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Chapter 18 - Sleep disorders in the elderly*

from Section III - Care of the elderly by organ system

Published online by Cambridge University Press:  05 June 2016

Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Sleep disorders in late life are typically unrecognized, underdiagnosed, and poorly treated. Epidemiological studies report that more than 50% of older adults meet diagnostic criteria for one or more sleep disorders. These sleep disorders often are associated with negative changes in quality of life and increased health care burden and mortality rates, among other serious consequences. Contextual factors may complicate the diagnosis and management of sleep disorders in late life. Insomnia and sleep apnea are the two most common sleep disorders in older patients. Both psychological interventions and pharmacotherapy are treatments for insomnia and sleep apnea.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
, pp. 264 - 273
Publisher: Cambridge University Press
Print publication year: 2016

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References

Foley, DJ, Monjan, AA, Brown, SL, et al. Sleep complaints among elderly persons: an epidemiological study of 3 communities. Sleep. 1995;18:425432.Google Scholar
Mellinger, GD, Balter, MB, Uhlenhuth, EH. Insomnia and its treatment: prevalence and correlates. Arch Gen Psychiatry. 1985;42:225232.Google Scholar
Morgan, K. Sleep and aging. In: Lichstein, K, Morin, C, eds. Treatment of Late Life Insomnia. Thousand Oaks, CA: Sage Publications, 2000.Google Scholar
Floyd, JA, Medler, SM, Ager, JW, et al. Age-related changes in initiation and maintenance of sleep: a meta-analysis. Res Nurs Health. 2000;23:106117.Google Scholar
Diagnostic Classification Steering Committee TMJC. International Classification of Sleep Disorders, 3rd edition. Rochester, NY: American Academy of Sleep Medicine, 2014.Google Scholar
Ford, DE, Kamerow, DB. Epidemiological study of the sleep disturbances and psychiatric disorders. JAMA. 1989;262:14791484.CrossRefGoogle Scholar
Vitiello, MV, Moe, KE, Prinz, PN. Sleep complaints cosegregate with illness in older adults: clinical research informed by and informing epidemiological studies of sleep. J Psychosom Res. 2002;53:555559.CrossRefGoogle ScholarPubMed
Bloom, HG, Ahmed, I, Alessi, CA, et al. Evidence-based recommendations for the assessment and management of sleep disorders in older persons. J Am Geriatr Soc. 2009;57:761789.Google Scholar
Rodriguez, JC, Dzierzewski, JM, Alessi, CA. Sleep problems in the elderly. Med Clin North Am. 2015;99:431439.Google Scholar
Insomnia, Roth T.: Definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007;3:S7S10.Google Scholar
Dzierzewski, JM, O’Brien, E, Kay, DB, et al. Tackling sleeplessness: psychological treatment options for insomnia in older adults. Nat Sci Sleep. 2010;2:4761.Google Scholar
Spielman, AJ, Caruso, LS, Glovinsky, PB. A behavioral perspective on insomnia treatment. Psychiat Clinics of N Amer. 1987;10:541553.Google Scholar
Bastien, CH, Vallieres, A, Morin, CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001;2:297307.Google Scholar
Buysse, DJ, Reynolds, CFI, Monk, TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193213.Google Scholar
Morin, CM, Colecchi, C, Stone, J, et al. Behavioral and pharmacological therapies for late life insomnia: a randomized controlled trial. JAMA. 1999;281:991999.Google Scholar
Sivertsen, B, Omvik, S, Pallesen, S, et al. Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults. JAMA. 2006;295:28512858.Google Scholar
McCurry, SM, Logsdon, RG, Teri, L, et al. Evidence-based psychological treatments for insomnia in older adults. Psychol Aging. 2007;22:1827.Google Scholar
Morgenthaler, T, Kramer, M, Alessi, CA, et al. Practice parameters for the psychological and behavioral treatment of insomnia: an update. An American Academy of Sleep Medicine report. Sleep. 2006;29:14151419.Google Scholar
Siebern, AT, Manber, R. New developments in cognitive behavioral therapy as the first-line treatment of insomnia. Psychol Res Behav Manag. 2011;4:2128.Google Scholar
Stewart, R, Besset, A, Bebbington, P, et al. Insomnia comorbidity and impact and hypnotic use by age group in a national survey population aged 16 to 74 years. Sleep. 2006;29:13911397.Google Scholar
Alessi, CA. Sleep problems. In: Durso, SC, Sullivan, GM, eds. Geriatrics Review Syllabus: A Core Curriculum in Geriatric Medicine, 8th edition. New York: American Geriatrics Society, 2013: 316339.Google Scholar
Young, T, Peppard, PE, Gottlieb, DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165:12171239.Google Scholar
George, CFP. Sleep apnea, alertness, and motor vehicle crashes. American Journal of Respiratory and Critical Care Medicine. 2007;176(10):954956.Google Scholar
Punjabi, NM, Caffo, BS, Goodwin, JL, et al. Sleep-disordered breathing and mortality: a prospective cohort study. PLoS Medicine. 2009;6(8):e1000132.Google Scholar
Kales, A, Cadieux, RJ, Bixler, EO, et al. Severe obstructive sleep apnea – I: onset, clinical course, and characteristics. Journal of Chronic Diseases. 1985;38(5):419425.Google Scholar
Cowan, DC, Allardice, G, MacFarlane, D, et al. Predicting sleep disordered breathing in outpatients with suspected OSA. BMJ Open. 2014;4:e004519.Google Scholar
Epstein, LJ, Kristo, D, Strollo, PJ Jr, et al. Clinical guidelines for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009;15:263276.Google Scholar
Qaseem, A, Holty, JE, Owens, DK, et al. Management of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Annals of Internal Medicine. 2013;159(7):471483.CrossRefGoogle ScholarPubMed
Strohl, KP, Brown, DB, Collop, N, et al. An official American Thoracic Society Clinical Practice Guideline: sleep apnea, sleepiness, and driving risk in noncommercial drivers. An update of a 1994 Statement. American Journal of Respiratory and Critical Care Medicine. 2013;187(11):12591266.Google Scholar
Campos-Rodriguez, F, Pena-Grinan, N, Reyes-Nuñez, N, et al. Mortality in obstructive sleep apnea-hypopnea patients treated with positive airway pressure. Chest. 2005;128:624633.Google Scholar
Giles, TL, Lasserson, TJ, Smith, BJ, et al. Continuous positive airway pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev. 2006;25:CD001106.Google Scholar
Rosenthal, L, Gerhardstein, R, Lumley, A, et al. CPAP therapy in patients with mild OSA: implementation and treatment outcome. Sleep Medicine. 2000;1(3);215220.Google Scholar
Krahn, LE, Lin, SC, Wisbey, J, et al. Assessing sleep in psychiatric inpatients: nurse and patient reports versus wrist actigraphy. Ann Clin Psychiatry. 1997;9:203210.Google Scholar
Venkateshiah, SB, Collop, NA. Sleep and sleep disorders in the hospital. Chest. 2012;141:13371345.Google Scholar
Iranzo, A, Santamaria, J, Bereguer, J, et al. Prevalence and clinical importance of sleep apnea in the first night after cerebral infarction. Neurology. 2002;58:911916.Google Scholar
Kaw, R, Chung, F, Pasupuleti, V, et al. Meta-analysis of the association between obstructive sleep apnoea and postoperative outcome. British Journal of Anaesthesia. 2012;109;897906.Google Scholar
D’Apuzzo, MR, Browne, JA. Obstructive sleep apnea as a risk factor for postoperative complications after revision joint arthroplasty. The Journal of Arthroplasty. 2012;27(8):9598.Google Scholar
Koch, S, Haesler, E, Tiziani, A, Wilson, J. Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review. Journal of Clinical Nursing. 2006;15(10):12671275.Google Scholar
Ancoli-Israel, S, Klauber, MR, Kripke, DF, et al. Sleep apnea in female patients in a nursing home. Increased risk of mortality. CHEST. 1989;96(5):10541058.Google Scholar
Alessi, CA, Martin, JL, Webber, AP, et al. Randomized, controlled trial of a nonpharmacological intervention to improve abnormal sleep/wake patterns in nursing home residents. J Am Geriatr Soc. 2005;53:803810.Google Scholar
Koch, S, Haesler, E, Tiziani, A, et al. Effectiveness of sleep management strategies for residents of aged care facilities: findings of a systematic review. J Clin Nurs. 2006;15:12671275.Google Scholar
Roth, HL. Dementia and sleep. Neurol Clin. 2012;30:12131248.Google Scholar
McCleery, J, Cohen, DA, Sharpley, AL. Pharmacotherapies for sleep disturbances in Alzheimer’s disease. Cochrane Database Syst Rev. 2014;3:CD009178.Google Scholar

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