnia: A meta-analysis of treatment efficacy . The American Journal of Psychiatry , 151 : 1172 – 1180 .
   PubMed Web of Science ®Google Scholar
• Morin , C. M. , Hauri , P. J. , Espie , C. A. , Spielman , A. J. , Buysse , D. J. and Bootzin , R. R. 1999 . Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review . Sleep , 22 : 1134 – 1156 .
   PubMed Web of Science ®Google Scholar
• Morin , C. M. , Kowatch , R. A. , Barry , T. and Walton , E. 1993 . Cognitive-behavior therapy for late-life insomnia . Journal of Consulting and Clinical Psychology , 61 : 137 – 146 .
   PubMed Web of Science ®Google Scholar
• Morin , C. M. , LeBlanc , M. , Daley , M. , Gregoire , J. P and Merette , C. 2006 . Epidemiology of insomnia: Prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors . Sleep Medicine , 7 : 123 – 130 .
   PubMed Web of Science ®Google Scholar
• Morphy , H. , Dunn , K. M. , Lewis , M. , Boardman , H. F. and Croft , P. R. 2007 . Epidemiology of insomnia: A longitudinal study in a UK population . Sleep , 30 : 274 – 280 .
   PubMed Web of Science ®Google Scholar
• Ohayon , M. M. 2002 . Epidemiology of insomnia: What we know and what we still need to learn . Sleep Medicine Reviews , 6 : 97 – 111 .
   PubMed Web of Science ®Google Scholar
• Ohayon , M. M. , Carskadon , M. A. , Guilleminault , C. and Vitiello , M. V. 2004 . Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: Developing normative sleep values across the human lifespan . Sleep , 27 : 1255 – 1273 .
   PubMed Web of Science ®Google Scholar
• Ohayon , M. M. , Zulley , J. , Guilleminault , C. , Smirne , S. and Priest , R. G. 2001 . How age and daytime activities are related to insomnia in the general population: Consequences for older people . Journal of the American Geriatrics Society , 49 : 360 – 366 .
   PubMed Web of Science ®Google Scholar
• Pallesen , S. , Nordhus , I. H. , Kvale , G. , Nielsen , G. H. , Havik , O. E. , Johnsen , B. H. and Skjoskift , S. 2003 . Behavioral treatment of insomnia in older adults: An open clinical trial comparing two interventions . Behaviour Research and Therapy , 41 : 31 – 48 .
   PubMed Web of Science ®Google Scholar
• Perlis , M. L. and Smith , M. T. 2008 . How can we make CBT-I and other BSM services widely available? . Journal of Clinical Sleep Medicine , 4 : 11 – 13 .
   PubMed Web of Science ®Google Scholar
• Pressman , M. R. , Figueroa , W. G. , Kendrick-Mohamed , J. , Greenspon , L. W. and Peterson , D. D. 1998 . Nocturia: A rarely recognized symptom of sleep apnea and other occult sleep disorders . Archives of Internal Medicine , 156 : 545 – 550 .
   Web of Science ®Google Scholar
• Riedel , B. W. , Lichstein , K. L. and Dwyer , W. O. 1995 . Sleep compression and sleep education for older insomniacs: Self-help versus therapist guidance . Psychology and Aging , 10 : 54 – 63 .
   PubMed Web of Science ®Google Scholar
• Riemann , D. and Perlis , M. L. 2009 . The treatments of chronic insomnia: A review of benzodiazepine receptor agonists and psychological and behavioral therapies . Sleep Medicine Reviews , 13 : 205 – 214 .
   PubMed Web of Science ®Google Scholar
• Ritterband , L. M. , Thorndike , F. P , Gonder-Frederick , L. A. , Magee , J. C. , Bailey , E. T. , Saylor , D. K. and Morin , C. M. 2009 . Efficacy of an Internet-based behavioral intervention for adults with insomnia . Archives of General Psychiatry , 66 : 692 – 698 .
   PubMed Web of Science ®Google Scholar
• Rybarczyk , B. , Lopez , M. , Benson , R. , Alsten , C. and Stepanski , E. 2002 . Efficacy of two behavioral treatment programs for comorbid geriatric insomnia . Psychology and Aging , 17 : 288 – 298 .
   PubMed Web of Science ®Google Scholar
• Rybarczyk , B. R. and Mack , L. J. 2009 . “ Self-help treatments for older adults with primary and comorbid insomnia ” . In Principles & practice of geriatric sleep medicine , Edited by: Pandi-Perumal , S. R. , Monti , J. M. and Monjan , A. A. 394 – 402 . New York , NY : Cambridge University Press .
   Google Scholar
• Rybarczyk , B. , Mack , L. , Huang Harris , J. and Stepanski , E. 2011 . Testing two self-help CBT interventions for older adults with insomnia comorbid with arthritis or coronary artery disease . Rehabilitation Psychology , 56 : 257 – 266 .
   PubMed Web of Science ®Google Scholar
• Rybarczyk , B. D. , Stepanski , E. , Alsten , C. and Rissinger , J. 2007 . Applying cognitive-behavioral treatment to comorbid insomnia: Successes and challenges , CA : Paper presented at the annual meeting of the American Psychological Association in San Francisco . August 17–20.
   Google Scholar
• Rybarczyk , B. , Stepanski , E. , Fogg , L. , Lopez , M. , Barry , P. and Andrew , D. 2005 . A placebo-controlled test of cognitive-behavioral therapy for comorbid insomnia in older adults . Journal of Consulting and Clinical Psychology , 73 : 1164 – 1174 .
   PubMed Web of Science ®Google Scholar
• Siegel , J. 2011 . REM Sleep: A biological and psychological paradox . Sleep Medicine Reviews , 15 : 139 – 142 .
   PubMed Web of Science ®Google Scholar
• Sivertsen , B. , Omvik , S. , Pallesen , S. , Bjorvatn , B. , Havik , O. E. , Kvale , G. , … and Nordhus , I. H. 2006 . Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: A randomized controlled trial . The Journal of the American Medical Association , 295 : 2851 – 2858 .
   PubMed Web of Science ®Google Scholar
• Spielman , A. J. , Caruso , L. S. and Glovinsky , P. B. 1987 . A behavioral perspective on insomnia treatment . The Psychiatric Clinics of North America , 10 : 541 – 553 .
   PubMed Web of Science ®Google Scholar
• Spielman , A. J. , Saskin , P. and Thorpy , M. J. 1987 . Treatment of chronic insomnia by restriction of time in bed . Sleep , 10 : 45 – 56 .
   PubMed Web of Science ®Google Scholar
• State-of-the-Science Panel . 2005 . National Institutes of Health State of the Science Conference Statement: Manifestations and management of chronic insomnia in adults, June 13–15, 2005 . Sleep , 28 : 1049 – 1057 .
   PubMed Web of Science ®Google Scholar
• Ström , L. , Pettersson , R. and Andersson , G. 2004 . Internet-based treatment for insomnia: A controlled evaluation . Journal of Consulting and Clinical Psychology , 72 : 113 – 120 .
   PubMed Web of Science ®Google Scholar
• van Straten , A. and Cuijpers , P. 2009 . Self-help therapy for insomnia: A meta-analysis . Sleep Medicine Reviews , 13 : 61 – 71 .
   PubMed Web of Science ®Google Scholar
• Verbeek , I. H , Konings , G. M , Aldenkamp , A. P , Declerk , A. C. and Klip , E. 2006 . Cognitive behavioral treatment in clinically referred chronic insomniacs: Group versus individual treatment . Behavioral Sleep Medicine , 4 ( 3 ) : 135 – 151 .
   PubMedGoogle Scholar
• Vincent , N. and Lewycky , S. 2009 . Logging on for better sleep: RCT of the effectiveness of online treatment for insomnia . Sleep , 32 : 807 – 815 .
   PubMed Web of Science ®Google Scholar
• Vitiello , M. V. 2000 . Effective treatment of sleep disturbances in older adults . Clinical Cornerstone , 2 : 16 – 27 .
   PubMedGoogle Scholar
• Vitiello , M. V. 2006 . Sleep in normal aging . Sleep Medicine Clinics , 1 : 171 – 176 .
   Google Scholar
• Vitiello , M. V. and Prinz , P. N. 1994 . “ Sleep disturbances in the elderly ” . In Clinical neurology of aging , 2nd , Edited by: Albert , M. L. and Knoefel , J. E. 637 – 650 . New York , NY : Oxford University Press .
   Google Scholar
• Vitiello , M. V. , Rybarczyk , B. , Von Korff , M. and Stepanski , E. J. 2009 . Cognitive behavioral therapy for insomnia improves sleep and decreases pain in older adults with co-morbid insomnia and osteoarthritis . Journal of Clinical Sleep Medicine , 5 : 355 – 362 .
   PubMed Web of Science ®Google Scholar
• Wilcox , S. , Brenes , G. A. , Levine , D. , Sevick , M. A. , Shumaker , S. A. and Craven , T. 2000 . Factors related to sleep disturbance in older adults experiencing knee pain or knee pain with radiographic evidence of knee osteoarthritis . Journal of the American Geriatrics Society , 48 : 1241 – 1251 .
   PubMed Web of Science ®Google Scholar
• Wu , R. , Bao , J. , Zhang , C. , Deng , J. and Long , C. 2006 . Comparison of sleep condition and sleep-related physiological activity after cognitive-behavior and pharmacological therapy for chronic insomnia . Psychotherapy and Psychosomatics , 75 : 220 – 228 .
   PubMed Web of Science ®Google Scholar