Diagnosis and treatment of sleep disorders in older adults.
Among the most common complaints of older adults are difficulty initiating or maintaining sleep. These problems result in insufficient sleep at night, which then results in an increased risk of falls, difficulty with concentration and memory, and overall decreased quality of life. Difficulties sleeping, however, are not an inevitable part of aging. Rather, these sleep complaints are often secondary to medical and psychiatric illness, the medications used to treat these illnesses, circadian rhythm changes, or other sleep disorders. The task for the geriatric psychiatrist is to identify the causes of these complaints and then initiate appropriate treatment.
Department of Psychiatry, University of California, San Diego, and the Veterans Affairs San Diego Healthcare System, San Diego, CA 92161, USA. sancoli-israel@ucsd.edu
Sonia
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Ancoli-Israel
Liat
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Ayalon
D000368:Aged; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D006801:Humans; D020189:Nocturnal Myoclonus Syndrome / Q000453:epidemiology; D020187:REM Sleep Behavior Disorder / Q000453:epidemiology; D012720:Severity of Illness Index; D012891:Sleep Apnea Syndromes / Q000453:epidemiology; D020181:Sleep Apnea, Obstructive / Q000453:epidemiology* / Q000628:therapy*; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis* / Q000453:epidemiology*