Chronic Insomnia In Older Adults

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All of the studies examined in the literature review consisted of systematic reviews, meta-analyses, and RTC’s. These studies are classified as levels I and II per the hierarchy of evidence (Melnyk & Fineout-Overholt, 2015). Analyses of the body of literature revealed several limitations in the research. While the majority of the studies included older adults in their sample population, few were exclusive to adults over the age of 60. Therefore, it is difficult to generalize efficacy of CBT within this age group. A consistent finding throughout the literature is that late-life insomnia tends to be more chronic and severe than insomnia in younger adults (Dzierzewski, O’Brian, Kay, & McCrae, 2010). Additionally, there is an overrepresentation …show more content…
Research has demonstrated that chronic insomnia and its comorbidities negatively affect an individual (QOL), and CBT can provide improvement in physical and psychological functioning and QOL (Ishak et al., 2012). HRQOL has been identified as a goal for all people across life stages (Healthy People: Topics and Objectives Index, 2011). There are many HRQOL conceptual models (HRQOL-CM) constructed over the years to demonstrate the causal factors impacting QOL. The seminal model developed by Wilson and Cleary will be utilized in this paper to examine the causal factors underlying insomnia and their interrelation. Wilson and Cleary present a model of patient outcomes that combine both medical and psychological paradigms. Health outcomes are categorized according to the underlying health concepts they represent and propose specific causal relationships between these different health concepts (Wilson & Cleary …show more content…
The most commonly used instruments used to assess QOL in insomnia include the Medical Outcomes Study Short Form-36 (SF-36), the Hotel-Dieu-16 (HD-16) and the Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q) (Ishak et al., 2012). The relationship between HR-QOL and insomnia is illustrated

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