Geriatric Sleep Disorder Differential Diagnoses

Updated: Aug 13, 2019
  • Author: Glen L Xiong, MD; Chief Editor: Ana Hategan, MD, FRCPC  more...
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Diagnostic Considerations

Many abnormalities of the sleep-wake cycle manifest as sleep-wake disorders. These conditions include the following:

  • Jet lag: a study performed on airline pilots operating on transmeridian routes found that the older the pilot, the greater the cumulative sleep loss

  • Acute and chronic shift-work insomnia

  • Delayed-sleep-phase syndromes

  • Advanced-sleep-phase syndromes

  • Non–24-hour circadian rhythms

  • Disorganized circadian rhythms

Psychophysiologic insomnia is associated with acute emotional conflicts or reactions and is transient in nature. If it is associated with frustration to fall asleep, thereby resulting in arousal, it can be persistent in nature.

Differential Diagnoses