OBJECTIVES: To evaluate changes in self-reported nocturia in community-dwelling adults aged 60 and older who received behavioral treatment for chronic insomnia.
DESIGN: Secondary analysis of a randomized controlled trial of a behavioral intervention for sleep.
SETTING: Academic medical center.
PARTICIPANTS: Of the 79 enrollees, this analysis focused on 30 who, in addition to insomnia, also reported at least one nightly episode of waking up to void.
INTERVENTION: The brief behavioral treatment of insomnia (BBTI) group (n = 14) received instructions on reducing time in bed and setting a regular sleep schedule. The information control (IC) group (n = 16) received printed materials. A nurse clinician delivered both interventions.
MEASUREMENTS: Self-reported nocturnal awakenings to void assessed daily for 14 days at baseline and 4 weeks after the intervention. Participants who reported at least one episode of nocturia per night at baseline were included in this analysis.
RESULTS: In individuals with nocturia at baseline, the total number of nocturnal voids over the 14-day assessment period decreased by 6.5 ± 4.8 in the BBTI group and increased by 1.3 ± 7.3 in the IC group (P = .04, effect size 0.82). After adjusting for baseline nocturia episodes, the difference remained significant (P = .05).
CONCLUSION: In older adults with concurrent insomnia and nocturia, behavioral treatment directed solely at insomnia may also improve self-reported nocturia. Behavioral treatment of insomnia should be further investigated for its effect on nocturia in individuals with concurrent insomnia and nocturia.
Written by:
Tyagi S, Resnick NM, Perera S, Monk TH, Hall MH, Buysse DJ. Are you the author?
Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Reference: J Am Geriatr Soc. 2014 Jan 2. Epub ahead of print.
doi: 10.1111/jgs.12609
PubMed Abstract
PMID: 24383406
