Combining Mindfulness Meditation With Cognitive Behavior Therapy and Medication Taper for Hypnotic-Dependent Insomnia in Older Adults: A Case Study
Abstract
Sleep medication is the most common treatment for insomnia in older adults. However, prolonged use of hypnotics has several negative side-effects and can lead to a pattern of tolerance and dependence. Recent research has found promising results for interventions that included both supervised gradual medication withdrawal and cognitive behavior therapy (CBT) for the treatment of hypnotic-dependent insomnia. Furthermore, there is increasing evidence that incorporating mindfulness meditation can result in a more potent CBT intervention for insomnia. In this article, the authors describe and discuss the effects of a broadly focused intervention for treating hypnotic-dependent insomnia in an older adult. The treatment simultaneously targets insomnia symptoms, comorbid symptoms such as pain, dependency issues, and the discontinuation of hypnotic medication.
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Acknowledging problematic use demands an understanding of the impact of the medication over time, skills that should be developed by other interventions such as psychoeducation or motivational interviewing.
“Acknowledging problematic use demands an understanding of the impact of the medication over time, skills that should be developed by other interventions, such as psychoeducation or motivational interviewing, as observed in previous studies with this population [11, 47, 48].”
Anticipation of negative effects due to a bad night of sleep on daytime functioning leads to higher levels of anxiety that may in turn lead to preoccupation about the availability of the hypnotic, and even to the use of a higher dose.
“For instance, anticipation of negative effects due to a bad night of sleep on daytime functioning leads to higher levels of anxiety that may in turn lead to preoccupation about the availability of the hypnotic, and even to the use of a higher dose [11].”
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- Authors
- Lunde, L.-H., & Skjøtskift, S.
- Affiliations
- Haukeland University Hospital (NO)
- ORCID
- Lunde, Linn-Heidi
- Venue
- Clinical Case Studies
- Publisher
- SAGE Publications
- Published
- 2014-11-18
- Volume
- 14
- Issue
- 4
- Pages
- 307-320
- ISSN
- 1534-6501 (ISSN-L)
- 1552-3802
- OpenAlex
- W2136545487
- Cited by
- 9
- References
- 39
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2018: 2 · 2016: 2
- FWCI
- 0.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Case Studies (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- older adults, mindfulness meditation, cognitive behavioral therapy for insomnia, medication tapering, hypnotic dependence, comorbid pain
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