Chapter 11 Flashcards
DSM-SLEEP DISTURBANCES
DSMI- Somnambulism
DSMII-Disorder of sleep
DSMIII- Sleep waking disorder and sleep terror
DSM III- Sleep disorders
DSM IV- Narcolepsy and breathing-related disorders
Associated features of Insomnia Disorder
- Inability to fall asleep or remain asleep
- Waking up not feeling refreshed
- Most common sleep complaint
- Acute or chronic Insomnia
Frequency of Insomnia disorder
-Onset insomnia
-Maintenance Insomnia
-Terminal Insomnia
Causes of Insomnia Disorder
-Sleep stage physiology
-Stress and worry
-Jet lag/shift of work
-Depression and anxiety
What is the major changes of DSM IV and V with Insomnia disorder?
-DSM IV (Primary insomnia) (Insomnia related to another mental disorder) (Sleep disorder due to another medical condition)
DSM V- Insomnia Disorder
Excessive sleepiness
Hypersomnolence
Hypersomnolence disorder associated features
-Is not due to insufficient sleep or fatigue
- No difficulty falling asleep
- Confusional arousal during awakening
-Return to normal after 30-60 mins
-Nonrestorative sleep
What is hypersomnolence called in DSM IV?
Hypersomnia
What is Narcolepsy?
-Excessive daytime sleepiness and sudden onset of REM sleep
-Inability to stay awake for too long
-Onset age: 15-25yrs or 30-35 but can begin at any age
Associated features of Narcolepsy
-Extreme drowsiness every 3-4hrs
-Dream hike hallucination
-Sleep paralysis
-Cataplexy
-Sleep attacks
Etiology of Narcolepsy
-Hypocretin
-Low levels of hypocretin-1
-Loses of over 80% hypocretin
-Autoimmune process
What are the 3 breathing-related sleep disorders?
-Obstructive sleep apnea hypopnea
-Central sleep apnea
-Sleep-related hypoventilation
What is Apnea?
-Pause in breathing
-90% drop in airflow for 10 seconds
-minus 3% oxygen drop
Hypopnea
-Abnormally slow or shallow breathing
-30% drop in airflow for 10 seconds
-minus 3%oxygen drop
Diagnostic criteria for obstructive sleep apnea hypopnea
-Evidence of polysomnography
-Nocturnal sleep disturbances
-Daytime sleepiness, fatigue
Occurs when the brain’s area that controls your breathing does not function correctly during sleep?
Central sleep Apnea
Etiology of Central sleep Apnea
-Brainstem problem
-Severe obesity
-Medication(drugs)
Decreased respiration activity
Sleep-related hypoventilation
It is a persistent or recurring pattern of sleep disruption resulting either from an altered sleep-wake schedule or from natural sleep-wake
Circadian Rhythm sleep-wake disorder
Abnormal behavior, experiential, or physiological events occuring in association with sleep, specific sleep stages, or sleep-wake transitiions
Parasomnias
2 types of Non-rapid eye movement sleep arousal disorders (Parasomnias)
Sleep walking and Sleep terror
Is characterized by recurrent dreams that feel threatening or frightening.
Nightmare disorder
is a sensorimotor, neurological disorder characterized by a desire to move the legs or arms.
Restless leg syndrome
