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16 Φεβ 2022 · There is increasing evidence that treating insomnia in older people who have both insomnia and major depression has the potential to improve both their sleep and their mood. Depression is common among older adults, and insomnia doubles the risk of major depressive disorder.
Ramelteon or short-acting Z-drugs can treat sleep-onset insomnia. Suvorexant or low-dose doxepin can improve sleep maintenance. Eszopiclone or zolpidem extended release can be utilized for both sleep onset and sleep maintenance.
15 Ιουν 2018 · Sleep Restriction Therapy. This therapy involves restricting time in bed to the number of hours of actual sleep, until sleep efficiency improves. If after 10 days sleep efficiency remains lower than 85%, sleep time in bed should be restricted by 15 to 30 minutes until sleep efficiency improves.
21 Φεβ 2024 · 1 Altmetric. Explore all metrics. Abstract. Purpose of Review. Insomnia is the most common sleep disorder experienced by older adults. There is a wide range of pharmacological and non-pharmacological treatment options in existing literature.
Depression Treatments for Older Adults. APA's Clinical Practice Guideline recommends three psychotherapy interventions as well as a second-generation antidepressant (selective-serotonin reuptake inhibitors — SSRIs, selective-norepinephrine reuptake inhibitors — SNRIs or norepinephrine-dopamine reuptake inhibitors — NDRIs) for the ...
Community-level screening for insomnia concerns in older adults and wide delivery of CBT-I–based treatment for insomnia could substantially advance public health efforts to treat insomnia and prevent depression in this vulnerable older adult population.
2 Ιαν 2018 · Complaints of insomnia are very common, especially in older adults. Although pharmacotherapy is the most common form of treatment, recent evidence shows cognitive–behavioural therapy to be superior in the short- and long-term management of insomnia.
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