Treatment of insomnia in elderly patients

Richter, Kneginja; Kellner, Stefanie; Milosheva, Lenche; Fronhofen, Helmut

doi:10.26407/2019jrtdd.1.25

Cited by 3 publications

(10 citation statements)

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“…Cognitive behavioural therapy for insomnia (CBT-I) is recommended as a first-line treatment for chronic insomnia [82]. CBT-I should also be always considered for elderly patients, yet, there are more challenges during implementation and flexibility is required [81]. CBT -I consist of psychoeducation, relaxation therapy, cognitive therapy and behavioural strategies, which include sleep restriction and stimulus control [82].…”

Section: Non-pharmacological Management For Insomniamentioning

confidence: 99%

“…CBT -I consist of psychoeducation, relaxation therapy, cognitive therapy and behavioural strategies, which include sleep restriction and stimulus control [82]. For sleep education, elderly patients should be advised to construct a daily sleep routine and avoid going to bed too early [81]. As mentioned before, the sleep advancement phase is common in elderly people, partly due to psychosocial reasons.…”

Section: Non-pharmacological Management For Insomniamentioning

confidence: 99%

“…For hospitalised or institutionalised elderly people, sleep disruptions from the sleep environment should be minimised. Night-time lighting, bed restraints, TV noise or interference from other patients are common causes that disturb wards or nursing home sleep environments [81,85]. For patients staying in nursing homes, caregivers can decorate the sleep environments with objects that elderly people are familiar with [85].…”

Section: Non-pharmacological Management For Insomniamentioning

confidence: 99%

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Common Sleep Problems and Management in Older Adults

Cheng¹,

Wong²

2024

Sleep Medicine - Asleep or Awake?

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Sleep problems are common among the elderly due to physiological changes and comorbid psychiatric and medical conditions. Sleep architecture changes with age. However, sleep disturbances among older adults should not be seen barely as a result of ageing. Depression and anxiety are important differential diagnoses for elderly patients complaining of sleep disturbance. Dementia and delirium are also common causes of sleep disturbances among older people. Elderly people often carry several medical comorbidities. These medical conditions can both lead to and be exacerbated by sleep problems. Given the frailty, multimorbidity and vulnerability of some of the elderly, the management of sleep problems requires additional considerations compared with younger adult patients. Behavioural modifications and drugs of choice will be discussed.

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Section: Non-pharmacological Management For Insomniamentioning

confidence: 99%

Section: Non-pharmacological Management For Insomniamentioning

confidence: 99%

Section: Non-pharmacological Management For Insomniamentioning

confidence: 99%

See 1 more Smart Citation

Common Sleep Problems and Management in Older Adults

Cheng¹,

Wong²

2024

Sleep Medicine - Asleep or Awake?

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“…Relaxation and mindfulness techniques also have a role in treatment [34,36]. Results vary or are limited for other non-pharmacological approaches [40,41].…”

Section: Insomniamentioning

confidence: 99%

Sleep Disturbance, Sleep Disorders and Co-Morbidities in the Care of the Older Person

Carthy

2021

Medical Sciences

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Sleep complaints can be both common and complex in the older patient. Their consideration is an important aspect of holistic care, and may have an impact on quality of life, mortality, falls and disease risk. Sleep assessment should form part of the comprehensive geriatric assessment. If sleep disturbance is brought to light, consideration of sleep disorders, co-morbidity and medication management should form part of a multifaceted approach. Appreciation of the bi-directional relationship and complex interplay between co-morbidity and sleep in older patients is an important element of patient care. This article provides a brief overview of sleep disturbance and sleep disorders in older patients, in addition to their association with specific co-morbidities including depression, heart failure, respiratory disorders, gastro-oesophageal reflux disease, nocturia, pain, Parkinson’s disease, dementia, polypharmacy and falls. A potential systematic multidomain approach to assessment and management is outlined, with an emphasis on non-pharmacological treatment where possible.

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“…Gleichzeitig steht die Wirksamkeit von Psychotherapie im höheren Lebensalter heute außer Frage. So liegen positive Wirkungsnachweise für (generalisierte) Angsterkrankungen (Ayers, Sorrell, Thorp & Wetherell, 2007;Boerner, 2004;Gould, Coulson & Howard, 2012;Hall, Kellett, Berrios, Bains & Scott, 2016), depressive Erkrankungen (Cuijpers, Karyotaki, Pot, Park & Reynolds, 2014;Gühne, Luppa, König, Hautzinger & Riedel-Heller, 2014;Pinquart, Duberstein & Lyness, 2007), Insomnie (Nau, McCrae, Cook & Lichstein, 2005;Richter, Kellner, Milosheva & Fronhofen, 2020) oder posttraumatische Belastungsstörung (Böttche, Kuwert & Knaevelsrud, 2012) vor. Bei somatoformen Störungen zeigten sich in einer Pilotstudie erste ermutigende Befunde hinsichtlich der Abnahme von Schmerzintensität (Verdurmen, Videler, Kamperman, Khasho & Feltz-Cornelis, 2017).…”

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Psychotherapie im höheren Lebensalter in der Psychotherapieausbildung

Becker

Martin

Wilz

et al. 2020

Zeitschrift für Klinische Psychologie und Psychotherapie

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Zusammenfassung. Theoretischer Hintergrund: Psychotherapie im höheren Lebensalter (PihL) gewinnt in Deutschland in den letzten Jahrzehnten zunehmend an Bedeutung. Dennoch ist dieses Feld trotz des großen Bedarfs weiterhin unterrepräsentiert. Fragestellung: Wie werden angehende Psychotherapeut_innen aktuell in Bezug auf die psychotherapeutische Behandlung älterer Menschen ausgebildet? Methode: Sämtliche Ausbildungsinstitute in Deutschland mit dem Schwerpunkt Verhaltenstherapie sowie Dozierende mit Seminaren zu PihL wurden im Jahr 2018 zu einer Befragung eingeladen. Ergebnisse: Von 48 Instituten boten zum Zeitpunkt der Befragung 64.6 % gerontopsychlogische Unterrichtsstunden (M = 13.03 h) an (2.2 % des Theorieunterrichts). In den ausfindig gemachten Seminaren zeigen sich zu einem großen Teil die von Knight et al. (2009 ) vorgeschlagenen Themenschwerpunkte von allgemeinen und pathologischen Alterungsprozessen über diagnostische Besonderheiten bis hin zu konkreten Interventionsmethoden. Diskussion: Sowohl die Weiterbildungsstudiengänge als auch die neuen psychotherapeutischen Bachelor- und Masterstudiengänge sollten mehr Inhalte zum Thema PihL ähnlich wie die hier ausfindig gemachten Seminare berücksichtigen. Eine Orientierung für eine Basiswissensvermittlung bieten die vorgeschlagenen Themenschwerpunkte.

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Treatment of insomnia in elderly patients

Cited by 3 publications

References 0 publications

Common Sleep Problems and Management in Older Adults

Common Sleep Problems and Management in Older Adults

Sleep Disturbance, Sleep Disorders and Co-Morbidities in the Care of the Older Person

Psychotherapie im höheren Lebensalter in der Psychotherapieausbildung

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