Open AccessLate life insomnia: A brief review
Author(s) -
Priti Singh,
Nisha Mani Pandey,
Sunil Kumar Tiwari
Publication year - 2014
Publication title -
journal of geriatric mental health
Language(s) - English
Resource type - Journals
eISSN - 2395-3322
pISSN - 2348-9995
DOI - 10.4103/2348-9995.152425
Subject(s) - insomnia , pharmacotherapy , medicine , psychiatry , chronic insomnia , sleep disorder , intensive care medicine , psychology
Insomnia in life-life is a common clinical presentation and yet its appropriate assessment and management can be challenging. This is largely due to the complex interplay of various co-morbid factors like physical or mental disorders, poly-pharmacotherapy, primary sleep disorders, psycho-social and environmental factors. Despite several evidence-based effective treatments being available, inappropriate pharmacotherapy is common and frequently leads to poorer outcomes and considerable risks in this population group. Nonpharmacological treatments are effective, but remain largely under-funded and infrequently used. This paper reviews the important changes in classification of insomnia; normal age related changes of sleep; factors contributing to late-life insomnia and useful assessment tools and treatment strategies in the management of chronic insomnia