Prevalence and comorbidity of insomnia and effect on functioning in elderly populations
Prevalence and comorbidity of insomnia and effect on functioning in elderly populations
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DOI：
10.1111/j.1532-5415.2005.53392.x
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发表时间：
2005-07-01
影响因子：
6.3
通讯作者：
Cooke, JR
中科院分区：
文献类型：
--
作者：
Ancoli-Israel, S;Cooke, JR
随着年龄的增长，睡个好觉往往变得越来越难以捉摸，因为老年人失眠的患病率很高。睡眠不足会增加对午睡的需求，降低包括注意力和记忆力在内的认知能力，减慢反应时间，对与朋友和家人的关系产生不利影响，并导致一般的不适感，从而对白天的功能产生重要影响。然而，昼夜节律变化、原发性睡眠障碍、共病医学/精神疾病和药物使用并不是导致老年人睡眠困难的原因，而社会心理因素也可能对其产生影响。临床医生应该询问老年患者对睡眠的满意度。任何睡眠问题都需要仔细评估影响因素并进行适当的治疗。
A good night's sleep is often more elusive as we age, because the prevalence of insomnia in older people is high. Insufficient sleep can have important effects on daytime function by increasing the need to nap, reducing cognitive ability including attention and memory, slowing response time, adversely affecting relationships with friends and family, and contributing to a general sense of being unwell. However, rather than aging per se, circadian rhythm shifts, primary sleep disorders, comorbid medical/psychiatric illnesses, and medication use cause sleep difficulties in older people, which psychosocial factors may also affect. Clinicians should ask elderly patients about satisfaction with sleep. Any sleep complaints warrant careful evaluation of contributing factors and appropriate treatment.