Insomnia Disorder in Older adults / Seniors

Key things to know What the evidence shows
How common is it? 19.6% DSM-defined insomnia disorder
Is it more common among older adults / seniors? High prevalence
Are older adults / seniors at higher risk? #N/A
How much higher is the risk? Pooled 19.6%
How often can it be missed? Very High
Does it show up differently among older adults / seniors? Strong Yes
How might it look different? Early awakening, fragmented sleep; distinguish insomnia from normal age-related sleep changes, apnea, RLS, medication effects
What commonly occurs alongside it? Depression; anxiety; chronic illness; pain
What can it be confused with? Sleep apnea; RLS; dementia-related sleep disturbance; medication effects
Common screening tool ISI — Insomnia Severity Index
Separate screening tool for older adults / seniors None
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