This is a revised application to test the efficacy of an empirically based cognitive-behavioral intervention for older adults with insomnia and co-morbid chronic illness recruited from an HMO population. The primary objective of the study will be to compare the efficacy of behavioral treatments for insomnia among patients with 3 common age-related chronic illnesses: osteo-arthritis (OA), chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD) because exceptionally high rates of co-morbid insomnia have been found in the 3 groups. A second major objective is to determine whether an effective behavioral treatment can diminish the well-established effects of insomnia on quality of life among those with chronic illness. The proposed study will include random assignment of 3 groups of 55 HMO patients 55 years or older with OA, COPD and CAD and co-morbid insomnia to an 8-week cognitive-behavioral treatment class or placebo control class. The behavioral intervention will be empirically based with both cognitive-behavioral and relaxation approaches. The placebo control group will be a wellness/stress management class. Outcomes will be assessed at 4, 8, and 12 months post treatment follow-up intervals. Sleep quantity and quality will be evaluated using polysomnography, actigraphy and self report measures. Quality of life, functional status and mood will also be assessed.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG017491-02
Application #
6372422
Study Section
Special Emphasis Panel (ZRG1-RPHB-2 (01))
Program Officer
Monjan, Andrew A
Project Start
2000-08-15
Project End
2004-07-31
Budget Start
2001-08-01
Budget End
2002-07-31
Support Year
2
Fiscal Year
2001
Total Cost
$323,572
Indirect Cost
Name
Rush University Medical Center
Department
Type
DUNS #
City
Chicago
State
IL
Country
United States
Zip Code
60612
Rybarczyk, Bruce; Mack, Laurin; Harris, Jennifer Huang et al. (2011) Testing two types of self-help CBT-I for insomnia in older adults with arthritis or coronary artery disease. Rehabil Psychol 56:257-66
Carney, Colleen E; Edinger, Jack D; Morin, Charles M et al. (2010) Examining maladaptive beliefs about sleep across insomnia patient groups. J Psychosom Res 68:57-65
Vitiello, Michael V; Rybarczyk, Bruce; Von Korff, Michael et al. (2009) Cognitive behavioral therapy for insomnia improves sleep and decreases pain in older adults with co-morbid insomnia and osteoarthritis. J Clin Sleep Med 5:355-62
Stepanski, Edward J; Rybarczyk, Bruce (2006) Emerging research on the treatment and etiology of secondary or comorbid insomnia. Sleep Med Rev 10:7-18
Rybarczyk, Bruce; Stepanski, Edward; Fogg, Louis et al. (2005) A placebo-controlled test of cognitive-behavioral therapy for comorbid insomnia in older adults. J Consult Clin Psychol 73:1164-74
Rybarczyk, Bruce; Lopez, Martita; Schelble, Kathy et al. (2005) Home-based video CBT for comorbid geriatric insomnia: a pilot study using secondary data analyses. Behav Sleep Med 3:158-75
Rybarczyk, Bruce; Lopez, Martita; Benson, Rodney et al. (2002) Efficacy of two behavioral treatment programs for comorbid geriatric insomnia. Psychol Aging 17:288-98