RT Journal
A1 Buysse DJ, Germain A, Moul DE, et al
T1 EFficacy of brief behavioral treatment for chronic insomnia in older adults
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2011
FD May 23
VO 171
IS 10
SP 887
OP 895
DO 10.1001/archinternmed.2010.535
UL http://dx.doi.org/10.1001/archinternmed.2010.535
AB 
Insomnia is defined by difficulty falling asleep, difficulty staying asleep, nonrestorative sleep, and waking symptoms such as fatigue, impaired concentration, and mood disturbance.1- 2 The prevalence of insomnia is approximately 5% to 20% in the general adult population3 and 20% to 30% in primary care medical settings.4- 5 Insomnia is commonly comorbid with physical and mental disorders6 and chronic, persisting for a year or longer in 74% of individuals.7 The health and functional consequences of insomnia include reduced quality of life, increased health care utilization and costs, disability, and risk for psychiatric disorders and cardiovascular disease.8- 9 Insomnia is especially relevant for older adults, given its high prevalence (estimated at 15%-35%), persistence, and association with falls and hip fractures.3,10 Older adults are prescribed hypnotic agents disproportionately frequently and for disproportionately long-term use and are more likely than other populations to experience adverse drug effects.3,11- 14