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Non-pharmacological measures for sleep problems in dementia: time to forget sleeping pills?

Part of: BJPsych Advances Cochrane Corner and Round the Corner Collection

Published online by Cambridge University Press:  09 October 2025

Felicity Cornforth Open the ORCID record for Felicity Cornforth [Opens in a new window] ,
Nina Baruch  and
Tomasz Bajorek
Felicity Cornforth*
Affiliation:
A specialty doctor working in an older adult community mental health team at Warneford Hospital, Oxford, UK. She is interested in holistic and psychosocial aspects of care, with a particular interest in old age psychiatry.
Nina Baruch
Affiliation:
A consultant liaison psychiatrist working in general liaison and acute general medicine at Oxford Psychological Medicine Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. She has a degree in psychology and cognitive neuroscience and has published several academic articles, mainly on old age psychiatry.
Tomasz Bajorek
Affiliation:
A consultant liaison psychiatrist working in general liaison, palliative care and neuropsychiatry at Oxford Psychological Medicine Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. He has a degree in physiological sciences and has published several books, book chapters and academic articles covering diverse areas of psychiatric research and practice.
*
Correspondence Felicity Cornforth. Email: felicity.cornforth@psych.ox.ac.uk
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Summary

Sleep disturbances are common in dementia and are associated with numerous problems. Medication is not clearly effective and is potentially problematic, giving a clear role for non-pharmacological measures. The Cochrane Review discussed here suggested that physical and social activities and carer interventions potentially improve sleep in dementia, although the evidence was not conclusive. The review was limited by the heterogeneity present and the low quality of evidence. The authors’ choice of primary outcomes leads to a wider discussion on the clinical relevance of available outcomes in evaluating sleep in dementia and the potential role for patients and carers in informing this.

Keywords

Old age psychiatrydementias/neurodegenerative diseasesliaison psychiatrysleep problemsnon-pharmacological interventions

Information

Type
Round the corner
Information
BJPsych Advances , Volume 31 , Special Issue 6: Liaison Psychiatry (Part 1) , November 2025 , pp. 326 - 330
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

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Footnotes

†

Commentary on… Non-pharmacological interventions for sleep disturbances in people with dementia (Cochrane Corner). See this issue.

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