Insomnia in older adults

Chandra M. Cherukuri, Neeraj Kaplish, Deepthi C. Malepati, Imran S. Khawaja, Shashi K. Bhatia, Subhash Bhatia

Research output: Contribution to journalArticle

Abstract

Insomnia disorder in older adults is associated with dissatisfaction with quality or quantity of sleep and is also associated with difficulty falling asleep, maintaining sleep, or early morning awakening. It is frequently as¬sociated with an age-related decrease in restorative stage 3 of nonrapid eye movement sleep as well as advance phase shift leading to early morning awakening. Sleep disturbances in older adults, as in younger patients, have a bidirectional relationship with many medical and psychiatric disorders as well as polypharmacy. The health con-sequences of insomnia in the elderly may also include manifestation or magnification of cognitive deficits. Di-agnosis of insomnia is based on history from the patient, the bed partner, self-administered questionnaire or sleep di¬ary, comprehensive evaluation for co¬morbid medical/psychiatric disorders, and comprehensive medication history. Both nonpharmacological and pharma¬cological strategies are effective in the management of insomnia. Cognitive-behavioral therapy for insomnia (CBT-I) should be considered as an ini¬tial intervention for chronic insomnia. Pharmacological treatment with short-acting hypnotics is a valuable adjunct to CBT-I for acute insomnia for a brief period followed by a slow taper. Any treatment intervention should be in collaboration with the patient and/or family and include a discussion of the risks, benefits, and costs.

Original languageEnglish (US)
Pages (from-to)279-286
Number of pages8
JournalPsychiatric Annals
Volume48
Issue number6
DOIs
StatePublished - Jun 1 2018

Fingerprint

Sleep Initiation and Maintenance Disorders
Sleep
Cognitive Therapy
Psychiatry
Pharmacology
Polypharmacy
Eye Movements
Hypnotics and Sedatives
Cost-Benefit Analysis
History
Health

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

Cherukuri, C. M., Kaplish, N., Malepati, D. C., Khawaja, I. S., Bhatia, S. K., & Bhatia, S. (2018). Insomnia in older adults. Psychiatric Annals, 48(6), 279-286. https://doi.org/10.3928/00485713-20180514-01

Insomnia in older adults. / Cherukuri, Chandra M.; Kaplish, Neeraj; Malepati, Deepthi C.; Khawaja, Imran S.; Bhatia, Shashi K.; Bhatia, Subhash.

In: Psychiatric Annals, Vol. 48, No. 6, 01.06.2018, p. 279-286.

Research output: Contribution to journalArticle

Cherukuri, CM, Kaplish, N, Malepati, DC, Khawaja, IS, Bhatia, SK & Bhatia, S 2018, 'Insomnia in older adults', Psychiatric Annals, vol. 48, no. 6, pp. 279-286. https://doi.org/10.3928/00485713-20180514-01
Cherukuri CM, Kaplish N, Malepati DC, Khawaja IS, Bhatia SK, Bhatia S. Insomnia in older adults. Psychiatric Annals. 2018 Jun 1;48(6):279-286. https://doi.org/10.3928/00485713-20180514-01
Cherukuri, Chandra M. ; Kaplish, Neeraj ; Malepati, Deepthi C. ; Khawaja, Imran S. ; Bhatia, Shashi K. ; Bhatia, Subhash. / Insomnia in older adults. In: Psychiatric Annals. 2018 ; Vol. 48, No. 6. pp. 279-286.
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