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Here, we briefly review normal age-related changes in sleep, primary and comorbid insomnia, tools for the assessment of insomnia and related problems, and pharmacological and non-pharmacological treatments for optimizing sleep in later life. Stimulus control techniques include going to bed only when tired; using the bed only for sleep and sex; leaving the bed if unable to fall asleep within 15 to 20 minutes; and waking at a consistent time every morning [ 50 ]. Randomized controlled trials have shown that older adults using melatonin agonists have improved sleep latency and sleep efficacy, and increased total sleep time, and do not show the same adverse effects commonly seen in hypnotic treatment [ 72 , 73 ]. International classification of sleep disorders ICSD: Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: Sleep patterns and sleep-related factors between caregiving and non-caregiving women.

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