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Behavioral Therapies for Insomnia Improve Nocturia in Older Women Veterans

Year: 2017

Type: conference-abstract

Abstract: Background: Nocturia is common in older women with chronic insomnia disorder. Few studies have examined nocturia symptoms and treatments in older women veterans. This study assessed changes in nocturia frequency associated with behavioral interventions for insomnia in older women veterans. Methods: In the context of an ongoing comparative effectiveness trial of two behavioral interventions for insomnia conducted at a VA medical center among women veterans, data from baseline, post-intervention, and 3-month follow up for participants aged ≥ 55 years were analyzed. Measures included self-reported nocturia frequency in the past month (0–5+/night) and degree of bother from nocturia (4-point scale; 0=not at all, 3= a lot). Nocturia frequency responses were categorized as nocturia (≥ 2 times/night) versus no nocturia (< 2 times/night). Differences in the proportion of participants with nocturia and degree of bother (post-intervention vs. baseline; 3-month follow-up vs. baseline) were examined with two-sample test of proportions and t-tests, respectively. Results: 36 participants (mean age 63, range 55–91 years) completed all or part of their assigned intervention. At baseline, 23 (64%) participants had nocturia. Nocturia decreased post-intervention (11 [33%], p=.011) and at 3-month follow-up (7 [25%], p=. 002 vs. baseline). Degree of bother mean scores decreased from baseline to post-intervention (1.43 vs. 0.75, p=.014) and 3-month follow-up (1.56 vs. 0.89, p=.031). Conclusions: Nocturia frequency and degree of bother improve with behavioral interventions for insomnia. These results suggest that a sleep-focused, non-pharmacological strategy for treating nocturia may be effective and indicate a need for a trial examining such a strategy.

Source: Innovation in Aging

DOI: 10.1093/geroni/igx004.4439

Authors: C. Fung, C.A. Alessi, Y. Song, C. Pedigo-Vaughn, A. Markland, A. Huang, S. McGowan, J. Martin

Institutions: University of California, Los Angeles, VA Greater Los Angeles Healthcare System, Emory University, Atlanta VA Medical Center, University of Alabama at Birmingham, Birmingham VA Medical Center, University of California, San Francisco

Language: English

Topic: Urinary Bladder and Prostate Research

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,977

OpenAlex ID: W2733986396

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Cited by: 1

Related to: 10