Abstract
Chronic insomnia is common in later life. This chapter considers the effectiveness of brief cognitive behavioral therapy for insomnia (CBT-I) for older adults based on randomized controlled trial studies, and introduces the procedure and content of brief CBT-I. The reviewed studies reported the effects of brief CBT-I on subjective and objective sleep variables and depression status. Regarding the content of brief CBT-I, sleep hygiene education should include understanding sleep changes that occur with age and mechanisms of sleep regulation, such as the circadian and homeostatic drives. Sleep restriction, which has been found to be the most effective way to improve sleep quality in older adults, can be effective and may be delivered in one or two in-person sessions, booklets, or videos. Cognitive restructuring, which is aimed at reducing dysfunctional sleep-related thoughts and changing misconceptions associated with sleep status, is important for improving insomnia in older adults. Understanding sleep physiology and subjective sleep data may help individuals to have more appropriate sleep cognition.
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