Abstract
In order to address the typical phase advanced, disturbed sleep of the elderly, additional evening light was provided to elderly women by means of a “visor” which provides 2000 lux to each eye. The subjects wore the light visor for 30 min in the evening. The subjects were 10 community-residing women over the age of 65 (mean=79.4 years; range, 67 87 years). Sleep was recorded in the home for 28 successive 24-hr periods: 7 days pretreatment, 14 days while using the light visor, and 7 days posttreatment. Thus, each subject served as her own control. Sleep was recorded using the Home Monitoring System (HMS), a nonintrusive procedure which does not require instrumentation of the subject. The subjects showed significant changes during and even after the intervention: there was a significant decrease in sleep latency over weeks, and a significant increase in sleep time and sleep efficiency. The subjects also reported less fatigue during treatment. The results suggest that additional light, provided for as little as 0.5 hr in the evening and at only 2000 lux, increases the amount of nighttime sleep and improves the quality of sleep in older women.
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References
Acebo, C., Watson, R. K., Bakos, L., and Thoman, E. B. (1991). Sleep and apnea in the elderly: Reliability and validity of 24-hr recording in the home. Sleep 14(1): 56–64.
American Psychiatric Association Task Force (1990). Report on Benzodiazepine Dependence, Toxicity and Abuse, American Psychiatric Association, Washington, DC.
Campbell, S. S., and Dawson, D. (1992). Bright light treatment of sleep disturbances in older subjects. Sleep Res. 21: 120.
Campbell, S. S., Dawson, D., and Anderson, M. W. (1993). Alleviation of sleep maintenance insomnia with timed exposure to bright light. J. Am. Geriatr. Soc. 41( 41): 829–836.
Campbell, S. S., Kripke, D. F., Gillin, J. C., and Hrubovcak, J. C. (1988). Exposure to light in healthy elderly subjects and Alzhe imer's patients. Physiol. Behav. 42: 141–144.
Carskadon, M. A., Brown, E. D., and Dement, W. C. (1982). Sleep fragmentation in the elderly: Relationship to daytime sleep tendency. Neurobiol. Aging 3: 321–327.
Czeisler, C. A., Allan, J. S., Strogatz, S. H., Ronda, J. M., Sanchez, R., Rios, C. D., Freitag, W. O., Richardson, G. S., and Kronauer, R. E. (1986). Bright light re sets the human circadian pacemake r independent of the timing of the sleep-wake cycle. Science 233: 667–671.
Hinton, D. R., Sadun, A. A., Blanks, J. C., and Miller, C. A. (1986). Optic nerve degeneration in Alzheimer's disease. N. Engl. J. Med. 315: 485–487.
McNair, D. M., Lorr, M., and Droppleman, L. F. (1981). Profile of Mood States Educational and Industrial Testing Service, San Diego, CA.
Miles, L., and Dement, W. (1980). Sleep and aging. Sleep 3(2): 119–220.
Morewitz, J. H. (1988). Evaluation of excessive daytime sleepiness in the elderly. J. Am. Geriatr. Soc. 36: 324–330.
Pollak, C. P., Perlick, D., and Linsner, G. (1986). Sleep in the elderly: Survey of an urban community. Sleep Res. 15: 54.
Richardson, G. S., Carskadon, M. A., Orav, E. J., and Dement, W. C. (1982). Circadian variation of sleep tendency in elderly and young adult subjects. Sleep 5; 582–594.
Rosenthal, N.E., Moul, D. E., Hellekson, C. J., Oren, D. A., Frank, A., Brainard, G. C., Murray, M. G., and Wehr, T. A. (1993). A multicenter study of the light visor for seasonal affective disorder: No difference in efficacy found between two different intensities. Neuropsychopharm acology 8(2): 151–160.
Tabloski, P. A., Cooke, K., and Thoman, E. B. (1994). Sleep disturbances and withdrawal of sleeping medication in the elderly. Gerontologist 34(1); 22.
Thoman, E. B., Acebo, C., and Lamm, S. (1993). Stability and instability of sleep in older persons recorded in the home. Sleep 16(6): 578–585.
van Someren, E. J. W., Mirmiran, M., and Swaab, D. F. (1993). Non-pharmacological treatment of sleep and wake disturbance s in aging and Alzheimer 's disease: Chronobiological perspective s. Behav. Brain Res. 57: 235–253.
Webb, W. (1969). Twenty-four hour sleep cycling. In Kales, A. (ed.), Sleep: Physiol. Pathol., J. B. Lippincott, Philadelphia, pp. 53–65.
Webb, W. B., and Campbell, S. S. (1980). Awakenings and the return to sleep in an older population. Sleep 3: 41–46.
Welstein, L., Dement, W. C., Redington, D., et al. (1983). Insomnia in the San Francisco Bay are a: A telephone survey. In Guilleminault, C., and Lugaresi, E. (eds.) , Sleep/Wake Disorders: Natural History, Epidemiology, and Long-Term Evolution Raven Press, New York, pp. 73–85.
Winer, B. (1971). Statistical Principles in Experim ental Design, 2nd ed., McGraw-Hill, New York.
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Cooke, K.M., Kreydatus, M.A., Atherton, A. et al. The Effects of Evening Light Exposure on the Sleep of Elderly Women Expressing Sleep Complaints. J Behav Med 21, 103–114 (1998). https://doi.org/10.1023/A:1018719722614
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DOI: https://doi.org/10.1023/A:1018719722614