Behavioral Treatment of Insomnia: Also Effective for Nocturia

• Autores: Shachi Tyagi, Neil M. Resnick, Subashan Perera, Timothy H. Monk, Martica H. Hall, Daniel J. Buysse
• Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 62, Nº. 1, 2014, págs. 54-60
• Idioma: inglés
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• Resumen

  • Objectives: To evaluate changes in self-reported nocturia in community-dwelling adults aged 60 and older who received behavioral treatment for chronic insomnia.

    Design: Secondary analysis of a randomized controlled trial of a behavioral intervention for sleep.

    Setting: Academic medical center.

    Participants: Of the 79 enrollees, this analysis focused on 30 who, in addition to insomnia, also reported at least one nightly episode of waking up to void.

    Intervention: The brief behavioral treatment of insomnia (BBTI) group (n = 14) received instructions on reducing time in bed and setting a regular sleep schedule. The information control (IC) group (n = 16) received printed materials. A nurse clinician delivered both interventions.

    Measurements: Self-reported nocturnal awakenings to void assessed daily for 14 days at baseline and 4 weeks after the intervention. Participants who reported at least one episode of nocturia per night at baseline were included in this analysis.

    Results: In individuals with nocturia at baseline, the total number of nocturnal voids over the 14-day assessment period decreased by 6.5 ± 4.8 in the BBTI group and increased by 1.3 ± 7.3 in the IC group (P = .04, effect size 0.82). After adjusting for baseline nocturia episodes, the difference remained significant (P = .05).

    Conclusion: In older adults with concurrent insomnia and nocturia, behavioral treatment directed solely at insomnia may also improve self-reported nocturia. Behavioral treatment of insomnia should be further investigated for its effect on nocturia in individuals with concurrent insomnia and nocturia.