[Insomnia as a transdiagnostic phenomenon in the elderly with depressive and anxiety disorders]

Adv Gerontol. 2024;37(5):546-558.
[Article in Russian]

Abstract

The article describes the forms, causes and consequences of insomnia in the elderly. It shows the clinical features of dyssomnic disorders in comorbid depressive and anxiety disorders, as the most common mental pathology of old age. The approaches of Russian and foreign authors to the diagnosis and treatment of insomnia in the elderly are considered. The analysis of the advantages and disadvantages of pharmacological and psychotherapeutic approaches in the treatment of sleep disorders in old age with comorbid affective disorders is carried out.

В статье дана характеристика форм, причин и последствий бессонницы у пожилых. Отображены клинические особенности диссомнических нарушений при коморбидных депрессивных и тревожных расстройств как чаще всего встречающейся психической патологии позднего возраста. Рассмотрены подходы российских и зарубежных авторов к диагностике и лечению инсомнии у пожилых. Проведен анализ преимуществ и недостатков фармакологического и психотерапевтического подходов в терапии нарушений сна в пожилом возрасте при коморбидных аффективных нарушениях.

Keywords: anxiety disorders; comorbidity; depression; dissomnic disorders; elderly people; insomnia; non-pharmaceutical intervention; pharmacotherapy; psychotherapy.

Publication types

  • Review
  • English Abstract

MeSH terms

  • Aged
  • Aging / physiology
  • Aging / psychology
  • Anxiety Disorders* / diagnosis
  • Anxiety Disorders* / epidemiology
  • Anxiety Disorders* / therapy
  • Comorbidity
  • Depressive Disorder* / complications
  • Depressive Disorder* / diagnosis
  • Depressive Disorder* / epidemiology
  • Depressive Disorder* / etiology
  • Depressive Disorder* / physiopathology
  • Depressive Disorder* / therapy
  • Humans
  • Psychotherapy / methods
  • Sleep Initiation and Maintenance Disorders* / diagnosis
  • Sleep Initiation and Maintenance Disorders* / epidemiology
  • Sleep Initiation and Maintenance Disorders* / etiology
  • Sleep Initiation and Maintenance Disorders* / physiopathology
  • Sleep Initiation and Maintenance Disorders* / therapy