Principles and Practice of Geriatric Sleep Medicine

by Edited by S. R. Pandi-Perumal , Jaime M. Monti , Andrew A. Monjan

• ISBN13: 9780521896702
• ISBN10: 0521896703
• Edition: 1st
• Format: Hardcover
• Copyright: 2009-12-21
• Publisher: Cambridge University Press

Summary

Sleep disorders cause considerable morbidity and distress in the aging population. By highlighting the clinical diagnosis and management of sleep disorders, this volume provides a valuable resource for all those involved in health care of older individuals. The changes in sleep patterns that occur during normal aging are described, followed by authoritative chapters on the presentation of various age-related sleep disorders. The book deals with the range of therapeutic measures available for managing these disorders and gives insight to potential areas of research that have emerged in the last few years, such as the study of circadian rhythms in later life, sleep patterns associated with co-morbidities and the use of quality-of-life measurement tools to determine sleep quality as we age. This volume is relevant to sleep disorders specialists, psychiatrists, geriatricians and gerontologists, and any professionals and researchers working in the interdisciplinary areas of sleep and aging.

Author Biography

S.R. Pandi-Perumal is President and Chief Executive Officer, Somnogen Inc, NeW York, USA. Jaime M Monti is professor, Department of Pharmacology and Therapeutics, School of Medicine, Clinics Hospital, University of the Republic, Uruguay. Andrew A. Monjan was formerly Chief, Neurobiology of Aging Branch, National Institute on Aging, NIH/DHHS, Bethesda, USA.

Table of Contents

List of contributors	p. ix
Foreword	p. xiii
Preface	p. xv
Credits and acknowledgments	p. xvii
Organization of the first edition	p. xix
About the editors	p. xxi
Sleep and normal aging
Aging and circadian rhythms: general trends	p. 3
Possible mechanisms and consequences of age-related changes in the middle years of life	p. 22
Sleep throughout the menopausal transition and post-menopause	p. 33
Neuropsychology and neuroimaging of sleep-dependent memory processing: implications for aging	p. 45
Sleep and memory in the elderly	p. 57
Sleep and autonomic dysregulation in the elderly	p. 65
Age-related changes in the pharyngeal structure and function in sleep apnea and normal subjects	p. 75
Neuroendocrine and homeostatic changes in the elderly
Neuroendocrine correlates of sleep in the elderly	p. 87
Melatonin, aging, and Alzheimer's disease	p. 97
Sleep and diabesity in older adults	p. 107
Sleep disorders in the elderly
Assessment and differential diagnosis of sleep disorders in the elderly	p. 123
Circadian rhythm dysregulation in the elderly: advanced sleep phase syndrome	p. 131
Circadian rhythm dysregulation in the elderly: shift work	p. 143
Nocturia in the aging population	p. 150
Sleep and fibromyalgia in the elderly	p. 160
Sleep and pain management in the elderly	p. 167
Effect of depression and anxiety on sleep in the elderly	p. 183
Sleep in Parkinson's disease	p. 195
Sleep and circadian rhythm disturbances in Alzheimer's disease
Narcolepsy in the elderly	p. 227
Movement disorders in the elderly	p. 233
REM sleep behavior disorder in the elderly	p. 241
Sleep apnea in the elderly	p. 248
Sleep and cardiovascular diseases in the elderly	p. 260
Insomnia in the elderly	p. 271
Sleep in nursing home residents	p. 280
Fatigue and sleepiness in the elderly: risk factors and management strategies	p. 289
Sleep and falls in the elderly	p. 299
Dreaming and dreaming disorders in the elderly	p. 307
Sleep medication and traffic safety in the elderly	p. 319
Treatment of sleep disorders in the elderly
Geriatric psychopharmacology: an overview	p. 327
Epidemiology of sleep medication use in the elderly	p. 332
Management of insomnia in the elderly: the efficacy and safety of non-benzodiazepine hypnotics	p. 344
Use of benzodiazepines in the aging population: do the benefits outweigh the risks?	p. 362
Use of psychotropic drugs in the elderly: effects on sleep architecture	p. 371
Non-pharmacological treatment of insomnia in the elderly: cognitive behavioral therapies	p. 384
Self-help treatments for older adults with primary and co-morbid insomnia	p. 394
Complementary and alternative medicine for steep disturbances in the elderly	p. 403
Therapeutic benefits of napping in the elderly	p. 413
Effects of light on the elderly	p. 423
Neuroimaging of sleep in the elderly	p. 431
Index	p. 441
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