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Review
. 2018 Jun 15;14(6):1017-1024.
doi: 10.5664/jcsm.7172.

Insomnia in the Elderly: A Review

Dhaval Patel  1 , Joel Steinberg  1 , Pragnesh Patel  1
Affiliations
Review

Insomnia in the Elderly: A Review

Dhaval Patel et al. J Clin Sleep Med. .

Abstract

Background: Insomnia remains one of the most common sleep disorders encountered in the geriatric clinic population, frequently characterized by the subjective complaint of difficulty falling or maintaining sleep, or nonrestorative sleep, producing significant daytime symptoms including difficulty concentrating and mood disturbances.

Methods: A search of the literature was conducted to review the epidemiology, definition, and age-related changes in sleep, as well as factors contributing to late-life insomnia and scales utilized for the assessment of insomnia in older people. The aim is to summarize recent diagnostic guidelines and both nonpharmacological and pharmacological strategies for the management of insomnia in the older population.

Results: Insomnia remains a clinical diagnosis. There are several demographic, psychosocial, biologic, and behavioral factors that can contribute to late-life insomnia. Older adults are at higher risk for the medical and psychiatric effects of insomnia.

Conclusions: The most important aspect in evaluation of insomnia is detailed history taking and thorough physical examination. Nonpharmacological treatment options have favorable and enduring benefits compared to pharmacological therapy.

Keywords: cognitive behavioral therapy; elderly; insomnia; pharmacological treatment.

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References

    1. United Nations Department of Economics and Social Affairs: Population Division. World population ageing: 1950-2050. [Accessed May 23, 2017]. http://www.un.org/esa/population/publications/worldageing19502050/. Published 2001.
    1. Morin CM, Benca R. Chronic insomnia. Lancet. 2012;379(9821):1129–1141. - PubMed
    1. Shochat T, Loredo J, Ancoli-Israel S. Sleep disorders in the elderly. Curr Treat Options Neurol. 2001;3(1):19–36. - PubMed
    1. Foley DJ, Monjan AA, Brown SL, Simonsick EM, Wallace RB, Blazer DG. Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep. 1995;18(6):425–432. - PubMed
    1. Crowley K. Sleep and sleep disorders in older adults. Neuropsychol Rev. 2011;21(1):41–53. - PubMed

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