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Treatment of Late-Life Insomnia
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Treatment of Late-Life Insomnia


March 2000 | 368 pages | SAGE Publications, Inc
"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.

 
PART ONE: OVERVIEW
Kevin Morgan
Sleep and Aging
Catherine S Fichten et al
Characteristics of Older Adults with Insomnia
Colin A Espie
Assessment and Differential Diagnosis
 
PART TWO: INTERVENTION STRATEGIES
Kenneth L Lichstein and Charles M Morin
Treatment Overview
Brant W Riedel
Sleep Hygiene
William K Wohlgemuth and Jack D Edinger
Sleep Restriction Therapy
Richard R Bootzin and Dana R Epstein
Stimulus Control
Kenneth L Lichstein
Relaxation
Charles M Morin, Josée Savard and France Blais
Cognitive Therapy
Daniel J Buysse and Charles F Reynolds III
Pharmacologic Treatment
 
PART THREE: SPECIAL TREATMENT TOPICS
Charles M Morin, Lucie Baillargeon and Célyne Bastien
Discontinuation of Sleep Medications
Kenneth L Lichstein
Secondary Insomnia
Donald L Bliwise and Michael J Breus
Insomnia in Dementia and in Residential Care

"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 him or herself working with the elderly population." 

Michael V. Vitiello, Ph.D.
Professor, Psychiatry and Behavior Sciences, University of Washington; Editor in Chief (for the Americas) of Sleep Medicine Reviews

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