TY - JOUR T1 - EFficacy of brief behavioral treatment for chronic insomnia in older adults AU - Buysse DJ, Germain A, Moul DE, et al Y1 - 2011/05/23 N1 - 10.1001/archinternmed.2010.535 JO - Archives of Internal Medicine SP - 887 EP - 895 VL - 171 IS - 10 N2 - 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 SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2010.535 UR - http://dx.doi.org/10.1001/archinternmed.2010.535 ER -