Chronic insomnia is the most common sleep disorder. Improper or delayed diagnosis can lead to serious health problems. Early accurate assessment is essential to guide and provide safe treatment. This article reviews assessment and management of insomnia in the primary care setting.
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http://dx.doi.org/10.1097/01.NPR.0000559843.91496.20 | DOI Listing |
Alzheimers Dement
December 2024
Ageing Epidemiology Reseach Unit (AGE), School of Public Health, Imperial College London, London, UK.
Background: Several studies have investigated the link between sleep disturbances and allostatic load (AL), but the results are varied, and less is known about the associations in clinical samples. The goal of this study is to assess the associations between sleep disturbances and AL among memory clinic participants, and to examine differences according to sex, beta-amyloid status and history of burnout status.
Method: The study was based on 146 memory clinic participants diagnosed with either Mild Cognitive Impairment (MCI) or Subjective Cognitive Impairment (SCI) in the Cortisol and Stress in Alzheimer's Disease Study (Co-STAR) (Sweden).
Background: Timely identification of mild cognitive impairment (MCI) is key to early intervention. While primary care providers are the most likely entry point to detect early signs of MCI, their detection rates are low. Building upon a published study, we used electronic health records (EHR) to develop a clinically enhanced MCI risk prediction algorithm.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Taipei Medical University, Taipei City, Taiwan, Taiwan.
Background: As global populations age, dementia prevalence is increasing, with projections suggesting significant growth in the number of affected individuals and their caregivers. In Taiwan, family caregivers provide substantial support, often facing intense burdens due to prolonged caregiving duties. This study aims to assess the psychological health of these caregivers to better understand and address their needs.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Finnish Institute for Health and Welfare, Helsinki, Uusimaa, Finland.
Background: Sleep disturbances have been suggested as potential risk factors for neurodegenerative diseases. However, longitudinal studies on insomnia and dementia have mostly had too short follow-up time to separate etiological risk factors from prodromal symptoms. Moreover, the impact of mortality as a competing risk has been overlooked.
View Article and Find Full Text PDFBackground: Cannabis-based therapies have gained interest in treating different ailments in the elderly population, including severe or chronic pain, sleep disturbances, and more recently Alzheimer's Disease. This raises the importance of understanding the influence of age on the pharmacokinetics ("PK") of delta-9 tetrahydrocannabinol ("THC"). IGC-AD1 comprises THC at a low concentration and melatonin.
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