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Year : 2014  |  Volume : 1  |  Issue : 2  |  Page : 71-78

Late life insomnia: A brief review

1 Consultant Psychiatrist, Vishal Khand, Gomti Nagar, Lucknow, Uttar Pradesh, India
2 Department of Geriatric Mental Health (DGMH), KG Medical University, Lucknow, Uttar Pradesh, India
3 Professor and Head, KG Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Priti Singh
Consultant Psychiatrist, 4/28, Vishal Khand, Gomti Nagar, Lucknow - 226003, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2348-9995.152425

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Insomnia in life-life is a common clinical presentation and yet its appropriate assessment and management can be challenging. This is largely due to the complex interplay of various co-morbid factors like physical or mental disorders, poly-pharmacotherapy, primary sleep disorders, psycho-social and environmental factors. Despite several evidence-based effective treatments being available, inappropriate pharmacotherapy is common and frequently leads to poorer outcomes and considerable risks in this population group. Nonpharmacological treatments are effective, but remain largely under-funded and infrequently used. This paper reviews the important changes in classification of insomnia; normal age related changes of sleep; factors contributing to late-life insomnia and useful assessment tools and treatment strategies in the management of chronic insomnia.

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