Psychopathology Exam 3 Sleep and Insomnia

Sleep Duration Recommendation For Young Adults

7-9 Hours

Sleep Duration Recommendation For Adults

7-9 Hours

What are some questions to ask to determine if you are getting enough sleep?

“Are you experiencing sleep problems?”  “Do you depend on caffeine to get you through the day?” “Do you feel sleepy when driving?”

How do thoughts and cognitions fit in with healthy sleep?

Anticipatory thoughts before or while trying are stimulating rather than calming and worries about sleep cause, maintain, or exacerbate our problems

Define Insomnia

Problems initiating/maintaining sleep, trouble falling asleep, waking during night, waking too early, and unable to return to sleep

Prevalence of insomnia in adults (percentage meeting full criteria)

6-10% have symptoms that meet full criteria for insomnia

Criteria of Insomnia

Complaint of sleep quantity or quality associated with 1 or more of the following 1) Difficulty initiating sleep 2) Difficulty maintaining sleep 3) Early morning awaking w/ inability to return to sleep

The first-line of treatment should be for insomnia, according to the American Psychiatric Association and the American College of Physicians?

CBT-I is the most recommend 1st line of treatment

The basic aspects of cognitive behavioral therapy-insomnia?

involves psycho-education about sleep, changing beliefs about sleep, extensive monitoring using sleep diary, and practicing better sleep related habits.

What are two major components of “stimulus-control” procedures?

Re-associate bedroom with sleep only and improve sleep schedules

“Transdiagnostic Sleep and Circadian Rhythm Intervention for Youth” is for?

Adolescents with sleep disturbance that often show “eveningness” preference/delayed sleep

What does current data say about over the counter medications as treatments for insomnia?

They can cause rebound insomnia

Reasons why medication may not be the best first-line treatment for insomnia?

Medication may lead to dependency, side effects, and does not address underlying sleep issues.

Why do the American Psychiatric Association and the American College of Physicians not recommend medication as the 1st line of treatment for insomnia?

CBT-I more effective

In insomnia disorder criteria the sleep disturbance must cause significant distress in what important areas of functioning?

Social, occupational, educational, academic, behavioral, or other important areas of functioning.

In insomnia disorder criteria, how many nights per week must sleep difficulty occur?

At least three nights per week.

In insomnia disorder criteria, how many months must it be present for?

At least three months.

In insomnia disorder criteria, sleep difficulty occurs despite?

adequate opportunity for sleep.

In insomnia disorder criteria, insomnia is not better explained by?

exclusively during the course of another sleep wake disorder, not attributable to effects of a substance, coexisting mental disorder, or medical condition.

What does current data say about benzodiazepines medications as treatments for insomnia?

Can cause excessive sleepiness, or can easily become dependent on them.

Benzodiazepines medications as treatments for insomnia work best as?

Work best as short term solution to prevent rebound insomnia or dependence

What does current data say about over the counter medications as treatments for insomnia?

They can cause rebound insomina

Goal of “Stimulus control” procedures

Goal: to reduce anxiety associated with sleep

“Transdiagnostic Sleep and Circadian Rhythm Intervention for Youth” combines interventions from?

CBT-I, Interventions for Delayed Sleep Phase Type Disorder, Interpersonal and Social Rhythms