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Behavioral and pharmacological therapies for late-life insomnia: a randomized controlled trial.

Author: BrinkD, ColecchiC, MorinC M, SoodR, StoneJ

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, U.S. Gov't, P.H.S.Research funding provided by the Public Health Service (PHS).

Overview

Behavioral therapy is more effective than pharmacotherapy for the short-term management of insomnia in late life. In a randomized, placebo-controlled clinical trial, the combined approach of cognitive-behavior therapy and pharmacotherapy showed a trend for improvement in sleep more than either of its single components. Subjects treated with behavior therapy sustained their clinical gains at follow-up, whereas those treated with drug therapy alone did not.
Paper Details　
Original Abstract of the Article :
CONTEXT: Insomnia is a prevalent health complaint in older adults. Behavioral and pharmacological treatments have their benefits and limitations, but no placebo-controlled study has compared their separate and combined effects for late-life insomnia. OBJECTIVE: To evaluate the clinical efficacy of ...See full text at original site
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引用元：
https://doi.org/10.1001/jama.281.11.991

データ提供：米国国立医学図書館（NLM）

Chasing Sleep in the Desert of Late-Life Insomnia

Insomnia is a prevalent issue, especially among older adults. This research explores the effectiveness of behavioral and pharmacological therapies, both individually and in combination, for treating late-life insomnia. It's like embarking on a journey through a desert, seeking the elusive oasis of restful sleep.

The study found that both behavioral therapy (cognitive-behavioral therapy) and pharmacotherapy (temazepam) were more effective than placebo in improving sleep quality. The combination of these therapies, however, showed a trend toward greater improvement. This is like finding the most effective route through the desert, combining different strategies to reach the destination.

The study also noted that behavioral therapy led to more sustained improvements compared to pharmacotherapy alone. This finding is like discovering that a resilient desert plant can thrive even in harsh conditions, whereas a delicate flower may wilt without proper care.

Sleep Well, Age Well

This study emphasizes the importance of a holistic approach to treating late-life insomnia. It's like preparing for a long journey across the desert, ensuring that both physical and mental needs are met. The study's findings provide valuable insights for clinicians and patients alike.

A Recipe for Restful Sleep

The study's findings suggest that integrating behavioral therapies into the treatment of late-life insomnia can lead to more lasting improvements. This is like using a combination of spices to create a flavorful dish, blending different approaches to achieve optimal results. The study encourages us to consider the multifaceted nature of sleep and the importance of a personalized approach to achieving restful sleep.

Dr.Camel's Conclusion

This research offers valuable insights into the complexities of late-life insomnia. It underscores the importance of integrating behavioral therapies into treatment plans, emphasizing the need for a comprehensive approach to achieve optimal sleep outcomes. It's a reminder that the journey to restful sleep can be challenging, but with the right tools and strategies, we can find our way to a peaceful oasis.

Date :
  1. Date Completed 1999-03-24
  2. Date Revised 2022-04-10
Further Info :

Pubmed ID

10086433

DOI: Digital Object Identifier

10.1001/jama.281.11.991

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SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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