{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:35:06Z","timestamp":1783524906349,"version":"3.55.0"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"3","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2023,6,30]]},"abstract":"<jats:p>Bezsenno\u015b\u0107 jest jednym z najcz\u0119stszych problem\u00f3w zdrowotnych w krajach rozwini\u0119tych. Cz\u0119sto\u015b\u0107 jej wyst\u0119powania ro\u015bnie z wiekiem, w grupie os\u00f3b po 65 r.\u017c. objawy bezsenno\u015bci mog\u0105 wyst\u0119powa\u0107 nawet u co drugiej osoby. Osoby starsze nale\u017c\u0105 tak\u017ce do grupy pacjent\u00f3w, u kt\u00f3rych najcz\u0119\u015bciej stosowane s\u0105 przewlekle leki nasenne. Celem artyku\u0142u jest przedstawienie aktualnych zalece\u0144 na temat leczenia bezsenno\u015bci u os\u00f3b po 65. roku \u017cycia.\nZalecenie zosta\u0142y przygotowane jako stanowisko zespo\u0142u ekspert\u00f3w, w sk\u0142ad kt\u00f3rego wesz\u0142y osoby z wielu dyscyplin klinicznych: medycyny rodzinnej, kardiologii, psychiatrii, medycyny snu i psychofarmakologii klinicznej.\nPierwszym krokiem w leczeniu zaburze\u0144 snu jest w\u0142a\u015bciwa diagnoza i je\u015bli to mo\u017cliwe leczenie przyczynowe. Dodatkowo w bezsenno\u015bci jako podstawowa forma leczenia powinna by\u0107 stosowana terapia poznawczo-behawioralna bezsenno\u015bci, kt\u00f3r\u0105 w razie niewystarczaj\u0105cej skuteczno\u015bci mo\u017cna uzupe\u0142ni\u0107 leczeniem farmakologicznym. Podstawow\u0105 grup\u0105 lek\u00f3w stosowan\u0105 w leczeniu bezsenno\u015bci s\u0105 niebenzodiazepinowe leki nasenne (zolpidem, zopiklon, eszopiklon, zaleplon). Nie spe\u0142niaj\u0105 one jednak w pe\u0142ni potrzeb os\u00f3b w wieku po 65 r.\u017c. przede wszystkim w odniesieniu do bezpiecze\u0144stwa leczenia. W zwi\u0105zku z tym w leczeniu tej grupy pacjent\u00f3w poza wskazaniami stosowane s\u0105 tak\u017ce inne grupy lek\u00f3w, wykorzystywane w leczeniu zaburze\u0144 psychicznych. Ze wzgl\u0119du na wysokie bezpiecze\u0144stwo terapii wskazana w tej grupie wiekowej jest tak\u017ce melatonina w formie o przed\u0142u\u017conym dzia\u0142aniu.\nLeczenie bezsenno\u015bci u os\u00f3b w wieku po 65 r.\u017c. jest utrudnione z uwagi na konieczno\u015b\u0107 poszukiwania kompromisu pomi\u0119dzy skuteczno\u015bci\u0105 a bezpiecze\u0144stwem leczenia oraz uwzgl\u0119dniania w planie leczenia schorze\u0144 wsp\u00f3\u0142wyst\u0119puj\u0105cych i stosowanych w ich terapii lek\u00f3w.<\/jats:p>","DOI":"10.12740\/pp\/onlinefirst\/161597","type":"journal-article","created":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T18:38:41Z","timestamp":1685126321000},"page":"495-516","source":"Crossref","is-referenced-by-count":11,"title":["Treatment of insomnia in older adults. Recommendations of the Polish Sleep Research Society, Polish Society of Family Medicine and the Polish Psychiatric Association"],"prefix":"10.12740","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5352-601X","authenticated-orcid":false,"given":"Adam","family":"Wichniak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Przemys\u0142aw","family":"Bie\u0144kowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafa\u0142","family":"D\u0105browski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnieszka","family":"Mastalerz-Migas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Rymaszewska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5036","published-online":{"date-parts":[[2023,6,30]]},"container-title":["Psychiatria Polska"],"original-title":["Leczenie bezsenno\u015bci os\u00f3b w starszym wieku. Zalecenia Polskiego Towarzystwa Bada\u0144 nad Snem, Polskiego Towarzystwa Medycyny Rodzinnej i Polskiego Towarzystwa Psychiatrycznego"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-161597-91881","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-161597-91881","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,13]],"date-time":"2023-08-13T17:48:24Z","timestamp":1691948904000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Treatment-of-insomnia-in-older-adults-Recommendations-of-the-Polish-Sleep-Research,161597,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,30]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"alternative-id":["161597"],"URL":"https:\/\/doi.org\/10.12740\/pp\/onlinefirst\/161597","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"value":"0033-2674","type":"print"},{"value":"2391-5854","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,30]]}}}