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Mindfulness-Based Stress Reduction for Chronic Insomnia in Adults Older than 75 Years: A Randomized, Controlled, Single-Blind Clinical Trial
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- 자료유형학술지논문
- 저자명Zhang, J. x.,Liu, X. h.,Xie, X. h.,Zhao, D.,Shan, M. s.,Zhang, X. l.,Kong, X. m.,Cui, H.
- 학회/출판사/기관명ELSEVIER SCIENCE B.V. AMSTERDAM
- 출판년도2015
- 언어영어
- 학술지명/학위논문주기EXPLORE -ELSEVIER-
- 발행사항Vol.11No.3[2015]_x000D_
- ISBN/ISSN1550-8307
- 소개/요약Objective: To assess the effectiveness of mindfulness-based stress reduction (MBSR) for chronic insomnia and combined depressive or anxiety symptoms of older adults aged 75 years and over. Design: A randomized, controlled, single-blind clinical trial. Patients and methods: Participants included 60 adults aged 75 years and over with chronic insomnia. Participants were randomly assigned to the eight-week MBSR group or the wait-list control group. Assessments using the Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Sale (SAS), and Geriatric Depression Scale (GDS) were taken at baseline and post-treatment. For each outcome measure, a repeated measures analysis of variance was used to detect changes across assessments. Results: There was a significant time × group interaction for the PSQI global score (P = .006); the MBSR group had a decrease in the PSQI global score (Cohen׳s d = 1.12), while the control group did not (Cohen׳s d = -0.06). Among the PSQI components, there was a significant time × group interaction for daytime dysfunction (P = .048); Cohen׳s d of the MBSR group was 0.76, while Cohen׳s d of control group was -0.04. There was no significant time × group interaction for the SAS score (P = .116), while for the GDS there was a significant time × group interaction (P = .039); the Cohen׳s d value for the MBSR group was 1.20, and it was 0.12 for the control group. Conclusion: This study demonstrated that the MBSR program could be a beneficial treatment for chronic insomnia in adults aged 75 years and older.
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