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2015 ; 2015
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Insomnia (primary) in older people: non-drug treatments
#MMPMID25968443
Alessi C
; Vitiello MV
BMJ Clin Evid
2015[May]; 2015
(ä): ä PMID25968443
show ga
INTRODUCTION: Up to 40% of older adults have insomnia, with difficulty getting to
sleep, early waking, or feeling unrefreshed on waking. The prevalence of insomnia
increases with age. Other risk factors include psychological factors, stress,
daytime napping, and hyperarousal. METHODS AND OUTCOMES: We conducted a
systematic review and aimed to answer the following clinical question: What are
the effects of non-drug treatments for primary insomnia in older people (aged 60
years and older)? We searched: Medline, Embase, The Cochrane Library, and other
important databases up to May 2014 (Clinical Evidence reviews are updated
periodically; please check our website for the most up-to-date version of this
review). We included harms alerts from relevant organisations such as the US Food
and Drug Administration (FDA) and the UK Medicines and Healthcare products
Regulatory Agency (MHRA). RESULTS: We found 14 studies that met our inclusion
criteria. We performed a GRADE evaluation of the quality of evidence for
interventions. CONCLUSIONS: In this systematic review, we present information
relating to the effectiveness and safety of the following interventions:
cognitive behavioural therapy for insomnia (CBT-I), exercise programmes, and
timed exposure to bright light.
|*Cognitive Behavioral Therapy
[MESH]
|*Exercise Therapy
[MESH]
|*Phototherapy
[MESH]
|Humans
[MESH]
|Sleep Initiation and Maintenance Disorders/*therapy
[MESH]