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Related Concept Videos

Insomnia01:27

Insomnia

212
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
212
Management of Insomnia01:19

Management of Insomnia

357
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
357
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

299
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
299
CNS Depressants: Barbiturates and Benzodiazepines01:14

CNS Depressants: Barbiturates and Benzodiazepines

736
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
736
Sleepwalking and Sleep Talking01:17

Sleepwalking and Sleep Talking

418
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
418
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

596
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
596

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Insomnia: Behavioral Treatment in the Elderly.

Matthew R Ebben1

  • 1Weill Medical College of Cornell University, Center for Sleep Medicine, 425 East 61st Street, 5th Floor, New York, NY 10065, USA; Polysomnographic Technology Training Program, Kingsborough Community College (CUNY), 2001 Oriental Boulevard, Brooklyn, NY 11235, USA.

Clinics in Geriatric Medicine
|July 2, 2021
PubMed
Summary

Sleep quality declines in older adults due to aging health issues and lifestyle changes, often leading to insomnia. Cognitive behavioral therapy for insomnia is a safe and effective first-line treatment for sleep difficulties in the elderly.

Keywords:
AgeBehavioralCBT-ICognitiveElderlyInsomniaNonpharmacologic

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Area of Science:

  • Gerontology
  • Sleep Medicine
  • Behavioral Science

Background:

  • Aging is associated with physiological changes impacting sleep, including reduced sleep drive and advanced circadian phase.
  • Lifestyle factors like retirement and decreased activity contribute to sleep disturbances and chronic insomnia in older adults.
  • Sleep quality is a critical component of overall health and well-being in the elderly population.

Purpose of the Study:

  • To review the factors affecting sleep quality in elderly individuals.
  • To evaluate the efficacy and safety of Cognitive Behavioral Therapy for Insomnia (CBT-I) as a treatment for insomnia in older adults.
  • To establish CBT-I as a recommended first-line treatment for insomnia in this demographic.

Main Methods:

  • Literature review of studies on aging, sleep quality, and insomnia treatments.
  • Analysis of clinical trial data on Cognitive Behavioral Therapy for Insomnia (CBT-I) efficacy and safety.
  • Synthesis of evidence supporting CBT-I as a primary intervention for elderly insomnia.

Main Results:

  • Aging-related health issues and lifestyle modifications significantly disrupt sleep patterns in the elderly.
  • Cognitive Behavioral Therapy for Insomnia (CBT-I) demonstrates significant effectiveness in improving sleep quality.
  • CBT-I is well-tolerated and presents a favorable safety profile for older adults.

Conclusions:

  • Sleep disturbances are common in elderly individuals due to a combination of biological and lifestyle factors.
  • Cognitive Behavioral Therapy for Insomnia (CBT-I) is a highly effective and safe treatment option.
  • CBT-I should be considered the primary therapeutic approach for managing insomnia in the aging population.