{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T05:54:52Z","timestamp":1777442092656,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2011,12,23]],"date-time":"2011-12-23T00:00:00Z","timestamp":1324598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:p><jats:bold>Objective<\/jats:bold>: The aims of this study were to determine the true frequency of primary insomnia (PI), sleep disorder related to another mental disorder (SDMD) and sleep disorder due to a general medical condition (SDMC) in older adults and to establish their differentiating characteristics.<\/jats:p><jats:p><jats:bold>Methods<\/jats:bold>: This is a cross\u2010sectional study. Participants were randomly selected samples of 951 subjects who are 65\u2009years or older. Main measures were as follows: presence (according to DSM\u2010IV\u2010TR diagnostic criteria) of PI, SDMD, SDMC or other sleep disorders, co\u2010morbidity and psychotropic consumption.<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: Of the subjects, 36.1% reported having sleep problems (95%CI:33.0\u201339.2) and 37.0% reported regularly consuming a psychotropic drug. The prevalence of PI was 8.9% (95%CI: 7.1\u201311.0), and according to the criteria for differential diagnosis, the prevalence of SDMD was 9.3% (95%CI: 7.5\u201311.4) and that of SDMC was 7.0% (95%CI: 5.4\u20138.9). A higher percentage of PI subjects had problems in falling asleep on most days (52.5%), had frequent night\u2010time awakenings (66.3%) and early awakenings (51.3%). In subjects with any type of insomnia, the variables that showed a statistically significant association were female gender (OR: 2.21), consumption of psychotropic drugs (OR: 1.83), presence of four or more health problems (OR: 1.88) and being single, widowed or divorced (OR: 1.43).<\/jats:p><jats:p><jats:bold>Conclusions<\/jats:bold>: Our results provide a true picture of the prevalence of insomnia in older adults on the basis of diagnostic criteria and indicate that it is a widespread, significant health problem. The peculiarities of PI, SDMD and SDMC need to be appropriately differentiated in clinical practice, and each needs a different approach to obtain the best outcome. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/gps.2834","type":"journal-article","created":{"date-parts":[[2011,12,24]],"date-time":"2011-12-24T23:45:04Z","timestamp":1324770304000},"page":"1086-1093","source":"Crossref","is-referenced-by-count":19,"title":["Understanding insomnia in older adults"],"prefix":"10.1002","volume":"27","author":[{"given":"Jes\u00fas","family":"L\u00f3pez\u2010Torres Hidalgo","sequence":"first","affiliation":[{"name":"Health Care Service of Castilla\u2010La Mancha (SESCAM) University of Castilla\u2010La Mancha  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Navarro Bravo","sequence":"additional","affiliation":[{"name":"Health Care Service of Castilla\u2010La Mancha (SESCAM) University of Castilla\u2010La Mancha  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"P\u00e1rraga Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Health Care Service of Castilla\u2010La Mancha (SESCAM) University of Castilla\u2010La Mancha  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Andr\u00e9s Pretel","sequence":"additional","affiliation":[{"name":"Health Care Service of Castilla\u2010La Mancha (SESCAM) University of Castilla\u2010La Mancha  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"T\u00e9llez Lapeira","sequence":"additional","affiliation":[{"name":"Health Care Service of Castilla\u2010La Mancha (SESCAM) University of Castilla\u2010La Mancha  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clotilde","family":"Boix Gras","sequence":"additional","affiliation":[{"name":"Health Care Service of Castilla\u2010La Mancha (SESCAM) University of Castilla\u2010La Mancha  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,12,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53392.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2005.03.001"},{"key":"e_1_2_9_4_1","first-page":"317","article-title":"Tratamiento del insomnio en el anciano","volume":"13","author":"Baena D\u00edez JM","year":"2006","journal-title":"FMC"},{"key":"e_1_2_9_5_1","first-page":"41","article-title":"Common sleep disorders in the elderly: diagnosis and treatment","volume":"47","author":"Becker PM","year":"1992","journal-title":"Geriatrics"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/32.2.154"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/22.6.717"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53390.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1996.tb03733.x"},{"key":"e_1_2_9_10_1","first-page":"348","article-title":"A questionnaire survey among Turkish physicians about sleep disorders","volume":"52","author":"Gelir E","year":"2004","journal-title":"Tuberk Toraks"},{"key":"e_1_2_9_11_1","first-page":"191","article-title":"Sleep, organic deterioration and general health in the aging population. Study in a basic health zone of Oviedo","volume":"19","author":"Gonz\u00e1lez Garc\u00eda\u2010Portilla P","year":"1991","journal-title":"Actas Luso Esp Neurol Psiquiatr Cienc Afines"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0212-6567(04)70807-0"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11940-005-0027-x"},{"key":"e_1_2_9_14_1","first-page":"125","article-title":"Nonpharmacologic management of chronic insomnia","volume":"79","author":"Harsora P","year":"2009","journal-title":"Am Fam Physician"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.16.2.264"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-006-9125-9"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.7.962"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1998.tb02533.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000022184"},{"key":"e_1_2_9_20_1","first-page":"391","article-title":"Sleep disorders in the elderly","volume":"155","author":"Mazza M","year":"2004","journal-title":"Clin Ter"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53393.x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.11.991"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1159\/000236900"},{"key":"e_1_2_9_24_1","first-page":"2551","article-title":"Sleep disorders in the elderly","volume":"59","author":"Neubauer DN","year":"1999","journal-title":"Am Fam Physician"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2002.0186"},{"key":"e_1_2_9_26_1","first-page":"143","article-title":"Relationship between daytime sleepiness and cognitive functioning in an elderly population","volume":"9","author":"Ohayon MM","year":"2000","journal-title":"J Sleep Res"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27825"},{"key":"e_1_2_9_28_1","first-page":"37","article-title":"A sleep review of systems: evaluating the effects of medical disorders on sleep in the older patient","volume":"59","author":"Quan S","year":"2004","journal-title":"Geriatrics"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0212-6567(00)78530-1"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(01)00131-9"},{"key":"e_1_2_9_31_1","first-page":"13","article-title":"Clinical and socioeconomic correlates of insomnia","volume":"65","author":"Walsh JK","year":"2004","journal-title":"J Clin Psychiatry"}],"container-title":["International Journal of Geriatric Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fgps.2834","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/gps.2834","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T05:47:31Z","timestamp":1700545651000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/gps.2834"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12,23]]},"references-count":30,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,10]]}},"alternative-id":["10.1002\/gps.2834"],"URL":"https:\/\/doi.org\/10.1002\/gps.2834","archive":["Portico"],"relation":{},"ISSN":["0885-6230","1099-1166"],"issn-type":[{"value":"0885-6230","type":"print"},{"value":"1099-1166","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12,23]]}}}