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The psychological wellbeing outcomes of nonpharmacological interventions for older persons with insomnia symptoms: a systematic review and meta-analysis
journal contribution
posted on 2023-06-09, 16:06 authored by Rotem Perach, Courtney K Allen, Ioanna Kapantai, Juan J Madrid-Valero, Eleanor MilesEleanor Miles, Rebecca A Charltona, Alice M GregoryNonpharmacological 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 particularcan 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.
History
Publication status
- Published
File Version
- Accepted version
Journal
Sleep Medicine ReviewsISSN
1087-0792 SPublisher
ElsevierExternal DOI
Volume
43Page range
1-13Department affiliated with
- Psychology Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2018-11-30First Open Access (FOA) Date
2019-09-28First Compliant Deposit (FCD) Date
2018-11-29Usage metrics
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