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Journal of Behavioral Medicine
Gepubliceerd in:

06-08-2022

Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety

Auteurs: Kelly M. Shaffer, Jessica G. Smith, Jillian V. Glazer, Fabian Camacho, Philip I. Chow, Meghan Mattos, Karen Ingersoll, Lee M. Ritterband

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2022

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Abstract

Objective

To test whether an Internet-delivered cognitive behavioral therapy for insomnia (CBT-I) program for older adults attenuates symptoms of depression and anxiety.

Methods

Adults aged ≥ 55 with insomnia were randomized to SHUTi-OASIS (Sleep Healthy Using the Internet for Older Adult Sufferers of Insomnia and Sleeplessness; N = 207) or Patient Education (PE; N = 104). Depression and anxiety were assessed (HADS-D and HADS-A, respectively) at baseline, post-assessment, and 6- and 12-month follow-ups.

Results

Multilevel modeling of HADS-D showed a condition by time interaction (F[3,779] = 3.23, p = .02): SHUTi-OASIS participants reported lower symptoms than PE at post-assessment. There was no such interaction effect for HADS-A (F[3,779] = 2.12, p = .10). Generalized linear modeling showed no moderation of effects by baseline symptom severity.

Conclusions

Participants randomized to Internet-delivered CBT-I showed stable depression and anxiety across time, while control participants’ depressive symptoms briefly increased. CBT-I may help prevent development or worsening of psychological distress among older adults with insomnia.

TRIAL REGISTRATION

[Registered at ClinicalTrials.gov; identifier removed for anonymity]
vorige artikel Diabetes stress contagion among romantic partners: a daily diary investigation
volgende artikel Identifying the risk of opioid misuse in a chronic pain population: the utility of the MMPI-2-RF personality psychopathology five (PSY-5-RF) and higher-order scales
Literatuur
Ancoli-Israel, S. (2000). Insomnia in the elderly: A review for the primary care practitioner. Sleep, 23, S23–30PubMed
Blake, M. J., Blake, L. M., Schwartz, O., Raniti, M., Waloszek, J. M., Murray, G., Simmons, J. G., Landau, E., Dahl, R. E., & McMakin, D. L. (2018). Who benefits from adolescent sleep interventions? Moderators of treatment efficacy in a randomized controlled trial of a cognitive-behavioral and mindfulness-based group sleep intervention for at-risk adolescents. Journal of Child Psychology and Psychiatry, 59(6), 637–649PubMedCrossRef
Blay, S. L., Andreoli, S. B., Fillenbaum, G. G., & Gastal, F. L. (2007). Depression morbidity in later life: Prevalence and correlates in a developing country. The American Journal of Geriatric Psychiatry, 15(9), 790–799PubMedCrossRef
Brenes, G., Miller, M., Stanley, M., Williamson, J., Knudson, M., & McCall, W. (2009). Insomnia in older adults with generalized anxiety disorder. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 17(6), 465–472CrossRef
Brett, C. E., Gow, A. J., Corley, J., Pattie, A., Starr, J. M., & Deary, I. J. (2012). Psychosocial factors and health as determinants of quality of life in community-dwelling older adults. Quality of Life Research, 21(3), 505–516PubMedCrossRef
Brewster, G., Riegel, B., & Gehrman, P. R. (2018). Insomnia in the Older Adult. Sleep Medicine Clinics, 13(1), 13–19PubMedCrossRef
Byrne, G. J., & Pachana, N. A. (2011). Development and validation of a short form of the Geriatric Anxiety Inventory–the GAI-SF. International Psychogeriatrics, 23(1), 125–131PubMedCrossRef
Carney, C. E., Edinger, J. D., Kuchibhatla, M., Lachowski, A. M., Bogouslavsky, O., Krystal, A. D., & Shapiro, C. M. (2017). Cognitive behavioral insomnia therapy for those with insomnia and depression: A randomized controlled clinical trial. Sleep, 40(4), zsx019PubMedCentralCrossRef
Chow, P. I., Gonzalez, B. D., Ingersoll, K. S., Thorndike, F. P., Shaffer, K. M., Camacho, F., Perlis, M. L., & Ritterband, L. M. (2019). A secondary analysis of the role of geography in engagement and outcomes in a clinical trial of an efficacious Internet intervention for insomnia. Internet Interventions, 18, 100294PubMedPubMedCentralCrossRef
Chow, P. I., Ingersoll, K. S., Thorndike, F. P., Lord, H. R., Gonder-Frederick, L., Morin, C. M., & Ritterband, L. M. (2018). Cognitive mechanisms of sleep outcomes in a randomized clinical trial of internet-based cognitive behavioral therapy for insomnia. Sleep Medicine, 47, 77–85PubMedCrossRef
Christensen, H., Batterham, P. J., Gosling, J. A., Ritterband, L. M., Griffiths, K. M., Thorndike, F. P., Glozier, N., O’Dea, B., Hickie, I. B., & Mackinnon, A. J. (2016). Effectiveness of an online insomnia program (SHUTi) for prevention of depressive episodes (the GoodNight Study): A randomised controlled trial. The Lancet Psychiatry, 3(4), 333–341PubMedCrossRef
Coffman, C. J., Edelman, D., & Woolson, R. F. (2016). To condition or not condition? Analysing ‘change’in longitudinal randomised controlled trials.BMJ Open, 6(12), e013096
Conner, K. O., Copeland, V. C., Grote, N. K., Koeske, G., Rosen, D., Reynolds, C. F., & Brown, C. (2010). Mental Health Treatment Seeking Among Older Adults with Depression: The Impact of Stigma and Race. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 18(6), 531–543CrossRef
Espie, C. A., Emsley, R., & Kyle, S. D. (2019). Effect of Digital Cognitive Behavioral Therapy for Insomnia on Health, Psychological Well-being, and Sleep-Related Quality of Life: A Randomized Clinical Trial. JAMA Psychiatry, 76(1), 21–30PubMedCrossRef
Fichten, C., Libman, E., Bailes, S., & Alapin, L. (2000). Treatment of late-life insomnia. In K. Lichstein, & C. Morin (Eds.), Characteristics of older adults with insomnia (pp. 37–80). Sage Publications
Foley, D., Ancoli-Israel, S., Britz, P., & Walsh, J. (2004). Sleep disturbances and chronic disease in older adults: Results of the 2003 National Sleep Foundation Sleep in America Survey. Journal of Psychosomatic Research, 56(5), 497–502PubMedCrossRef
Foley, D. J., Monjan, A. A., Brown, S. L., Simonsick, E. M., Wallace, R. B., & Blazer, D. G. (1995). Sleep complaints among elderly persons: An epidemiologic study of three communities. Sleep, 18(6), 425–432PubMedCrossRef
Forlani, M., Morri, M., Murri, M. B., Bernabei, V., Moretti, F., Attili, T., Biondini, A., Ronchi, D. D., & Atti, A. R. (2014). Anxiety Symptoms in 74 + Community-Dwelling Elderly: Associations with Physical Morbidity, Depression and Alcohol Consumption. PLOS ONE, 9(2), e89859PubMedPubMedCentralCrossRef
Glazer, J. V., MacDonnell, K., Frederick, C., Ingersoll, K., & Ritterband, L. M. (2021). Liar! Liar! Identifying eligibility fraud by applicants in digital health research. Internet Interventions, 25, 100401PubMedPubMedCentralCrossRef
Irwin, M. R., Carrillo, C., Sadeghi, N., Bjurstrom, M. F., Breen, E. C., & Olmstead, R. (2022). Prevention of incident and recurrent major depression in older adults with insomnia: A randomized clinical trial. JAMA Psychiatry, 79(1), 33–41PubMedCrossRef
Irwin, M. R., Cole, J. C., & 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(1), 3–14PubMedCrossRef
Jansson-Fröjmark, M., & Lindblom, K. (2008). A bidirectional relationship between anxiety and depression, and insomnia? A prospective study in the general population. Journal of Psychosomatic Research, 64(4), 443–449PubMedCrossRef
Jansson-Fröjmark, M., & Norell-Clarke, A. (2016). Cognitive Behavioural Therapy for Insomnia in Psychiatric Disorders. Current Sleep Medicine Reports, 2(4), 233–240PubMedPubMedCentralCrossRef
Lancee, J., van den Straten, J., A., & Spoormaker, V. (2013). Baseline depression levels do not affect efficacy of cognitive-behavioral self-help treatment for insomnia. Depression and Anxiety, 30(2), 149–156PubMedCrossRef
Lemay, K. R., Tulloch, H. E., Pipe, A. L., & Reed, J. L. (2019). Establishing the Minimal Clinically Important Difference for the Hospital Anxiety and Depression Scale in Patients With Cardiovascular Disease. Journal of Cardiopulmonary Rehabilitation and Prevention, 39(6), E6PubMedCrossRef
Luik, A. I., Bostock, S., Chisnall, L., Kyle, S. D., Lidbetter, N., Baldwin, N., & Espie, C. A. (2017). Treating depression and anxiety with digital cognitive behavioural therapy for insomnia: A real world NHS evaluation using standardized outcome measures. Behavioural and Cognitive Psychotherapy, 45(1), 91–96PubMedCrossRef
Luyster, F. S., Ritterband, L. M., Sereika, S. M., Buysse, D. J., Wenzel, S. E., & Strollo, P. J. (2018). Internet-based cognitive-behavioral therapy for insomnia in adults with asthma: A pilot study. Behavioral Sleep Medicine, 0(0), 1–13
Maggi, S., Langlois, J. A., Minicuci, N., Grigoletto, F., Pavan, M., Foley, D. J., & Enzi, G. (1998). Sleep complaints in community-dwelling older persons: Prevalence, associated factors, and reported causes. 46, 161–168
Manber, R., Buysse, D. J., Edinger, J., Krystal, A., Luther, J. F., Wisniewski, S. R., Trockel, M., Kraemer, H. C., & Thase, M. E. (2016). Efficacy of cognitive-behavioral therapy for insomnia combined with antidepressant pharmacotherapy in patients with comorbid depression and insomnia: A randomized controlled trial. The Journal of Clinical Psychiatry, 77(10), 2446CrossRef
Mirchandaney, R., Barete, R., & Asarnow, L. D. (2022). Moderators of Cognitive Behavioral Treatment for Insomnia on Depression and Anxiety Outcomes. Current Psychiatry Reports, 24(2), 121–128PubMedPubMedCentralCrossRef
Moloney, M. E., Dunfee, M., Rutledge, M., & Schoenberg, N. (2020). Evaluating the Feasibility and Acceptability of Internet-Based Cognitive Behavioral Therapy for Insomnia in Rural Women. Women’s Health Reports (New Rochelle N y), 1(1), 114–122CrossRef
Morin, C. M. (1993). Insomnia: Psychological assessment and management. The Guilford Press
Mykletun, A., Bjerkeset, O., Øverland, S., Prince, M., Dewey, M., & Stewart, R. (2009). Levels of anxiety and depression as predictors of mortality: The HUNT study. The British Journal of Psychiatry, 195(2), 118–125PubMedCrossRef
Nowell, P. D., & Buysse, D. J. (2001). Treatment of insomnia in patients with mood disorders. 14, 7–18
O’Brien, E., Wu, K. B., & Baer, D. (2010). Older Americans in Poverty: A Snapshot. AARP Public Policy Institute
Perlis, M. L., Smith, L. J., Lyness, J. M., Matteson, S. R., Pigeon, W. R., Jungquist, C. R., & Tu, X. (2006). Insomnia as a risk factor for onset of depression in the elderly. Behavioral Sleep Medicine, 4, 104–113PubMedCrossRef
Petit, L., Azad, N., Byszewski, A., Sarazan, F., & Power, B. (2003). Non-pharmacological management of primary and secondary insomnia among older people: Review of assessment tools and treatments. Age and Ageing, 32(1), 19–25PubMedCrossRef
Pratt, L. A., Druss, B. G., Manderscheid, R. W., & Walker, E. R. (2016). Excess mortality due to Depression and Anxiety in the United States: Results from a Nationally Representative Survey. General Hospital Psychiatry, 39, 39–45PubMedCrossRef
Ritterband, L. M., Thorndike, F. P., Ingersoll, K. S., Lord, H. R., Gonder-Frederick, L., Frederick, C., Quigg, M. S., Cohn, W. F., & Morin, C. M. (2017). Effect of a web-based cognitive behavior therapy for insomnia intervention with 1-year follow-up: A randomized clinical trial. JAMA Psychiatry, 74(1), 68–75PubMedCrossRef
Roberts, R. E., Shema, S. J., Kaplan, G. A., & Strawbridge, W. J. (2000). Sleep complaints and depression in an aging cohort: A prospective perspective. 157, 81–88
Rosenman, R., Tennekoon, V., & Hill, L. G. (2011). Measuring bias in self-reported data. International Journal of Behavioural & Healthcare Research, 2(4), 320–332CrossRef
Rush, A. J., Trivedi, M. H., Ibrahim, H. M., Carmody, T. J., Arnow, B., Klein, D. N., Markowitz, J. C., Ninan, P. T., Kornstein, S., Manber, R., Thase, M. E., Kocsis, J. H., & Keller, M. B. (2003). The 16-item Quick Inventory of Depressive Symptomatology (QIDS), Clinician Rating (QIDS-C), and Self-Report (QIDS-SR): A psychometric evaluation in patients with chronic major depression. 54,573–583
Rybarczyk, B., Lund, H. G., Garroway, A. M., & Mack, L. (2013). Cognitive behavioral therapy for insomnia in older adults: Background, evidence, and overview of treatment protocol. 36,70–93
Sadler, P., McLaren, S., Klein, B., Harvey, J., & Jenkins, M. (2018). Cognitive behavior therapy for older adults with insomnia and depression: A randomized controlled trial in community mental health services. Sleep, 41, zsy104CrossRef
Sandlund, C., & Norell-Clarke, A. (2020). Is it more about mood than about sleep?: An investigation into depression as amoderator and mediator of remission after CBT-I. Sömn Och Hälsa, 3, 33–35
Schutte-Rodin, S., Broch, L., Buysse, D., Dorsey, C., & Sateia, M. (2008). Clinical guideline for the evaluation and management of chronic insomnia in adults. Journal of Clinical Sleep Medicine, 4, 487–504PubMedPubMedCentralCrossRef
Smith, A., & Trevelyan, E. (2018). The Older Population in Rural America: 2012–2016. U.S. Census Bureau. (American Community Survey Reports)
Stark, A., Kaduszkiewicz, H., Stein, J., Maier, W., Heser, K., Weyerer, S., Werle, J., Wiese, B., Mamone, S., König, H. H., Bock, J. O., Riedel-Heller, S. G., & Scherer, M. (2018). A qualitative study on older primary care patients’ perspectives on depression and its treatments—Potential barriers to and opportunities for managing depression. BMC Family Practice, 19(1), 2PubMedPubMedCentralCrossRef
Suh, S. (2015). Cognitive Behavioral Therapy for Insomnia: Is it Effective in Treating Symptoms of Comorbid Psychiatric and Medical Disorders? Sleep Medicine Research, 6(1), 10–15CrossRef
Tanaka, M., Kusaga, M., Nyamathi, A. M., & Tanaka, K. (2019). Effects of Brief Cognitive Behavioral Therapy for Insomnia on Improving Depression Among Community-Dwelling Older Adults: A Randomized Controlled Comparative Study. Worldviews on Evidence-Based Nursing, 16(1), 78–86PubMedCrossRef
Taylor, D. J., Lichstein, K. L., Durrence, H. H., Reidel, B. W., & Bush, A. J. (2005). Epidemiology of insomnia, depression, and anxiety. 28, 1457–1464
Thomas, A., Grandner, M., Nowakowski, S., Nesom, G., Corbitt, C., & Perlis, M. L. (2016). Where are the behavioral sleep medicine providers and where are they needed? A geographic assessment. Behavioral Sleep Medicine, 14(6), 687–698PubMedPubMedCentralCrossRef
Thorndike, F. P., Ritterband, L. M., Gonder-Frederick, L. A., Lord, H. R., Ingersoll, K. S., & Morin, C. M. (2013). A randomized controlled trial of an internet intervention for adults with insomnia: Effects on comorbid psychological and fatigue symptoms. Journal of Clinical Psychology, 69(10), 1078–1093PubMedPubMedCentralCrossRef
Thorndike, F. P., Saylor, D. K., Bailey, E. T., Gonder-Frederick, L., Morin, C. M., & Ritterband, L. M. (2008). Development and perceived utility and impact of an Internet intervention for insomnia. E-Journal of Applied Psychology: Clinical and Social Issues, 4(2), 32–42CrossRef
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–49PubMedCrossRef
Zachariae, R., Amidi, A., Damholdt, M. F., Clausen, C. D. R., Dahlgaard, J., Lord, H., Thorndike, F. P., & Ritterband, L. M. (2018). Internet-delivered Cognitive-Behavioral Therapy for insomnia in breast cancer survivors: A randomized controlled trial. Journal of the National Cancer Institute, 110(8), 880–887PubMedPubMedCentralCrossRef
Zachariae, R., Lyby, M. S., Ritterband, L. M., & O’Toole, M. S. (2016). Efficacy of internet-delivered cognitive-behavioral therapy for insomnia: A systematic review and meta-analysis of randomized controlled trials. Sleep Medicine Reviews, 30(1), 1–10PubMedCrossRef
Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370PubMedCrossRef
Metagegevens
Titel
Effects of an internet-delivered insomnia intervention for older adults: A secondary analysis on symptoms of depression and anxiety
Auteurs
Kelly M. Shaffer
Jessica G. Smith
Jillian V. Glazer
Fabian Camacho
Philip I. Chow
Meghan Mattos
Karen Ingersoll
Lee M. Ritterband
Publicatiedatum
06-08-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-022-00353-y

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