Paul Sadler|Suzanne McLaren|Britt Klein|Jack Harvey|Megan Jenkins
Cognitive behavior therapy for older adults with insomnia and depression: a randomized controlled trial in community mental health services
Federation University|Federation University|Federation University|Federation University|Victoria University|Federation University
investigate whether cognitive behavior therapy effective older adults comorbid insomnia depression community mental health setting explore whether advanced form cognitive behavior therapy insomnia produced better outcomes compared standard form cognitive behavior therapy insomniaan 8week randomized controlled clinical trial conducted within community mental health services victoria australia seventytwo older adults 56 female age 75 7 years diagnosed comorbid insomnia depression participated three conditions tested using group therapy format cognitive behavior therapy insomnia cbti standard cognitive behavior therapy insomnia plus positive mood strategies cbti advanced psychoeducation control group pcg control primary outcomes insomnia severity insomnia severity index depression severity geriatric depression scale primary secondary measures collected pre week 0 post week 8 followup week 20cbti cbti generated significantly greater reductions insomnia depression severity compared pcg pre post p 001 maintained followup although differences outcomes two treatment conditions statistically significant study sufficiently powered detect either superiority one treatment equivalence two treatment conditionscbti cbti effective reducing insomnia depression severity older adults mental health services deliver treatment comorbid insomnia cognitive behavior therapy may improve recovery outcomes older adults depression trial registration australian new zealand clinical trials registry anzctr url httpswwwanzctrorgau trial id actrn12615000067572 date registered december 12 2014