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Treating Insomnia in Older Adults
Taking a Long-term View
Charles F. Reynolds III, MD;
Daniel J. Buysse, MD;
David J. Kupfer, MD
JAMA. 1999;281:1034-1035.
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Insomnia complaints in older adults are both prevalent and persistent.1-2 Insomnia in later life is a symptom with many etiologies: medical, psychiatric, behavioral, and circadian.3-4 The complications of chronic insomnia (ie, complaints of inadequate or nonrestorative sleep over at least 1 month but often for many years) include sedative–hypnotic agent dependence, self-medication with alcohol, depression, diminished quality of life, and in the case of older adults with dementing disorders, placement in long-term care facilities. Sleep disturbances in older adults have been linked to poor health, depression, angina, limitations in activities of daily living, and the chronic use of benzodiazepines.5
Increasing age brings about diminished ability to sleep, but no less need for sleep. Old age is associated with diminution in both the depth and continuity of sleep.6 Old age also brings increased prevalence of sleep-disordered breathing and . . . [Full Text of this Article]
Author Affiliations: Sleep and Chronobiology Center, Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pa.
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Behavioral and Pharmacological Therapies for Late-Life Insomnia: A Randomized Controlled Trial
Charles M. Morin, Cheryl Colecchi, Jackie Stone, Rakesh Sood, and Douglas Brink
JAMA. 1999;281(11):991-999.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Quality of Life in Older Adults Receiving Medications for Anxiety, Depression, or Insomnia: Findings From a Community-Based Study
Stein and Barrett-Connor
AJGP 2002;10:568-574.
ABSTRACT
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Cognitive behaviour therapy or temazepam, or both, improved short term outcomes for older adults with persistent insomnia
Lebow
Evid. Based Ment. Health 1999;2:117-117.
FULL TEXT
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