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Related Experiment Videos

[Insomnia in the elderly].

C Amatéis1, C Büla

  • 1Service de gériatrie et réadaptation geriatrique Département de médecine, CHUV, 1011 Lausanne.

Revue Medicale Suisse
|December 13, 2007
PubMed
Summary
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Insomnia is common in older adults, leading to functional and psychological issues. Non-drug treatments like cognitive-behavioral therapy are effective, and reducing hypnotic medication use is advised due to side effects.

Area of Science:

  • Gerontology
  • Sleep Medicine
  • Pharmacology

Background:

  • Insomnia frequently affects older individuals, causing significant functional and psychological distress.
  • Over-the-counter medication use for insomnia in the elderly carries a high risk of adverse events.
  • Prevalence of hypnotic drug use remains high among elderly patients despite potential risks.

Purpose of the Study:

  • To review the management strategies for insomnia in older persons.
  • To highlight the effectiveness of non-pharmacological interventions.
  • To emphasize the need for cautious hypnotic use and informed withdrawal.

Main Methods:

  • Systematic evaluation of insomnia in the elderly population.
  • Review of non-pharmacological approaches such as sleep hygiene and cognitive-behavioral therapy (CBT).

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  • Assessment of the role and risks associated with hypnotic medications.

    • Main Results:

    • Non-pharmacological interventions, including sleep hygiene and CBT, are effective for insomnia in older adults.
    • Targeted etiologic treatment is recommended when feasible.
    • Hypnotic use is prevalent but associated with numerous side effects, necessitating informed withdrawal attempts.

    Conclusions:

    • Effective management of insomnia in older persons involves systematic evaluation and prioritizing non-pharmacological treatments.
    • Cognitive-behavioral therapy and sleep hygiene are key effective strategies.
    • Reducing reliance on hypnotics and informing patients about side effects are crucial for safe and effective insomnia management in the elderly.