--------- insomnia is when someone's having sleep problems due to something else - there's a single, underlying medical, psychiatric or environmental cause.
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Card 7
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Secondary insomnia is a ------- of the main disorder (it comes second, after the main disorder) - e.g. insomnia is a characteristic of illness, such as depression (medical condition is first & is the underlying cause of the insomnia).
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Card 8
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Insomnia is typical of people who do ----- work or who have circadian rhythm disorders, such as phase delay syndrome, where abnormal biological rhythms cause sleepiness at inappropriate times.
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Card 9
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Older people tend to be more likely to experience insomnia because of ---------- when sleeping due to, for example, rheumatism - they also have more difficulty sleeping due to reduced sleep (SWS) & therefore are more easily awoken.
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Card 10
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Insomnia may be the result of ------------- factors, such as too much caffeine or alcohol.
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Card 11
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Other sleep disorders (-----------) like apnoea can cause insomnia.
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Card 12
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It's important to ---------- between primary & secondary insomnia because of the implications for treatment - if insomnia is a symptom of another disorder then it's important to treat the disorder, not the symptom (insomnia).
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Card 13
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It may not be that ------ to work out the cause of a person's insomnia - does depression cause insomnia or does insomnia cause depression?
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Card 14
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Who studied almost 15,000 Europeans & found that insomnia more often preceded rather than followed cases of mood disorders? This shows that in some cases it might be helpful to treat the insomnia regardless of it being primary or secondary.
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Card 15
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--------- impairment may be a consequence of insomnia (e.g. memory loss & poor concentration throughout the day).
