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Behavioral Intervention for Insomnia: Future Directions for Nontraditional Caregivers at Various Stages of Care

ABSTRACT The present case series represents a preliminary, novel approach to caregiver insomnia by focusing on four elderly (65+ years) female caregivers representing diverse caregiving situations and a continuum of caregiving stages: active, exit, recent post-exit (8 months), and enduring post-exit (6 years). Each caregiver received manualized behavioral treatment for insomnia. We anticipated compliance and sleep improvements would be greater for the post-exit caregivers. However, our results revealed equivalently high compliance rates and improved sleep for all four caregivers. Improvements in depression and anxiety were also found. Future research on diverse caregiving situations and different stages of care appears warranted.