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Here's how to distinguish "sundowning"—agitation or confusion later in the day in dementia patients—from typical aging, from doctors who treat older adults.
Elderly people often experience multiple comorbidities that may contribute to the phenomenon of sundowning syndrome through neurodegeneration. Neurological disorders: Alzheimer's disease, Parkinson's disease , Huntington's disease , Lewy body dementia , fronto-temporal dementia, subcortical dementia.
There has also been research into the utility of the individual components of CBT-I, when delivered as monotherapies or multi-component therapies without cognitive therapy. A 2023 systematic review [39] demonstrated that just stimulus control and sleep restriction are effective treatment options for insomnia in older adults. It also indicated ...
People with the disorder may have an especially hard time adjusting to changes in "regular" sleep–wake cycles, such as vacations, stress, evening activities, time changes like daylight saving time, travel to different time zones, illness, medications (especially stimulants or sedatives), changes in daylight hours in different seasons, and ...
Dementia, including Alzheimer's disease, Parkinson's disease and Huntington's disease: Dementia is known as a decreasing brain function disease that affects older people. [128] In Alzheimer's disease, mood dysregulation can be caused by decreasing function of emotional regulation, salience, cholinergic, GABAergic, and dopaminergic function. [128]
A 2002 study of older adults (age 40–65) in San Diego found 3.1% had complaints of difficulty falling asleep at night and waking in the morning, but did not apply formal diagnostic criteria. [63] Actimetry readings showed only a small proportion of this sample had delays of sleep timing.
contingency management (in which people are paid for improving health behaviors) found that the single most important determinant of effect size was whether behavior-contingent rewards were delivered immediately or only after a time delay (Jennifer P. Lussier et al. 2006).
A 29-year-old man’s debilitating night terrors were the first sign of rare autoimmune disorder that rapidly progressed, landing him in the intensive care unit in a “catatonic state.” Ben ...
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