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Review
. 2018 Mar;13(1):13-19.
doi: 10.1016/j.jsmc.2017.09.002. Epub 2017 Nov 22.

Insomnia in the Older Adult

Glenna S Brewster  1 , Barbara Riegel  2 , Philip R Gehrman  3
Affiliations
Review

Insomnia in the Older Adult

Glenna S Brewster et al. Sleep Med Clin. 2018 Mar.

Abstract

Although insomnia is not a normal part of the aging process, its prevalence increases with age. Factors such as medications and medical and psychiatric disorders can increase the risk for insomnia. To diagnose insomnia, it is important for older adults to complete comprehensive sleep and health histories. Cognitive-behavioral therapy for insomnia, which includes stimulus control, sleep restriction, sleep hygiene, and cognitive therapy, is the recommended first-line treatment of insomnia and is more effective than medications for the long-term management of insomnia. Medications, such as benzodiazepines and antidepressants, should be avoided for the treatment of insomnia in older adults.

Keywords: Benzodiazepines; Cognitive-behavioral therapy for insomnia (CBTi); Pharmacotherapy; Sleep diary; Sleep efficiency; Sleep-onset latency; Wake after sleep onset.

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Conflict of interest statement

DISCLOSURE STATEMENT

The authors have no financial or commercial disclosures.

References

    1. Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health. 2015;1(1):40–43. - PubMed
    1. Blay SL, Andreoli SB, Gastal FL. Prevalence of self-reported sleep disturbance among older adults and the association of disturbed sleep with service demand and medical conditions. International psychogeriatrics. 2008 Jun;20(3):582–595. - PubMed
    1. Leblanc M-F, Desjardins S, Desgagné A. Sleep problems in anxious and depressive older adults. Psychology Research and Behavior Management. 2015 Jun 11;8:161–169. - PMC - PubMed
    1. Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep medicine reviews. 2002 Apr;6(2):97–111. - PubMed
    1. Sleep-Wake Disorders. Diagnostic and Statistical Manual of Mental Disorders