Related Experiment Video
Updated: Jun 12, 2025
04:33
Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
618
Sleep Quality and Medication Adherence in Older Adults: A Systematic Review
Leandro Amato1, Noemi Giannetta2, Sofia Taborri1
1Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Clocks & Sleep
|September 23, 2024
Summary
Poor sleep quality is linked to lower medication adherence in older adults. Addressing sleep disorders and improving sleep efficiency are crucial for better adherence in this population.
Area of Science:
- Gerontology
- Sleep Medicine
- Pharmacology
Background:
- Sleep quality is vital for overall health, particularly in older adults.
- Older adults frequently experience comorbidities, polypharmacy, and medication non-adherence, often exacerbated by sleep disorders.
Purpose of the Study:
- To systematically review the relationship between sleep quality and medication adherence in older adults.
- To identify and describe the instruments used for measuring sleep quality and medication adherence.
Main Methods:
- A systematic review adhering to PRISMA guidelines.
- Searched PubMed, Scopus, Cochrane Library, and CINAHL databases (January-March 2024).
- Included nine articles in the final synthesis based on predefined criteria.
Main Results:
- Poor sleep quality shows a significant association with reduced medication adherence in older adults.
- Key sleep factors impacting adherence include sleep disorders, sleep efficiency, sleep duration, and daytime dysfunction.
- Inappropriate medication prescribing is linked to decreased sleep efficiency.
Conclusions:
- A comprehensive geriatric assessment should incorporate sleep disorder and comorbidity evaluations.
- Nursing educational interventions are essential for enhancing medication adherence in the elderly.
- Subjective and varied assessment tools highlight a need for standardized measures.
Related Concept Videos
01:19Management of Insomnia
235
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...
235
01:13Insufficient Sleep and Sleep Deprivation
134
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
134
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
157
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...
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...
157
01:17Sleepwalking and Sleep Talking
124
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...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
124
01:24Substance Use Disorders Affecting Sleep
161
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
161
01:27Insomnia
79
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...
Multiple factors contribute...
79