Cognitive Expectancies for Hypnotic Use among Older Adult Veterans with Chronic Insomnia.
Clin Gerontol
; 41(2): 130-135, 2018.
Article
em En
| MEDLINE
| ID: mdl-28960164
ABSTRACT
OBJECTIVES:
To examine relationships between cognitive expectancies about sleep and hypnotics and use of medications commonly used for insomnia (hypnotics).METHODS:
We analyzed baseline data from older veterans who met diagnostic criteria for insomnia and were enrolled in a trial comparing CBTI delivered by a supervised, sleep educator to an attention control condition (N = 159; 97% male, mean age 72 years). We classified individuals as hypnotic users (N = 23) vs. non-users (N = 135) based upon medication diaries. Associations between hypnotic status and Dysfunctional Beliefs and Attitudes about Sleep-16 (DBAS) total score (0-10, higher = worse) and two DBAS medication item scores (Item 1 " better off taking a sleeping pill rather than having a poor night's sleep;" Item 2 "Medication probably the only solution to sleeplessness"; 0-10, higher = worse) were examined in logistic regression models.RESULTS:
Higher scores on the DBAS medication items (both odds ratios = 1.3; p-values < .001) were significantly associated with hypnotic use. DBAS-16 total score was not associated with hypnotic use.CONCLUSION:
Cognitive expectancy (dysfunctional beliefs) about hypnotics was associated with hypnotic use in older adults with chronic insomnia disorder. CLINICAL IMPLICATIONS Strategies that specifically target dysfunctional beliefs about hypnotics are needed and may impact hypnotic use in older adults.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Conhecimentos, Atitudes e Prática em Saúde
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Medicamentos Indutores do Sono
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Hipnóticos e Sedativos
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Distúrbios do Início e da Manutenção do Sono
Tipo de estudo:
Clinical_trials
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article