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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]
Literatuur
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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