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date: 25 January 2021

Abstract and Keywords

Insomnia, or a complaint of difficulty sleeping with related impairment during the day, is often more prevalent, severe, and debilitating in late life. However, the clinician and researcher must not confuse insomnia for non-pathological age-related sleep and circadian rhythm changes. In this chapter, we discriminate between these normal age-related changes and clinically diagnosable insomnia, discuss multiple biopsychosocial risk factors for insomnia that occur more often in older adulthood, provide a framework for comprehensively assessing this disorder in older adults, describe cognitive-behavioural and pharmaceutical interventions to treat insomnia, and review the pros, cons, and special considerations of these treatment approaches specifically for older adults.

Keywords: insomnia, age-related sleep changes, daytime impairment, biopsychosocial risk factors, bed partner, cognitive-behavioural therapy

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