Insomnia
- Created by: Molly
- Created on: 03-12-12 19:25
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- Insomnia
- diagnostic for insomnia
- definition: problems falling asleep, maintaining sleep and reductions in sleep quality.
- sleep onset latency of more than 30 mins (time taken to fall asleep)
- sleep efficiency of less than 85% (time in bed actually spent asleep)
- increased number of night time awakenings
- symptoms occuring 3 or more times a week
- transient insomnia lasts less than one week
- shrot term insomnia lasts for between one and 4 weeks.
- chronic insomnia lasts for more than one month
- primary insomnia
- chronic insomnia occuring in the absense of any psychological or physical condition that might explain it.
- idiopathic insomnia most severe form of primary insomnia. and effectively lifelong. learn to live with it. extremelly rare
- no clear explanations, can be caused by some basic malfuncition in our sophsiticated sleep control systems.
- secondary insomnia
- chronic insomnia that can be exlpained by a pre existing psychological or physical condition.
- psychological disorders such as depression, anxiety, schizophrenia can cause it. 40% of insomnia patients have an associated psychological disorder
- medical conditions such as heart failure and asthma can lead to insomnia
- drug use can lead to insomnia, stimulants and alcohol.
- sleep apnea and sleep walking linked to insomnia
- treatments
- drugs
- if insomnia is a secondary response to anxiety of depression drugs are used.
- sleeping pills reduce sleep quality disrupting normal ultradian pattern or REM and NREM.
- stimulus control therapy
- based on the idea insomnia is a learned response
- only go to bed when sleepy, only using bed for sleep, waking and getting up at the same time every morning, not taking naps during day.
- CBT
- causes of insomnia discussed
- over arousal
- progressive muscle relaxtion and imagery techniques.
- drugs
- GREGORY ET AL (2006) FAMILY CONFLICT AND INSONIA
- clinical anxiety cause of secondary insomnia, neuroticism personality trait of anxiety
- diagnostic for insomnia
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