The publisher's final edited version of this article is available at Sleep Med Clin See other articles in PMC that cite the published article. This paper will review both normal and abnormal sleep in the elderly. Sleep and Aging Survey data show that half of elderly individuals report some form of sleep difficulty, including longer sleep onset times, lower rates of sleep efficiency, more time in bed, more awakenings during the night, earlier wake up times, and more daytime naps. Elderly individuals complain primarily about insomnia which is often comorbid with to other disorders. The symptoms in the elderly are more likely to be comorbid with an underlying physiological problem, rather than with stress as seen in younger adults. A number of subjective changes in sleep are experienced in the elderly Box 1. Objective evidence of these subjective changes in sleep is corroborated by polysomnography PSG With age, sleep becomes more fragmented and lighter with an increase in the number of arousals and awakenings.
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