Sleep parameters were measured by wrist actigraphy (Actiwatch 2, Respironics, Inc., Murrysville, PA, USA), which was a sufficiently sensitive method by which to detect the effects of intervention targeting insomnia in elderly subjects.
Participants with chronic insomnia are targeted.
Although some interventions for sleep in cancer have shown possible efficacy 25, the majority of these studies are too targeted to undefined subtypes of insomnia and therefore are not generalizable to the many patients who may have other types of sleep disorders 113, 178.
Increased provider-patient communication regarding the benefits of relaxation techniques for insomnia may facilitate more targeted use.
For this reason, cognitive-behavioral therapy for insomnia, which targets the behavioral factors that can maintain chronic insomnia, represents an attractive treatment alternative or adjuvant to eszopiclone for older adults.
Using the empirically based Cognitive-Behavioral Treatment for Insomnia (CBT-I) to target the comorbid experience of insomnia in patients with depression can help improve sleep and potentially modify some depressive symptoms.
The study targeted middle age 25-65 yearssubjectscts with moderate to severe insomnia, who had never been treated regularly.
Future efforts on (1) improving participation with more disease knowledge "naïve" patients and (2) targeted efforts aimed at specific symptom targeting (i.e., insomnia, stress, fatigue) are planned.
Cognitive-behavioral therapy for insomnia, which effectively targets the behavioral factors that maintain chronic insomnia, represents an attractive treatment alternative or adjuvant to eszopiclone for older adults.
Antidepressants that are better targeted could also avoid some of their common side-effects such as insomnia and sexual dysfunction, because the drugs could be designed to only affect the part of the brain involved in mood, said Cohen.
