Self-reported Arthritis-Related Disruptions in Sleep and Daily Life and the Use of Medical, Complementary, and Self-care Strategies for Arthritis

Howard, W.

doi:10.1001/archfami.9.2.149

Archives of Family Medicine

2000

DOI: 10.1001/archfami.9.2.149

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Self-reported Arthritis-Related Disruptions in Sleep and Daily Life and the Use of Medical, Complementary, and Self-care Strategies for Arthritis

W. Howard¹

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Cited by 3 publications

References 25 publications

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No Need to Count Sheep: Investigating an Online Insomnia Intervention among Older Adults

Johanson

Bohlen

Feliciano

2018

The American Journal of Geriatric Psychiatry

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Sleep problems are pervasive among the United States population with insomnia being the most common sleep complaint among adults and older adults. Between 20 and 40 percent of older adults have symptoms of insomnia, which impacts quality of life, inflates healthcare costs, and is associated with a greater risk of chronic disease, comorbid mood disorders, and premature mortality. While pharmacotherapy offers immediate relief from insomnia, it is associated with adverse side effects and risks.Behavioral interventions, such as cognitive-behavioral therapy for insomnia (CBT-I), have longer-term benefits and fewer side effects. However, the full CBT-I protocol is resource intensive and can be difficult to access. The present study examined the ability of a brief Internet-based sleep intervention, stimulus control therapy (SCT; N = 26), to effectively reduce symptoms of insomnia and improve mood in a sample of 46 adults aged 60 years and older compared to a sleep hygiene psychoeducation-only group (N = 20). Participants were recruited from community sources and completed telephone screens. Eligible participants watched a 20-minute video (SCT or sleep hygiene) online and completed three surveys across a one-month period (baseline, 1-week, and 1-month) about mood and sleep. Results revealed no significant group differences but rather decreases in both groups on sleepiness, fatigue, anxiety, depression, and sleep locus of control over time, as well as a group-time interaction for anxiety and stress. Findings imply that both sleep hygiene and SCT have equivalent efficacy and that minimal insomnia treatments may effectively treat comorbid insomnia and anxiety and depression.

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No Need to Count Sheep: Investigating an Online Insomnia Intervention among Older Adults

Johanson

Bohlen

Feliciano

2018

The American Journal of Geriatric Psychiatry

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Sleep and the affective response to stress and pain.

2007

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Evaluación de una estrategia formativa entre iguales en fibromialgia. Un análisis de género

Danet¹,

Prieto-Rodríguez²,

Valcárcel-Cabrera³

et al. 2016

Aquichan

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La fibromialgia es una enfermedad crónica altamente feminizada que requiere mayor autonomía y autoeficiencia en el manejo de los cuidados. Objetivo: evaluar, desde una perspectiva de género, la estrategia formativa de pacientes con fibromialgia de la Escuela de Pacientes, basada en la formación “entre iguales”. Método: estudio cuantitativo, con diseño cuasiexperimental pretest- postest, con 600 participantes con fibromialgia. Se utilizó un cuestionario adaptado del Programa de Paciente Experto de la Universidad de Stanford que recoge las variables: salud autopercibida, estrés emocional, calidad y hábitos de vida, limitaciones, relación con el personal sanitario y autoeficiencia. Se empleó el análisis bivariado y multivariado y análisis del cambio entre pretest/postest. Resultados: los participantes en la formación (98 % mujeres) describieron un mal estado de salud, con altos niveles de cansancio, dolor y limitaciones, con diferencias significativas en función del perfil sociodemográfico. Tras la formación, mejoró el estrés emocional y los hábitos de vida, se redujeron las visitas médicas y aumentó el automanejo de la enfermedad. Conclusión: la formación entre iguales representó una estrategia educativa eficiente y un espacio óptimo para reforzar el compromiso y apoyo social, con resultados positivos para la salud emocional y autoconfianza de las mujeres con fibromialgia.

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Self-reported Arthritis-Related Disruptions in Sleep and Daily Life and the Use of Medical, Complementary, and Self-care Strategies for Arthritis

Cited by 3 publications

References 25 publications

No Need to Count Sheep: Investigating an Online Insomnia Intervention among Older Adults

No Need to Count Sheep: Investigating an Online Insomnia Intervention among Older Adults

Sleep and the affective response to stress and pain.

Evaluación de una estrategia formativa entre iguales en fibromialgia. Un análisis de género

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