School of Nursing, 12510Jilin University, Changchun, China.
School of Public Health, 74638Jilin Medical University, Jilin, China.
Australas Psychiatry. 2022 Oct;30(5):592-597. doi: 10.1177/10398562221118516. Epub 2022 Aug 13.
The aim is to evaluate the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older adults. We searched six databases to identify articles published in English or Chinese until January 30, 2022. The two authors of the review independently selected the studies, assessed the risk of bias, and extracted the data. Fourteen studies were included. Based on the results from sleep logs, a significant pooled effect size was observed for sleep efficiency (SE%) (MD = 8.36; 95% CI, 5.96-10.76; 77%; < .00001), sleep onset latency (SOL) (MD = -9.29; 95% CI, -13.62 to -4.96; = 64%; < 0.0001), wake after sleep onset (WASO) (MD = -23.44; 95% CI, -32.41 to -14.47; 85%; < .00001), and total sleep time (TST) (MD = -12.35; 95% CI, -21.27 to -3.42; = 63%; = 0.007). Our study suggests that CBT-I may be a safe and effective approach for improving insomnia in older adults.
目的在于评估认知行为疗法治疗老年人失眠（CBT-I）的疗效。我们检索了 6 个数据库，以查找截至 2022 年 1 月 30 日发表的英文或中文文献。本综述的两位作者独立筛选研究、评估偏倚风险并提取数据。纳入了 14 项研究。根据睡眠日志的结果，睡眠效率（SE%）（MD=8.36；95%CI，5.96-10.76； =77%；<0.00001）、入睡潜伏期（SOL）（MD=-9.29；95%CI，-13.62 至-4.96； =64%；<0.0001）、睡眠后觉醒时间（WASO）（MD=-23.44；95%CI，-32.41 至-14.47； =85%；<0.00001）和总睡眠时间（TST）（MD=-12.35；95%CI，-21.27 至-3.42； =63%；=0.007）的汇总效应大小具有显著统计学意义。我们的研究表明，CBT-I 可能是改善老年人失眠的一种安全有效的方法。
