Article: Non-pharmacological management of primary and secondary insomnia among older people: review of assessment tools and treatments.
2003 Volume 32, Issue 1, Page(s) 19–25
Abstract: ... treatments for primary and secondary insomnia are feasible and effective alternatives to the use ... Background: primary and secondary insomnia, especially among older adults, is frequently ... administer the treatment.: Objectives: review of published literature of assessment tools and treatments ...
| Abstract | Background: primary and secondary insomnia, especially among older adults, is frequently encountered by family physicians. Pharmacological interventions, although effective in some circumstances, can be detrimental in others. Non-pharmacological management of insomnia may allow the patients to self-administer the treatment. Objectives: review of published literature of assessment tools and treatments for primary and secondary insomnia. Results: two frequently used self-reporting methods for obtaining sleep data are sleep diaries and Pittsburg Sleep Quality Index. A large amount of research supports the use of non-pharmacological treatments such as stimulus control, sleep restriction, sleep hygiene education, cognitive therapy, multi-component therapy and paradoxical intention. Conclusion: assessing the nature of insomnia by using an effective assessment tool and providing patients with a non-pharmacological treatment should be the first intervention for insomnia. It is shown that non-pharmacological treatments for primary and secondary insomnia are feasible and effective alternatives to the use of benzodiazepines, and that family physicians should consider these when managing older patients with insomnia. |
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| MeSH term(s) | Aged ; Anti-Anxiety Agents/administration & dosage ; Anti-Anxiety Agents/adverse effects ; Behavior Therapy/methods ; Benzodiazepines ; Cognitive Behavioral Therapy/methods ; Family Practice ; Health Behavior ; Humans ; Patient Education as Topic ; Self Care ; Sleep Initiation and Maintenance Disorders/etiology ; Sleep Initiation and Maintenance Disorders/therapy | ||||||||||
| Chemical Substances | Anti-Anxiety Agents ; Benzodiazepines (12794-10-4) | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2003-01 | ||||||||||
| Publishing country | England | ||||||||||
| Document type | Journal Article ; Review | ||||||||||
| ZDB-ID | 186788-x | ||||||||||
| ISSN | 1468-2834 ; 0002-0729 | ||||||||||
| ISSN (online) | 1468-2834 | ||||||||||
| ISSN | 0002-0729 | ||||||||||
| DOI | 10.1093/ageing/32.1.19 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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