Treatment of Insomnia in Multimorbid Elderly
The treatment of sleep disorders in older people requires knowledge of the changes in sleep in old age. In the case of multimorbid older people, pharmacological aspects such as interactions must also be taken into account. Sleep in old age is characterised by a lower depth of sleep and more frequent...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822001535/type/journal_article |
| _version_ | 1797616538767851520 |
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| author | G. Stoppe |
| author_facet | G. Stoppe |
| author_sort | G. Stoppe |
| collection | DOAJ |
| description | The treatment of sleep disorders in older people requires knowledge of the changes in sleep in old age. In the case of multimorbid older people, pharmacological aspects such as interactions must also be taken into account. Sleep in old age is characterised by a lower depth of sleep and more frequent awakenings. The duration of sleep corresponds to that in middle adulthood. In multimorbid older people, sleep is often chronically impaired by pain and/or obstructive breathing disorders. Many medications can have a negative effect on sleep. This applies to cortisone, for example. Antipsychotics can also worsen sleep by worsening nocturnal myoclonia. Ideally, sleep disorders should first be addressed non-pharmacologically. For benzodiazepines, preparations with a short half-life should be chosen. An algorithm is presented. References: |
| first_indexed | 2024-03-11T07:42:39Z |
| format | Article |
| id | doaj.art-e5142031cceb4ed7a891abd904b018a5 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:42:39Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-e5142031cceb4ed7a891abd904b018a52023-11-17T05:08:18ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S45S4510.1192/j.eurpsy.2022.153Treatment of Insomnia in Multimorbid ElderlyG. Stoppe0University of Basel, And Mentage, Basel, SwitzerlandThe treatment of sleep disorders in older people requires knowledge of the changes in sleep in old age. In the case of multimorbid older people, pharmacological aspects such as interactions must also be taken into account. Sleep in old age is characterised by a lower depth of sleep and more frequent awakenings. The duration of sleep corresponds to that in middle adulthood. In multimorbid older people, sleep is often chronically impaired by pain and/or obstructive breathing disorders. Many medications can have a negative effect on sleep. This applies to cortisone, for example. Antipsychotics can also worsen sleep by worsening nocturnal myoclonia. Ideally, sleep disorders should first be addressed non-pharmacologically. For benzodiazepines, preparations with a short half-life should be chosen. An algorithm is presented. References:https://www.cambridge.org/core/product/identifier/S0924933822001535/type/journal_articlenocturnal myoclonusBenzodiazepinessleeppain |
| spellingShingle | G. Stoppe Treatment of Insomnia in Multimorbid Elderly European Psychiatry nocturnal myoclonus Benzodiazepines sleep pain |
| title | Treatment of Insomnia in Multimorbid Elderly |
| title_full | Treatment of Insomnia in Multimorbid Elderly |
| title_fullStr | Treatment of Insomnia in Multimorbid Elderly |
| title_full_unstemmed | Treatment of Insomnia in Multimorbid Elderly |
| title_short | Treatment of Insomnia in Multimorbid Elderly |
| title_sort | treatment of insomnia in multimorbid elderly |
| topic | nocturnal myoclonus Benzodiazepines sleep pain |
| url | https://www.cambridge.org/core/product/identifier/S0924933822001535/type/journal_article |
| work_keys_str_mv | AT gstoppe treatmentofinsomniainmultimorbidelderly |