Research Online

Logo

Goldsmiths - University of London

The psychological wellbeing outcomes of norpharmacological interventions for older persons with insomnia symptoms: a systematic review and meta-analysis

Perach, Rotem; Allen, C.K.; Kapantai, I; Madrid-Valero, J.J.; Miles, E; Charlton, Rebecca A and Gregory, Alice M.. 2019. The psychological wellbeing outcomes of norpharmacological interventions for older persons with insomnia symptoms: a systematic review and meta-analysis. Sleep Medicine Reviews, 43, pp. 1-13. ISSN 1087-0792 [Article]

No full text available

Abstract or Description

Nonpharmacological 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 particular can 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.

Item Type:

Article

Identification Number (DOI):

https://doi.org/10.1016/j.smrv.2018.09.003

Keywords:

Anxiety, Depression, Fatigue; Insomnia, Meta-analysis, Nonpharmacological interventions, Older persons, Psychological wellbeing, Systematic review

Departments, Centres and Research Units:

Psychology

Dates:

DateEvent
21 September 2018Accepted
28 September 2018Published Online
February 2019Published

Item ID:

24387

Date Deposited:

31 Oct 2018 11:23

Last Modified:

06 Dec 2018 12:07

Peer Reviewed:

Yes, this version has been peer-reviewed.

URI:

http://research.gold.ac.uk/id/eprint/24387

Edit Record Edit Record (login required)