| Home | E-Submission | Sitemap | Contact Us |  
J Korean Sleep Res Soc > Volume 5(2); 2008 > Article
J Korean Sleep Res Soc. 2008;5(2):55-59.         doi: https://doi.org/10.13078/jksrs.08009
치매환자의 수면장애의 실질적 치료
가천의과학대학교 길병원 신경과학교실
Practical Management of Sleep Problem in Dementia
Kee Hyung Park
Practical Management of Sleep Problem in Dementia
Corresponding Author: Kee Hyung Park ,Tel: +82-32-460-3346, Fax: +82-32-460-3344, Email: khpark@gachon.ac.kr
Received: December 10, 2008   Accepted: December 24, 2008   Published online: December 31, 2008
Share :  
Patients with dementias, such as Alzheimer’s disease (AD), often have sleep disturbances. Clinically, this may present as agitation during the nighttime, we often have been called sundowning. Sleep disturbance in AD may be multifactorial, for example, sleep-disordered breathing, restless leg syndrome, and disrupted chronobiology, which often caused by excessive daytime napping. So we carefully consider these secondary cause of insomnia, especially in elderly demented patients. Unfortunately, there have been no randomized clinical trials of sedative-hypnotic medications specifically targeted at AD patients with sleep problems. Evidence suggests that sedative-hypnotics, such as benzodiazepine site-specific agonists, may have a role in some cases, whereas atypical antipsychotics or specific antidepressants may be necessary in other cases. There are also reports of successful interventions with nonpharmacologic options (eg, exercise, illumination). The utility of melatonin as a hypnotic in this population appears equivocal.
Keywords: Alzhiemer's disease | Sleep problem | Intervention
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Recognition and Management of Complex Sleep Disordered Breathing  2007 December;4(2)
Editorial Office
Joong-Ang Bldg., 18-8, Wonhyo-ro 89 Gil, Yonsan-gu, Seoul 04314, Republic of Korea
Tel: +82-2-717-5114   Fax: +82-2-717-5515   E-mail: jsleepmed@e-jsm.org

Copyright© Korean Sleep Research Society.                Developed in M2PI
About |  Browse Articles |  Current Issue |  For Authors and Reviewers