The duration of sleep changes significantly in different stages of life. An acute episode of insomnia will not necessarily develop into chronic insomnia without these provoking behavioral and cognitive events.ДЄlong with many physiological changes witnessed in aging, significant changes also occur in sleep and circadian rhythm in a lifespan.

Perpetuating Factors: These factors often consist of behavioral or cognitive changes that arise as a result of acute insomnia.

Older adults with respiratory symptoms, physical disability, and fair to poor perceived health are at increased risk of insomnia.

Precipitating Factors: These factors generally include stressful life events or medical conditions that may disrupt sleep.

Smoking, alcohol use, and reduced physical activity are other factors associated with higher rates of insomnia in older adults.

Predisposing Factors: These include demographic, biologic, psychological, and social characteristics.

Insomnia in the ICSD-3 is defined as a complaint of trouble initiating or maintaining sleep that is associated with daytime consequences and is not attributable to environmental circumstances or inadequate opportunity to sleep. The sleep difficulty must be present for at least 3 months to be diagnosed as insomnia.

Early-morning awakening with inability to return to sleepДЄccording to DSM V, the sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.

Difficulty maintaining sleep (frequent awakenings).This is usually associated with one or more of the following:

Insomnia is broadly defined as dissatisfaction with sleep either qualitatively or quantitatively. Insomnia is one of the most common disorders found in elderly and is associated with numerous individual and environmental causes.

Insomnia meaning