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26 Cards in this Set

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  • Back
sleep
-regular, recurrent, reversible physiological state
-characterized by quietness and inc response threshold to stimulation
what are the 4 main functions of sleep?
-restore homeostasis
-maintain thermoregulation
-conserve energy
-maintain physical and emotional health
generally speaking how do sleep patterns change as we age?
-time spent sleeping decreases
-REM sleep decreases
what are the 4 types of sleep deprivation?
-total = no sleep for days
-partial = less sleep than usual
-acute = partial or total for short periods of time
-chronic = partial deprivation for years
what are the typical complaints/symptoms of a sleep disordered person?
-difficulty falling asleep
-frequent awakenings
-early final awakenings
-sleep not restful
-sleep inertia, fuzzy brain after nap
sleep latency
-time between bedtime and first sleep onset
sleep continuity
-number of awakenings, number of hours awake and number of naps
intermittent wakefullness
-minutes awake after first sleep onset
sleep efficiency
-time spent asleep compared to total time in bed
what are typical behaviors of people with sleep disturbances?
-impaired concn
-poor memory
-irritability
-dec efficiency
-more accident prone
what are the diagnostic criteria for insomnia?
-difficulty initiating or maintaining sleep or non restorative sleep
-several times per week for at least a month
what are hypersomnias?
-somnolence (excessive daytime sleepiness)
-sleeping too much
what are the diagnostic criteria of circadian rhythm disorders?
-excessive sleepiness or insomnia due to mismatch btw the sleep/wake cycle required by the persons environment and their normal circadian pattern
how do we treat insomnia?
-melatonin
-light therapy
-benzos
-sleep hygeine
-CBT/relaxation
how do we treat circadian rhythm disorder?
-melatonin
-inc activity at night
-light therapy
what are the 5 reccomendations of sleep hygeine?
-arise at same time everyday
-discontinue stimulant use
-avoid naps
-take hot bath near bedtime
-avoid large meals before bed
sleep restriction treatment
-limit patients time in bed to inc sleep efficiency
stimulus control treatment
-recondition patient to associate the bed and bedroom with rapid sleep onset
CBT therapy
-patient's faulty beliefs and expectations about sleep are changed
sleep terror disorder
-screaming in terror during stages 3 or 4 of sleep
-occurs in children
-cant be awakened or remember the dream
nightmare disorder
-scary dreams cause wakening during REM sleep
-patient can remember dream
-occurs most often in kids
what are the sleep characteristics of someone with major depressive disorder?
-reduced slow wave sleep
-inc REM length
-intial insomnia
what are the sleep characteristics of someone with bipolar disorder?
-dec need for sleep
-difficulty falling asleep
what are the sleep characteristics of someone with SAD?
-inc total sleep time
-dec slow wave sleep
what are the sleep characteristics of someone with PTSD?
-difficulty remaining asleep
-frightening dreams
-inc sleep latency
what are the sleep characteristics of someone with panic disorder?>
-sleep panic attacks
-difficulty falling asleep
-inc body movement during sleep