Effectiveness of Cognitive Behavior Therapy on the Quality of Sleep in Elderly People with Insomnia Disorder

Abstract

Objectives Given the high prevalence of insomnia disorder in the elderly population, this study aims to\rstudy the effective of cognitive behavior therapy (CBT) on the overall quality of sleep and the subscales\ron the elderly’s sleep quality.\rMethods & Materials The present study was an experimental study with 5000 elderly participants from\rthe Jahandedehgan center in Shiraz. The sample study included 44 subjects who were selected randomly\rwith respect to the entry and exclusion conditions. After losing 7.85 percent of the participants,\r39 subjects with the mean age of 68 years and who were suffering from primary insomnia disorder\rwere measured with PSQI as the sleep quality index in the pretest-posttest, and the follow-up tests. The\rintervention took place 2 times a week in a period of 4 weeks with cognitive behavior therapy based on\rthe ESPIE commands. The SPSS 21 statistical software and covariance of single and multivariate analysis\rincluding (ANCOVA and MANCOVA) were used to analyze the presented data.\rResults The mean of the overall quality of sleep before and after the intervention in experimental and\rcontrol groups are 12.95 and 12.7, respectively, that were changed to 10.03 and 13.07 in the post-test\rand 9.51 and 13.36 after 3 months of follow-up. From the statistical point of view, the mean of the overall\rquality of sleep after the intervention is significant at P<0.001.\rConclusion The present study showed that the cognitive behavior therapy can enhance the overall quality\rof sleep and reduce the symptoms of insomnia disorder in elderly people.