失眠：老年人的行为治疗。

Insomnia: Behavioral Treatment in the Elderly.

机构信息

Weill Medical College of Cornell University, Center for Sleep Medicine, 425 East 61st Street, 5th Floor, New York, NY 10065, USA; Polysomnographic Technology Training Program, Kingsborough Community College (CUNY), 2001 Oriental Boulevard, Brooklyn, NY 11235, USA.

出版信息

Clin Geriatr Med. 2021 Aug;37(3):387-399. doi: 10.1016/j.cger.2021.04.002. Epub 2021 Jun 4.

DOI:10.1016/j.cger.2021.04.002

PMID:34210445

Abstract

Sleep quality in elderly individuals is affected by increased mental and physical health issues associated with aging, but also a decrease in sleep drive and an advance of the circadian phase. These issues may, in part, be due to lifestyle changes in older adults, such as retirement and/or reduced social and physical activity, which can lead to spending more time in bed, resulting in chronic insomnia. Cognitive behavioral therapy for insomnia has been shown to be an effective treatment method for difficulty sleeping in elderly individuals and should be the first-line treatment due to its efficacy and safety profile.

摘要

老年人的睡眠质量受到与衰老相关的心理健康和身体健康问题的影响，也受到睡眠驱动力下降和生物钟相位提前的影响。这些问题部分可能是由于老年人生活方式的改变，例如退休和/或社交和身体活动减少，这可能导致在床上花费更多时间，从而导致慢性失眠。认知行为疗法治疗失眠已被证明是治疗老年人睡眠困难的有效方法，并且由于其疗效和安全性，应作为一线治疗方法。