2017
DOI: 10.1177/0898264317696775
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Medicalization of Sleep Problems in an Aging Population: A Longitudinal Cross-National Study of Medication Use for Sleep Problems in Older European Adults

Abstract: Objective: The association between age and sleep problems is considered to be positive, and medication use is a common health care intervention among older individuals. Because daytime consequences are often stated as a reason to seek care, we study to what extent the medicalization of sleep problems is found in an aging European population, with a focus on daily activities. Method: Data from the Survey of Health Ageing and Retirement in Europe are used in three-level, generalized linear mixed models. Medicali… Show more

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Cited by 17 publications
(13 citation statements)
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“…In our study, 54% of participants were taking some kind of sleep medication, which is similar to the results of Valenza et al (2013). The use of sleep medication, especially benzodiazepines, in treating problems with sleep initiation and maintenance in older adults is frequent, and at the same time in contrast with the general recommendation of treatment options for sleep problems (Bloom et al, 2009; van de Straat, Buffel, & Bracke, 2018). Nonpharmacological treatment, including environment optimization, sleep hygiene education and interventions, and CBT-I is strongly recommended, as well as other types of hypnotics, since the use of benzodiazepines may be risky in older population due to the side effects related to sedation, dizziness, disorientation and muscle hypotonia (Bloom et al, 2009; van de Straat et al, 2018; Ye & Richards, 2018).…”
Section: Discussionsupporting
confidence: 82%
“…In our study, 54% of participants were taking some kind of sleep medication, which is similar to the results of Valenza et al (2013). The use of sleep medication, especially benzodiazepines, in treating problems with sleep initiation and maintenance in older adults is frequent, and at the same time in contrast with the general recommendation of treatment options for sleep problems (Bloom et al, 2009; van de Straat, Buffel, & Bracke, 2018). Nonpharmacological treatment, including environment optimization, sleep hygiene education and interventions, and CBT-I is strongly recommended, as well as other types of hypnotics, since the use of benzodiazepines may be risky in older population due to the side effects related to sedation, dizziness, disorientation and muscle hypotonia (Bloom et al, 2009; van de Straat et al, 2018; Ye & Richards, 2018).…”
Section: Discussionsupporting
confidence: 82%
“…Sleeping medication was reported to be taken daily by 17.5% of our study population, and ever taken by another 16.5%. These proportions are high, which is probably related to medicalization of sleep problems in European countries (van de Straat et al, 2018). As sleeping problems have been reported in 60% of subjects with MS, disrupted sleeping patterns might be the reason for taking sleeping medication and explain this association.…”
Section: Tablementioning
confidence: 99%
“…Sleep is crucial for human health and quality of life. However poor sleep and sleep disorders are increasingly prevalent among the world's older population [1]. Health professionals consider sleep as an important indicator of health status, poor sleep quality is indeed likely to be a sign of many diseases [2].…”
Section: Introductionmentioning
confidence: 99%