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The psychological wellbeing outcomes of nonpharmacological interventions for older persons with insomnia symptoms: A systematic review and meta-analysis.

Sleep medicine reviews
February 1, 2019
Rotem Perach et al. (7 authors)
Journal ArticleMeta-AnalysisResearch Support, Non-U.S. Gov'tSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine whether nonpharmacological interventions, particularly mindfulness-based ones, could improve psychological wellbeing indicators like depression, anxiety, and fatigue in older persons with insomnia symptoms.

Results Summary

Mindfulness-based interventions showed potential in reducing depression symptoms in older individuals with insomnia. Meta-analyses indicated small-medium effects in reducing depression, anxiety, and fatigue symptoms.

Population

Older persons experiencing insomnia symptoms.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
nonpharmacological treatment of insomnia
decrease
insomnia symptoms
older persons
-
has been associated with reduced
#1
nonpharmacological treatment of insomnia
increase
psychological wellbeing
older persons
-
has been associated with increased
#2
nonpharmacological interventions
decrease
depression symptoms
older persons who experience insomnia symptoms
-
significantly reduced
#3
nonpharmacological interventions
decrease
fatigue symptoms
older persons who experience insomnia symptoms
-
significantly reduced
#4
mindfulness-based interventions
decrease
depression symptoms
older persons with insomnia symptoms
-
can potentially reduce
#5
nonpharmacological interventions
decrease
symptoms of depression
older persons with insomnia symptoms
small-medium weighted mean effects
showed small-medium weighted mean effects indicating reductions in
#6
nonpharmacological interventions
decrease
symptoms of anxiety
older persons with insomnia symptoms
small-medium weighted mean effects
showed small-medium weighted mean effects indicating reductions in
#7
nonpharmacological interventions
decrease
symptoms of fatigue
older persons with insomnia symptoms
small-medium weighted mean effects
showed small-medium weighted mean effects indicating reductions in
#8
nonpharmacological interventions
decrease
depression symptoms
older persons with insomnia symptoms
-
can potentially reduce
#9
nonpharmacological interventions
decrease
fatigue symptoms
older persons with insomnia symptoms
-
can potentially reduce
#10
Abstract

Nonpharmacological treatment of insomnia in older persons has been associated with reduced insomnia symptoms and increased psychological wellbeing. This systematic review and meta-analysis examined whether nonpharmacological interventions can promote wellbeing indicators in older persons who experience insomnia symptoms and investigated the components of these interventions. Twenty studies met inclusion criteria. Psychological wellbeing outcomes included symptoms of depression, anxiety, mental health-related quality of life, and fatigue. Interventions significantly reduced depression and fatigue symptoms in most of the studies that included these outcomes. Findings of our qualitative analysis suggest that mindfulness-based interventions in particular can potentially reduce depression symptoms in older persons with insomnia symptoms. Meta-analyses of studies that included psychological wellbeing outcomes showed small-medium weighted mean effects indicating reductions in symptoms of depression, anxiety, and fatigue. The results suggest that nonpharmacological interventions for older persons with insomnia symptoms can potentially reduce depression and fatigue symptoms and highlight interventions that may be particularly valuable for this purpose.

Medical Subject Headings (MeSH)
AnxietyDepressionFatigueHumansMindfulnessQuality of LifeSleep Initiation and Maintenance Disorders
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations10
Citations/Year1.7
Relative Citation Ratio0.87
NIH Percentile45%
Research Impact Scores
APT Score0.50
Weight Score2.16
Normalized Score0.66
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