Seniors & Sleep

Common Sleeping Problems
Insomnia and Aging
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printprintInsomnia and Aging

The prevalence of insomnia is higher among older adults. 44 percent of older persons experience one or more of the nighttime symptoms of insomnia at least a few nights per week or more. Insomnia may be chronic (lasting over one month) or acute (lasting a few days or weeks) and is often related to an underlying cause such as a medical or psychiatric condition.

What causes insomnia?
Insomnia can be a disorder in its own right, but often it is a symptom of some other disease or condition. Half of all those who have experienced insomnia blame the problem on stress and worry. In the case of stress-induced insomnia, the degree to which sleep is disturbed depends on the severity and duration of the stressful situation. Sometimes this may be a disturbing occurrence like loss of a loved one, loss of a job, marital or relationship discord or a tragic occurrence. Anticipation of such things as weddings, vacations or holidays can also disturb sleep and make it difficult to fall asleep or remain asleep. Insomnia can also occur with jet lag, shift work and other major schedule changes.

The prevalence of insomnia is higher among older people. Rates of insomnia increase as a function of age, but most often the sleep disturbance is attributable to some other medical condition.

Some medications can lead to insomnia, including those taken for:

• Colds and allergies
• High blood pressure
• Heart disease
• Thyroid disease
• Birth control
• Asthma
• Pain medications
• Depression (especially some antidepressants)

Symptoms of insomnia include:

• Difficulty falling asleep
• Waking up frequently during the night
• Difficulty returning to sleep
• Waking up too early in the morning
• Unrefreshing sleep
• Daytime sleepiness
• Difficulty concentrating
• Irritability

What are the best ways to treat insomnia?
It is worthwhile to speak to your doctor about insomnia symptoms and about any effects these symptoms may have. Your doctor can help assess how serious a problem it is and what to do about it. For instance, cutting back on caffeine and napping may help solve the problem. If insomnia is creating serious effects, complicating other conditions or making you too tired to function normally during your waking hours, this would suggest that it is important to seek treatment.

When effects are serious and untreated, insomnia can take a toll on your health. People with insomnia can experience excessive daytime sleepiness, difficulty concentrating and increased risk for accidents and illness as well as significantly reduced quality of life. Both behavioral therapies and prescription medications singly or in combination are considered effective means to treat insomnia; the proper choice should be matched to a variety of factors in discussion with a physician.

This information is used with permission from the National Sleep Foundation.

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