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Insomnia in Older Adults
Vivian Nguyen1, Tessy George2, Glenna S Brewster1
1Emory University, Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
Current Geriatrics Reports
|December 14, 2020
Summary
Cognitive behavioral therapy for insomnia is the preferred treatment for older adults, offering significant benefits. Healthcare providers should prioritize behavioral interventions over sleep medications to improve patient outcomes and safety.
Area of Science:
- Gerontology
- Sleep Medicine
- Public Health
Background:
- Insomnia affects up to 75% of older adults.
- Associated factors include socioeconomic status, race, relationships, and comorbidities.
- Dementia and cognitive decline are linked to insomnia in this population.
Purpose of the Study:
- To review and synthesize current research on insomnia in older adults.
- To provide guidance for healthcare professionals on assessment and management.
- To highlight key factors influencing insomnia in the elderly.
Main Methods:
- Systematic review of recent research articles.
- Analysis of factors contributing to insomnia.
- Evaluation of treatment efficacy and safety.
Main Results:
- Cognitive Behavioral Therapy for Insomnia (CBT-I) is the first-line treatment.
- CBT-I demonstrates both short-term and long-term benefits.
- Sleep medication use remains prevalent but is associated with risks.
Conclusions:
- Consistent screening and assessment for insomnia are crucial.
- Prioritize medical and social factor evaluation.
- Minimize sleep medication use and emphasize CBT-I referrals.
- Early intervention reduces fall risk and aids in identifying cognitive impairment.
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