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Sleep Complaints in Community-Living Older Persons: A Multifactorial Geriatric Syndrome
| Content Provider | Scilit |
|---|---|
| Author | Fragoso, Carlos A. Vaz Gill, Thomas |
| Copyright Year | 2007 |
| Description | Journal: Journal of the American Geriatrics Society Among older persons, sleep complaints in the form of insomnia and daytime drowsiness are highly prevalent and associated with adverse outcomes. The underlying mechanisms are linked to age-related declines in physiology, i.e., normal aging, and age-related increases in disease prevalence, i.e., usual aging. In this monograph, we describe how normal aging leads to less restorative sleep, characterized by reductions in homeostatic and circadian sleep, and to phase advancement of the sleep-wake cycle, characterized by older persons being more alert in the early morning but drowsier in the early evening. We also describe how usual aging leads to sleep complaints through reductions in health status, loss of physical function, and primary sleep disorders. Psychosocial influences are likewise described and their relevance to sleep complaints is discussed. We subsequently incorporate these aging-related changes into a conceptual model that describes sleep complaints as a consequence of multiple and interdependent predisposing, precipitating, and perpetuating factors, akin to a geriatric syndrome. We conclude our discussion by applying our conceptual model to the sleep-related care of an older person with insomnia and daytime drowsiness, and suggest that the diagnostic assessment consider, in addition to primary sleep disorders, multiple domains including medical, physical, cognitive, psychological, and social issues with the intent of developing an overall therapeutic plan and establishing long-term follow-up. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2785709/pdf |
| Ending Page | 1866 |
| Page Count | 14 |
| Starting Page | 1853 |
| e-ISSN | 15325415 |
| DOI | 10.1111/j.1532-5415.2007.01399.x |
| Journal | Journal of the American Geriatrics Society |
| Issue Number | 11 |
| Volume Number | 55 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2007-10-29 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of the American Geriatrics Society |
| Content Type | Text |
| Resource Type | Article |
