title: Effects of sleep management with self-help treatment for the Japanese elderly with chronic insomnia: a quasi-experimental study.
abstract: This study aimed to determine whether sleep management with self-help treatment is more effective in improving insomnia, compared to a waiting-list control. A total of 51 participants with insomnia, aged ≥60 years, were assigned to two groups: the treatment group or waiting-list control group. Intervention included sleep education, group work, moderately intense exercise, and self-help treatment using a sleep diary for 2 weeks. Participants completed the Insomnia Severity Index (ISI-J) and sleep diaries wearing an activity recorder pre- and post-treatment. The treatment group showed a significant improvement in the ISI-J with a fairly large effect size (Cohen's d: within = 0.78, between = 0.70), whereas the waiting-list control group did not. Sleep diary and activity recorder data showed small to moderate effect sizes in the treatment group. Thus, sleep management with self-help treatment was superior to a waiting-list control for insomnia severity in the targeted elderly population.
authors.affiliation: Department of Psychology, Faculty of Psychology, Hiroshima International University, 555-36 Gakuendai, Kurose, Higashi-Hiroshima, Hiroshima, 739-2631, Japan. tamura65@tokyo-med.ac.jp.|Department of Somnology, Tokyo Medical University, 6-1-1 Shinjuku-ku, Tokyo, 160-8402, Japan. tamura65@tokyo-med.ac.jp.
authors.forename: Norihisa
authors.identifier: http://orcid.org/0000-0003-4384-7327
authors.initials: N
authors.lastname: Tamura
authors.affiliation: Department of Psychology, Faculty of Psychology, Hiroshima International University, 555-36 Gakuendai, Kurose, Higashi-Hiroshima, Hiroshima, 739-2631, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Tanaka
mesh_terms: D000368:Aged; D015928:Cognitive Behavioral Therapy; D005260:Female; D015438:Health Behavior; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D012648:Self Care / Q000379:methods* / Q000523:psychology; D000073278:Self-Management / Q000379:methods* / Q000523:psychology; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
keywords: Cognitive behavioral therapy; Insomnia; Quality of life; Self-help treatment; The elderly