DAY 2: INSOMNIA I CIRCADIAN DISORDERS Flashcards
(40 cards)
What are the key criteria for diagnosing insomnia according to Dr. Riemann’s presentation?
The key criteria for diagnosing insomnia are that the sleep disturbance should occur on at least three nights per week and persist for a duration longer than three months. Individuals with insomnia experience difficulty falling asleep, maintaining sleep, or may have early morning awakenings. The sleep disturbance should also cause significant distress or impairments in various areas of functioning during wakefulness.
What therapeutic approach was discussed as valuable for treating insomnia?
Cognitive Behavioral Therapy (CBT) was discussed as a valuable therapeutic approach for treating insomnia.
How is insomnia described in the presentation?
Insomnia is described as a hyperarousal disorder, suggesting that individuals with insomnia may experience heightened levels of physiological and psychological arousal that contribute to their sleep difficulties.
How is insomnia described in the presentation?
Insomnia is described as a hyperarousal disorder, suggesting that individuals with insomnia may experience heightened levels of physiological and psychological arousal that contribute to their sleep difficulties.
How often should the sleep disturbance occur for a diagnosis of insomnia?
The sleep disturbance should occur on at least three nights per week for a diagnosis of insomnia.
How often should the sleep disturbance occur for a diagnosis of insomnia?
The sleep disturbance should occur on at least three nights per week for a diagnosis of insomnia.
What is CBT-1 therapy, and why was it highlighted in the presentation?
CBT-1 therapy is a specific form of Cognitive Behavioral Therapy designed to treat insomnia. It was highlighted as the only effective treatment currently available for insomnia.
What types of research papers were referenced during the presentation on insomnia?
Notable research papers in the field of insomnia were referenced, including the works of Ohayon et al., Calem et al., Léger et al., Schlack et al., and Novak et al. These studies likely provided further insights into the understanding and management of insomnia.
What is the Photic Zeitgeber process discussed in the presentation on circadian rhythm disorders?
The Photic Zeitgeber process revolves around the influence of light on our circadian rhythm. It is the process by which light acts as a time cue to regulate our internal biological clock and synchronize our sleep-wake cycles.
What is the master clock in our body that regulates circadian rhythms?
The master clock in our body that regulates circadian rhythms is the suprachiasmatic nucleus (SCN). It receives signals from our eye cells and sends signals to peripheral and cellular oscillators throughout the body.
How is an individual’s chronotype assessed, and what tool was mentioned for this purpose?
An individual’s chronotype is assessed using the MEQ questionnaire, which helps determine their preferred timing of sleep and wakefulness, offering valuable insights into their circadian rhythm.
How is an individual’s chronotype assessed, and what tool was mentioned for this purpose?
An individual’s chronotype is assessed using the MEQ questionnaire, which helps determine their preferred timing of sleep and wakefulness, offering valuable insights into their circadian rhythm.
What is the significance of measuring DLMO (Dim Light Melatonin Onset) in treating circadian rhythm disorders?
Measuring DLMO provides crucial information about an individual’s melatonin levels and aids in developing an effective intervention plan for circadian rhythm disorders.
How is a melatonin saliva test used in assessing chronotype and melatonin levels?
A melatonin saliva test allows for a more accurate understanding of an individual’s internal clock by measuring melatonin levels at specific times, helping guide treatment decisions for circadian rhythm disorders.
What are the two distinct approaches for treating sleep phase disorders discussed by Dr. Manconi?
For individuals struggling with early sleep phase disorder (advanced sleep phase), light therapy is recommended. For those seeking to shift to an earlier sleep phase, the use of melatonin 1-3mg, coupled with light exposure restrictions, can help synchronize the internal clock with the desired sleep phase.
What is CBT-I, and what does it stand for?
CBT-I stands for Cognitive Behavioral Therapy for Insomnia. It is a therapeutic approach used to treat insomnia and sleep difficulties.
What are the two main guidelines for using the bed in CBT-I?
The two main guidelines are “Bed only for sleep/sex.” In other words, the bed should only be used for sleeping or engaging in sexual activities to create a strong association between the bed and sleep.
What is the sleep restriction protocol in CBT-I, and how does it work?
The sleep restriction protocol involves limiting the time spent in bed to match the actual amount of sleep an individual gets. For example, if someone sleeps an average of 6 hours per night, they would only be allowed to spend 6 hours in bed during the first step of this procedure.
Can you provide an example of how the sleep restriction protocol works in practice?
Sure! Let’s consider a person who goes to bed at 11:00 p.m. and gets out of bed at 8:00 a.m., but they only sleep for about 6 hours per night on average. During the first step of the sleep restriction protocol, this person will be in bed only for 6 hours, from 12:00 a.m. to 6:00 a.m.
Can you provide an example of how the sleep restriction protocol works in practice?
Sure! Let’s consider a person who goes to bed at 11:00 p.m. and gets out of bed at 8:00 a.m., but they only sleep for about 6 hours per night on average. During the first step of the sleep restriction protocol, this person will be in bed only for 6 hours, from 12:00 a.m. to 6:00 a.m.
How does the sleep restriction protocol benefit individuals with insomnia?
The sleep restriction protocol may initially sound harsh, but it helps improve sleep efficiency and decrease the time spent awake in the middle of the night. Over time, it can lead to better sleep quality and reduced insomnia symptoms.
What is plasticity in the context of the brain?
Plasticity refers to the brain’s ability to change and adapt its neural connectivity in response to different situations and experiences.
What is plasticity in the context of the brain?
Plasticity refers to the brain’s ability to change and adapt its neural connectivity in response to different situations and experiences.
How does the brain consolidate information when learning?
When you learn something new, networks of neurons in the brain take time to consolidate the information, meaning they form connections that strengthen the memory.
