Treatment of Late-Life Insomnia

by Kenneth L. Lichstein

• ISBN13: 9780761915072
• ISBN10: 0761915079
• Edition: 1st
• Format: Paperback
• Copyright: 2000-03-21
• Publisher: Sage Publications, Inc

Summary

"Treatment of Late Life Insomnia is an extremely valuable, authoritative and comprehensive resource not only for practitioners of sleep medicine but also for any health-care practitioner who finds themselves working with the elderly population." -Michael V. Vitiello, Ph.D. Professor, Psychiatry and Behavioral Sciences, University of Washington & Editor in Chief (for the Americas) of Sleep Medicine Reviews Insomnia occurs among older adults (65+ years) at a rate 50% to 100% higher than in younger age groups, and the consequences of insomnia in the elderly are much more severe than in younger age groups. Elders who exhibit a chronic pattern of insomnia dwell on their anticipation of a poor night's sleep. In many cases, this worry takes on an obsessive quality that degrades multiple aspects of the individual's life. In the past decade there has been a great deal of clinical research directed toward the development of effective interventions for insomnia among older adults. Methods of insomnia assessment have been developed and key diagnostic issues have crystallized. Yet until now, no book has gathered together this flourishing body of literature. Treatment of Late-Life Insomnia provides a comprehensive research/clinical accounting of insomnia treatment in older adults. The first section of the book, Overview, describes typical normal and disturbed sleep patterns in older adults, demographics, and methods of evaluation and differential diagnosis. The core of the book, the middle section, entitled Intervention Strategies, reviews the clinical outcome research of the major treatments for late-life insomnia and teaches the clinical procedures in the style of a clinical handbook. The final section, Special Treatment Topics, explores cutting-edge research and methods of clinical management for pressing topics in late-life insomnia that have only recently attracted systematic investigation. This book is geared toward students, scientists, and health practitioners engaged in the areas of geriatrics, sleep disorders, and behavioral medicine. These disciplines cut across a wide variety of professional groups that would find such a book useful, including psychology, psychiatry, counseling, internal medicine, geriatric medicine, nursing, and social work.

Author Biography

Kenneth L. Lichstein, Ph.D., is Professor of Psychology at the University of Memphis. Most of his career has been devoted to investigating methodological and clinical aspects of behavioral medicine, with an emphasis on sleep disorders. For most of the past 10 years, the National Institute on Aging has supported his research on insomnia in older adults. Charles M. Morin, Ph.D., is Professor of Psychology and Director of the Sleep Disorders Centre at the Univeriste Laval in Quebec City. He is a leading authority on insomnia treatment and has been conducting clinical sleep research and treating patients with insomnia for more than 15 years. Iris Alapin: Concordia University. Sally Bailes: Jewish General Hospital, Montreal. Lucie Baillargeon: Centre Hospitalier de l'Universite Laval. Celyne Bastien: Universite Laval. France C. Blais: Vancouver Hospital. Donald L. Bliwise: Emory University Medical School. Richard R. Bootzin: University of Arizona. Michael J. Breus: DeKalb Medical Center, Decatur. Daniel J. Buysse: University of Pittsburgh School of Medicine. Jack D. Edinger: VA Medical Center, Durham. Dana R. Epstein: Carl T. Hayden VA Medical Center, Phoenix. Colin A. Espie: University of Glasgow. Catherine S. Fichten: Dawson College. Eva Libman: Concordia University. Kenneth L. Lichstein: The University of Memphis. Kevin Morgan: Loughborough University, UK. Charles M. Morin: Universite Laval. Charles F. Reynolds III: University of Pittsburgh School of Medicine. Brant W. Riedel: The University of Memphis. Josee Savard: Universite Laval. William K. Wohlgemuth: Duke University Medical Center.

Table of Contents

Foreword	ix
Preface	xiii
I. OVERVIEW
Sleep and Aging	3	(34)
Kevin Morgan
Characteristics of Older Adults With Insomnia	37	(44)
Catherine S. Fichten
Eva Libman
Sally Bailes
Iris Alapin
Assessment and Differential Diagnosis	81	(30)
Colin A. Espie
II. INTERVENTION STRATEGIES
Treatment Overview	111	(14)
Kenneth L. Lichstein
Charles M. Morin
Sleep Hygiene	125	(22)
Brant W. Riedel
Sleep Restriction Therapy	147	(20)
William K. Wohlgemuth
Jack D. Edinger
Stimulus Control	167	(18)
Richard R. Bootzin
Dana R. Epstein
Relaxation	185	(22)
Kenneth L. Lichstein
Cognitive Therapy	207	(24)
Charles M. Morin
Josee Savard
France C. Blais
Pharmacologic Treatment	231	(40)
Daniel J. Buysse
Charles F. Reynolds III
III. SPECIAL TREATMENT TOPICS
Discontinuation of Sleep Medications	271	(26)
Charles M. Morin
Lucie Baillargeon
Celyne Bastien
Secondary Insomnia	297	(24)
Kenneth L. Lichstein
Insomnia in Dementia and in Residential Care	321	(24)
Donald L. Bliwise
Michael J. Breus
Index	345	(8)
About the Editors	353	(1)
List of Contributors	354