Dzierzewski Joseph M, O'Brien Erin M, Kay Daniel, McCrae Christina S
University of Florida, FL, USA.
Nat Sci Sleep. 2010 Apr 1;2:47-61. doi: 10.2147/NSS.S7064.
This paper provides a broad review of the extant literature involving the treatment of sleeplessness in older adults with insomnia. First, background information (including information regarding key issues in late-life insomnia and epidemiology of late-life insomnia) pertinent to achieving a general understanding of insomnia in the elderly is presented. Next, theories of insomnia in older adults are examined and discussed in relation to treatment of insomnia in late-life. With a general knowledge base provided, empirical evidence for both pharmacological (briefly) and psychological treatment options for insomnia in late-life are summarized. Recent advances in the psychological treatment of insomnia are provided and future directions are suggested. This review is not meant to be all-inclusive; however, it is meant to provide professionals across multiple disciplines (physicians; psychologists; applied and basic researchers) with a mix of breadth and depth of knowledge related to insomnia in late-life. It is our hope that readers will see the evidence in support of psychological treatments for late-life insomnia, and the utility in continuing to investigate this treatment modality.
本文对有关老年失眠症患者失眠治疗的现有文献进行了广泛综述。首先，介绍了有助于全面了解老年人失眠症的背景信息（包括与晚年失眠症关键问题及晚年失眠症流行病学相关的信息）。接下来，针对老年人失眠症的理论进行了审视，并结合晚年失眠症的治疗进行了讨论。在提供了基础知识后，总结了针对晚年失眠症的药物治疗（简要介绍）和心理治疗选项的实证证据。介绍了失眠症心理治疗的最新进展，并提出了未来的方向。本综述并非旨在涵盖所有内容；然而，其目的是为多个学科的专业人员（医生、心理学家、应用研究人员和基础研究人员）提供与晚年失眠症相关的广泛且深入的知识。我们希望读者能够看到支持晚年失眠症心理治疗的证据，以及继续研究这种治疗方式的实用性。
