Sleep in Teens Flashcards

(48 cards)

1
Q

What is the TST gap?

A

Difference of total sleep time of adolescents between non-school days and school days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Sleep trends during adolescence (4)

A

delayed bedtimesdelayed rise times on weekendsdecline in TST during weekgreater discrepancy in sleep patterns between weekdays and wekeends

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Need for sleep remains constant, about _____

A

9 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Average teen gets ______ of sleep per night

A

7.5 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Percentage of teens getting _______ of sleep increases with age

A

<7 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Caregiver belief

A

Believe that adolescent gets enough sleep on school nights

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Psychosocial factors affecting teens sleep-deprivation (3)

A

decreased parental monitoring
academic demand
other activities: social, extracurricular, employment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Biological factors affecting teens sleep-deprivation (2)

A

40% decrease in SWS

onset of puberty triggers a preference for eveningness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

_____________ leads to behavioral issues like daytime sleepiness, more caffeine consumption, greater likelihood of non-alcoholic drug use

A

insufficient sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

psychosocial correlates to insufficient sleep are lower _________ and _________, chance of clinical _________, more ________ symptoms

A

self-esteem
life satisfaction
depression
depressive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Most data of insufficient sleep in teens is ________, some ___________ data, and very little ______________ data

A

correlational
longitudinal
experimental

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

______ % of US population over a 12-month period experience teen sleep disturbance

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

_______ of all lifetime mental disorders start by ______ years of age

A

Half

14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

sleep deprivation can cause (6)

A
tiredness
difficulties with focused attention
effects on learning, memory consolidation
irritability and risk taking
difficulties with affect regulation
accidents
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the temporal gap in brain development?

A

During adolescence there is a higher stage due to sharper rise in development in subcortical regions compared to prefrontal regions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

subcortical regions vs prefrontal regions

A

subcortical: emotion, reward seeking, etc
prefrontal: behavior regulation and cognitive control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

There is ___________ and _____________ association between sleep and anxiety and depressive symptoms in youth

A

cross-sectional

longitudinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

____________ consequences in adults from sleep deprivation experiments

A

affective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

evening types have greater … (6)

A
depression/anxiety symptoms
emotional instability
suicidality
aggressive/antisocial behavior, and rule-breaking
poor self-regulation
use of alcohol and nicotine
tendency for impuslivity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

eveningness in 11-18 year olds predicts and predates ________ at 18-24 years

A

emotional distress/depression
criminal activity
alcohol use
drug use

21
Q

What is the bi-directional escalating vicious cycle between?

A

sleep disturbance and mood regulation difficulty

22
Q

When to use CBT in treatment of sleep problems in teens?

A

insomnia cases
hypersomnia
co-morbid and hypersomnia
delayed sleep phase

23
Q

Transdiagnostic approach

A

6 x 50 minute sessions of multiple components

24
Q

TA Session 1

A

Functional analysis, goal setting, motivational interviewing, education

25
TA Session 2-3
behavioral components
26
TA Session 4-5
cognitive components
27
TA Session 6
relapse prevention
28
FID
frequency intensity duration
29
ABC
antecedents behaviors consequences
30
"Wide lens" approach
overview on sleep over past month
31
"Narrow lens" approach
overview on sleep on recent typical night
32
Homework for functional analysis
sleep diary
33
Aim for case formulation
determine thoughts, feelings, coping behaviors
34
Involve _________ in motivational interviewing can reduce conflictual vicious cycle
parents
35
entrainment can be obtained via
meal times, social cues, temperature, light
36
________ promotes sleepiness
melatonin
37
Melatonin is secreted by the ______________
pineal gland
38
Melatonin is _________ by light and __________ by darkness
inhibited, permitted
39
Goal of behavioral component: minimize fluctuation in ___________ cycle
sleep-wake
40
Owls can shift bedtime forward _________ minutes per week
20-30
41
Sleep Restriction Therapy
Pre: keep sleep diary for 7-14 days Then: calculation TST and TIB for each night, and SE Therapy: 1. cut bedtime to actual amount slept 2. prohibit sleep outside hours (30 min nap allowed before 3pm) 3. based on average of 5 nights, when SE is >85%, increase bedtime by 15 minutes
42
Stimulus Control Therapy
Go to bed only when sleepy Use bed only for sleeping If unable to sleep in 20 mins, move to another room and stay up until sleepy Awaken at same time every morning regardless of TST Do not nap
43
Wind-down period
``` 30-60 minutes relaxing activities reduce light highly individualized regularized ```
44
Sleep is like a __________ not a ___________
dimmer | lightswitch
45
Sleep inertia
universal feeling of grogginess occurring for the first hour upon waking
46
Wake-up is an ______, must be _______
anchor | brisk
47
Improving sleep improves ____________ functioning and reduce range of ______ among teens
emotional | risks
48
Sleep treatment may also _____________________ of comorbid psychiatric disorders
reduce symptoms and processes