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2021 | OriginalPaper | Hoofdstuk

21. Slaapstoornissen bij ouderen

Auteurs : dr. Julia van den Berg, dr. Viona Wijnen, dr. Saskia van Liempt

Gepubliceerd in: Slaapstoornissen in de psychiatrie

Uitgeverij: Bohn Stafleu van Loghum

Samenvatting

Goed slapen is ook voor ouderen van groot belang voor de mentale en lichamelijke gezondheid. Slaapstoornissen komen vaker voor bij ouderen dan bij jongere volwassenen, maar zijn geen vanzelfsprekend onderdeel van het verouderingsproces. Na goede diagnostiek is verbetering van de slaap dan ook vaak mogelijk. Oorzaken van de hogere prevalentie van slaapstoornissen zijn onder andere neurobiologische factoren, het vaker voorkomen van somatische problemen, medicatiegebruik, weinig lichtblootstelling en psychosociale factoren. Insomnie is ook bij ouderen de meest voorkomende slaapstoornis. Bij insomnie is, volgens internationale richtlijnen, ook voor ouderen cognitieve gedragstherapie bij insomnie (CGT-i) de beste en veiligste behandelvorm. Het medicamenteus behandelen van chronische insomnie moet bij ouderen met grote terughoudendheid en voorzichtigheid gedaan worden, wegens mogelijk ernstige bijwerkingen. Dementie en delier gaan meestal samen met gestoorde slaap; voor deze doelgroep is een individuele CGT-i vaak niet geschikt, maar andere niet-medicamenteuze interventies, met name lichtblootstelling en een regelmatig ritme, zijn wel mogelijk.

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Titel: Slaapstoornissen bij ouderen
Auteurs: dr. Julia van den Berg
dr. Viona Wijnen
dr. Saskia van Liempt
Uitgeverij: Bohn Stafleu van Loghum
Boek: Slaapstoornissen in de psychiatrie
Print ISBN: 978-90-368-2523-8

Elektronisch ISBN: 978-90-368-2524-5

Copyright: 2021
DOI: https://doi.org/10.1007/978-90-368-2524-5_21

Bohn Stafleu van Loghum

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