老年人失眠
Insomnia in the Older Adult.
作者信息
Brewster Glenna S, Riegel Barbara, Gehrman Philip R
机构信息
Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Room 344, Atlanta, GA 30322, USA; Center for Sleep and Circadian Neurobiology, Perelman School of Medicine of the University of Pennsylvania, 3624 Market Street, Suite 201, Philadelphia, PA 19104, USA.
School of Nursing, University of Pennsylvania, Room 418 Curie Boulevard, 335 Fagin Hall, Philadelphia, PA 19104, USA.
出版信息
Sleep Med Clin. 2018 Mar;13(1):13-19. doi: 10.1016/j.jsmc.2017.09.002. Epub 2017 Nov 22.
Abstract
Although insomnia is not a normal part of the aging process, its prevalence increases with age. Factors such as medications and medical and psychiatric disorders can increase the risk for insomnia. To diagnose insomnia, it is important for older adults to complete comprehensive sleep and health histories. Cognitive-behavioral therapy for insomnia, which includes stimulus control, sleep restriction, sleep hygiene, and cognitive therapy, is the recommended first-line treatment of insomnia and is more effective than medications for the long-term management of insomnia. Medications, such as benzodiazepines and antidepressants, should be avoided for the treatment of insomnia in older adults.
摘要
虽然失眠并非衰老过程中的正常现象，但其患病率会随着年龄增长而上升。药物、医学及精神疾病等因素会增加失眠风险。对于老年人而言，完成全面的睡眠和健康史记录对诊断失眠很重要。失眠的认知行为疗法包括刺激控制、睡眠限制、睡眠卫生和认知疗法，是推荐的失眠一线治疗方法，且在失眠的长期管理方面比药物更有效。老年人治疗失眠应避免使用苯二氮䓬类药物和抗抑郁药等药物。
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