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Sleep disorders in the elderly.

M G Moran1, T L Thompson, A S Nies

  • 1Department of Medicine, National Jewish Center for Immunology and Respiratory Medicine, Denver, CO 80206.

The American Journal of Psychiatry
|November 1, 1988
PubMed
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Elderly patients frequently receive sedative-hypnotics for sleep disorders, often secondary to other conditions. A thorough evaluation, considering nonpharmacologic options and age-related changes, is crucial before prescribing these medications.

Area of Science:

  • Geriatric Medicine
  • Sleep Medicine
  • Psychiatry

Background:

  • Sleep disturbances are common in the elderly population.
  • Older adults receive a disproportionately high percentage of sedative-hypnotic prescriptions.
  • Sleep issues in elders are often secondary to underlying medical, psychiatric, or environmental factors.

Purpose of the Study:

  • To emphasize the need for thorough evaluation of sleep disorders in the elderly.
  • To advocate for nonpharmacologic interventions and patient education prior to medication.
  • To discuss age-related pharmacokinetic changes relevant to sedative-hypnotic prescribing.

Main Methods:

  • Review of current prescribing practices for elderly sleep disorders.
  • Analysis of contributing factors to sleep disturbances in older adults.

Related Experiment Videos

  • Discussion of pharmacokinetic alterations in aging relevant to drug use.

    • Main Results:

    • Elderly individuals (12% of population) receive 35-40% of sedative-hypnotics.
    • Sleep disturbances are frequently secondary to other health issues.
    • Nonpharmacologic approaches and understanding aging-related sleep changes are vital.

    Conclusions:

    • A comprehensive diagnostic approach is essential for elderly sleep disorders.
    • Prioritize nonpharmacologic treatments and patient education for sleep issues in older adults.
    • Understanding pharmacokinetic changes in aging supports judicious sedative-hypnotic use.