Sleep disturbances in aging

The prevalence of insomnia, SDB, circadian rhythm disorders, and sleep-related movement disorders increases substantially in late-life. In addition, normal age-related changes in sleep architecture create a fragmented and light sleep pattern that sets the stage for sleep complaints in this population. Sleep disturbance in older adults may be associated with poorer quality of life, dependence on hypnotic medication, increased risk of falls, increased morbidity, impaired cognitive performance, and daytime somnolence. A thorough evaluation of a sleep complaint includes assessment of contributing medical, psychiatric, medication, behavioral, and environmental factors. Once identified, sleep disorders can be effectively treated. Treatments include medically-based interventions such as mechanical devices for SDB and medications for movement disorders as well as behavioral and environment interventions (e.g., behavioral treatments for insomnia and bright light therapy for circadian disturbances). However, more information on the application and effectiveness of these treatments specific to elderly populations is needed and will only increase in importance as the population of older adults grows. Uncited items. © 2005 Elsevier Inc. All rights reserved.

Duke Scholars

Author Marci M Loiselle Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychol ...

Author Melanie K. Leggett Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychol ...