The psychological wellbeing outcomes of nonpharmacological interventions for older persons with insomnia symptoms: A systematic review and meta-analysis.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.