Efficacy of Cognitive Behavioral Therapy for Insomnia in Geriatric Primary Care Patients

Gregory A. Hinrichsen PhD; Rosanne M. Leipzig MD, PhD


J Am Geriatr Soc. 2021;69(10):2993-2995. 

In This Article


Background Characteristics of Completers

CBT-I completers were predominantly white, well-educated women with insomnia of 5 years duration or longer, who had multiple medical problems and medications listed in the EMR. Mean age was 77.2 years, with almost two-thirds of patients aged between 76 and 93 years (Table S1).

Treatment Effects

Table 1 summarizes pre–post changes in sleep parameters and mood/sleep questionnaires among completers. TST remained unchanged, however, there was a significant improvement in all other measures. The largest effect was a decrease in the severity of insomnia, followed by markedly improved sleep efficacy, and a large decrease in the duration of SOL and WASO. Sleepiness, depression, anxiety, and EMA also decreased significantly.