Index SLEEP MEDICINE CLINICS. Note: Page numbers of article titles are in boldface type.

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Marilyn Byrd
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1 299 SLEEP MEDICINE CLINICS Sleep Med Clin 1 (2006) Note: Page numbers of article titles are in boldface type. A Acid reflux, sleep disturbances in older adults related to, 238 Aging, alterations in Circadian rhythms with, Circadian amplitude, 189 Circadian clock, 188 responsiveness of to photic and nonphotic stimuli, Circadian phase, decreased exposure to synchronizing agents, entrainment of, 190 manipulation of, therapeutic implications, 192 neurobiology of, normal, sleep and cognition in, normal, sleep in, causes of disturbed sleep in, Circadian rhythms in, 173 napping and excessive daytime sleepiness in, Alcohol dependence, sleep disturbances in older adults due to, Alternative therapies, non-hormonal, impact on sleep in midlife women, 202 Alzheimer s disease, sleep disturbances in patients with, Circadian rhythm disturbances in, 276 sleep architecture in, sleep-disordered breathing in, 276 treatment of, Amyotrophic lateral sclerosis, sleep disturbances in elderly patients with, 284 Anxiety disorders, sleep disturbances in older adults due to, Arthritis, sleep disturbances in older adults related to, 237 B Behavioral treatments, for sleep disturbances in nursing homes, Bereavement, sleep disturbances in older adults due to stresses of, 234 Bipolar affective disorder, sleep disturbances in older adults due to, 234 Breathing disorders, sleep-related, in the elderly, clinical assessment and management, presentation and diagnosis, treatment, clinical features, epidemiology, prevalence and incidence, risk factors, 250 in nursing home patients, 296 morbidity and mortality associated with, cardiovascular consequences, cognitive impairment and dementia, falls and fractures, metabolic consequences, mortality, 254 physiologic features, 248 C Caffeine, sleep disturbances in older adults due to, 236 Cancer, sleep disturbances in older adults related to, 239 Cardiovascular consequences, of sleep-disordered breathing in the elderly, Caregiving, sleep disturbances in older adults due to demands of, X/06/$ see front matter ª 2006 Elsevier Inc. All rights reserved. sleep.theclinics.com doi: /s x(06)00049-x

2 300 Circadian rhythms, alterations in, with aging, Circadian amplitude, 189 Circadian clock, 188 responsiveness of to photic and nonphotic stimuli, Circadian phase, decreased exposure to synchronizing agents, entrainment of, 190 manipulation of, therapeutic implications, 192 neurobiology of, disturbances of, in Alzheimer s diseases, 276, in normal aging, 173 Cognition, sleep and, in older adults, aging and sleep, diagnosed sleep disorders, insomnia and, napping and, 211 normal aging and cognition, obstructive sleep apnea and, perceived poor sleep quality and excessive daytime sleepiness, potential mechanisms of relationship between, sleep deprivation, Cognitive behavior therapy, for insomnia in the elderly, common models of, 226 hypnotic-dependent, 227 primary, 225 secondary or comorbid, 225, 227 Cognitive impairment, as consequence of sleepdisordered breathing in the elderly, Comorbidities, affecting sleep in older adults, medical conditions, acid reflux and gastroesophageal reflux disease, 238 arthritis, 237 cancer, 239 chronic lung disease, diabetes and endocrine disorders, 239 heart disease, 238 pain, 237 renal and urologic disorders, 239 medications, that activate or stimulate the CNS, 240 that affect sleep architecture by other mechanisms, 241 that affect sleep by worsening other conditions, that exacerbate primary sleep disorders, 241 that promote daytime sleepiness, 240 psychiatric conditions, anxiety disorders, bipolar affective disorder, 234 D caregiving and bereavement, 234 depressive disorders, 233 substance abuse, alcohol dependence, caffeine, 236 neurotransmitter overlap between psychiatric illness and, tobacco and nicotine, 236 Daytime sleepiness, in older adults, correlates and consequences of napping and, excessive, in normal aging, 173 Circadian rhythm changes, 180 disruption of nighttime sleep, 180 medical and psychiatric factors, 180 Daytime sleeping, in nursing home patients, interventions to reduce, 296 Dementia, as consequence of sleep-disordered breathing in the elderly, diffuse Lewy body, sleep disturbances in elderly patients with, 281 restless legs syndrome in, Depressive disorders, sleep disturbances in older adults due to, 233 Diabetes, sleep disturbances in older adults related to, 239 Diffuse Lewy body dementia, sleep disturbances in elderly patients with, 281 Disruption, of sleep, in nursing home patients, 294 Disturbances, sleep, in normal aging, in nursing home patients, consequences of, disruption of sleep, 294 environmental influences on, 294 interventions to reduce daytime sleeping in, 296 methods used to study, 294 sleep-disordered breathing, 296 treatment of, behavioral, pharmacologic, 295 Drugs, pharmaceutical, for treatment of sleep disturbances in nursing homes, 295 E Elderly, sleep in, breathing disorders, sleep-related, circadian rhythm alterations with aging, cognition and, in older adults, comorbidities and, in midlife women, in normal aging, insomnia,

3 301 napping in older adults, neurologic problems and, periodic leg movements and restless legs syndrome, sleep disturbances in nursing home patients, Endocrine disorders, sleep disturbances in older adults Environment, in nursing homes, influence on sleep, 294 Epilepsy, sleep disturbances in elderly patients with, Excessive daytime sleepiness, in normal aging, in older adults, impact on cognition, F Falls, as consequence of sleep-disordered breathing in the elderly, Fractures, as consequence of sleep-disordered breathing in the elderly, G Gastroesophageal reflux disease, sleep disturbances in older adults related to, 238 Geriatrics. See Elderly and Older adults. H Health outcomes, in older adults, effect of napping and daytime sleepiness on, Heart disease, sleep disturbances in older adults related to, 238 Hormone replacement therapy, impact on sleep in midlife women, Huntington s disease, sleep disturbances in elderly patients with, 285 Hypnotics, for treatment of insomnia in the elderly, cognitive behavior therapy for hypnoticdependent insomnia, 227 types of, I Insomnia, in older adults, impact on cognition, in the elderly, assessment, 223 cognitive behavior therapy for, common models of, 226 hypnotic-dependent, 227 primary, 225 secondary or comorbid, 225, 227 L diagnosis, clinical features, 222 contributing factors, 222 daytime functioning in, 223 epidemiology, pharmacologic treatments, types of hypnotics, Lung disease, chronic, sleep disturbances in older adults related to, M Medical conditions, comorbidities affecting sleep in older adults, acid reflux and gastroesophageal reflux disease, 238 arthritis, 237 cancer, 239 chronic lung disease, diabetes and endocrine disorders, 239 heart disease, 238 pain, 237 renal and urologic disorders, 239 sleep disturbances due to, in older adults, Medications. See also Pharmacologic therapy. comorbidities affecting sleep in older adults, that activate or stimulate the CNS, 240 that affect sleep architecture by other mechanisms, 241 that affect sleep by worsening other conditions, that exacerbate primary sleep disorders, 241 that promote daytime sleepiness, 240 Menopause, sleep in midlife women, Metabolic consequences, of sleep-disordered breathing in the elderly, Midlife women, sleep in, menopause and, 198 Mortality, due to sleep-disordered breathing in the elderly, 254

4 302 Multiple sclerosis, sleep disturbances in elderly patients with, 283 Multiple Sleep Latency Test, for sleep disorders in elderly patients with neurodegenerative disease, 286 Multiple system atrophy, sleep disturbances in elderly patients with, Myotonic dystrophy, sleep disturbances in elderly patients with, 285 N Napping, in older adults, beneficial effects of, 184 correlates and consequences of daytime sleepiness and, daytime sleepiness in, causes, 180 in normal aging, prevalence, in older adults, impact on cognition, 211 Neurobiology, of Circadian rhythms, Neurodegenerative diseases, sleep disturbances in elderly patients with, Alzheimer s disease, amyotrophic lateral sclerosis, 284 diagnostic approaches to, 286 clinical assessment, 286 laboratory assessment, 286 Multiple Sleep Latency Test, 286 polysomnography, 286 diffuse Lewy body dementia, 281 epilepsy, Huntington s disease, 285 multiple sclerosis, 283 multiple system atrophy, myotonic dystrophy, 285 olivopontocerebellar degeneration, 282 Parkinson s disease, postpolio syndrome, progressive supranuclear palsy, 282 rapid eye movement sleep behavior disorder, Shy-Drager syndrome, 282 sleep and stroke, spinal cord diseases, 284 Neurologic problems, sleep disturbances in elderly patients with neurodegenerative diseases, Neurotransmitters, for psychiatric illness, substance abuse, and sleep, overlap between, Nicotine, sleep disturbances in older adults due to, 236 Normal aging. See Aging, normal. Nursing home patients, sleep disturbances in, consequences of, disruption of sleep, 294 environmental influences on, 294 O interventions to reduce daytime sleeping in, 296 methods used to study, 294 sleep-disordered breathing, 296 treatment of, behavioral, pharmacologic, 295 Obstructive sleep apnea, in older adults, impact on cognition, Older adults. See also Elderly., napping in, beneficial effects of, 184 correlates and consequences of daytime sleepiness and, daytime sleepiness in, causes, 180 prevalence, sleep and cognition in, aging and sleep, diagnosed sleep disorders, insomnia and, napping and, 211 normal aging and cognition, obstructive sleep apnea and, perceived poor sleep quality and excessive daytime sleepiness, potential mechanisms of relationship between, sleep deprivation, Olivopontocerebellar degeneration, sleep disturbances in elderly patients with, 282 P Pain, sleep disturbances in older adults related to, 237 Parkinson s disease, sleep disturbances in elderly patients with, Perceived sleep quality, poor, in older adults, impact on cognition, Periodic leg movements in sleep, in geriatric patients, prevalence and associated factors, technical considerations in recording of, treatment, Pharmacologic treatments. See also Medications. for insomnia in the elderly, types of hypnotics, for sleep disturbances in nursing homes, Polysomnography, for sleep disorders in elderly patients with neurodegenerative disease, 286 Postpolio syndrome, sleep disturbances in elderly patients with,

5 303 Progressive supranuclear palsy, sleep disturbances in elderly patients with, 282 Psychiatric conditions, comorbidities affecting sleep in older adults, anxiety disorders, bipolar affective disorder, 234 caregiving and bereavement, 234 depressive disorders, 233 sleep disturbances due to, in older adults, Q Quality of sleep, perceived, poor, in older adults, impact on cognition, R Rapid eye movement sleep behavior disorder, sleep disturbances in elderly patients with, Renal disease, sleep disturbances in older adults Restless legs syndrome, in geriatric patients, in dementia, prevalence and associated factors, treatment, S Shy-Drager syndrome, sleep disturbances in elderly patients with, 282 Sleep, in the elderly, breathing disorders, sleep-related, circadian rhythm alterations with aging, cognition and, in older adults, comorbidities and, in midlife women, in normal aging, insomnia, napping in older adults, neurologic problems and, periodic leg movements and restless legs syndrome, sleep disturbances in nursing home patients, Sleep deprivation, in older adults, impact on cognition, Sleep disorders, diagnosed, in older adults, impact on cognition, insomnia, obstructive sleep apnea, Sleep-disordered breathing, in Alzheimer s disease patients, 276 in the elderly, clinical assessment and management, presentation and diagnosis, treatment, clinical features, epidemiology, prevalence and incidence, risk factors, 250 in nursing home patients, 296 morbidity and mortality associated with, cardiovascular consequences, cognitive impairment and dementia, falls and fractures, metabolic consequences, mortality, 254 physiologic features, 248 Spinal cord diseases, sleep disturbances in elderly patients with, 284 Stroke, sleep disturbances in elderly patients with, Substance abuse, sleep disturbances in older adults due to, alcohol dependence, caffeine, 236 neurotransmitter overlap between psychiatric illness and, tobacco and nicotine, 236 T Tobacco, sleep disturbances in older adults due to, 236 U Urologic disease, sleep disturbances in older adults W Women, midlife, sleep in, menopause and, 198

Index. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type.

Index. sleep.theclinics.com. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Accidents, risk of, with insufficient sleep, 318 Acquired immunodeficiency syndrome (AIDS), comorbid with narcolepsy, 298 299 Actigraphy, in