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PSY 478 Insomnia

by: Taylor Russell

PSY 478 Insomnia PSY 478

Taylor Russell
GPA 3.7

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About this Document

Week and a half worth of notes on Insomnia and Behavior treatments
Sleep and Sleep Disorders
Dr. Peck
Psychology, neuroscience, sleep, Sleep Disorders
75 ?




Popular in Sleep and Sleep Disorders

Popular in Psychlogy

This 2 page Bundle was uploaded by Taylor Russell on Monday March 7, 2016. The Bundle belongs to PSY 478 at University of Arizona taught by Dr. Peck in Spring 2016. Since its upload, it has received 30 views. For similar materials see Sleep and Sleep Disorders in Psychlogy at University of Arizona.


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Date Created: 03/07/16
PSY 478 Insomnia Pittsburgh Sleep Quality index  Lists and calculates some major sleep issues o Sleep quality, latency, duration, disturbances o Sleep efficiency (Time spent asleep/time in bed Prevalence of Insomnia  1 month- lifetime  2-3 week- lifetime  No insomnia-lifetime DSM-V  Dissatisfaction with sleep quantity or quality o Initiating sleep o Maintaining sleep o Early awakening  Sleep disturbances cause significant distress of impairment  Difficulty occurs at least 3 nights per week and is present for at least 3 months ICSD- Psychophysiological Insomnia  A complaint of insomnia with decreased function during wake  Sleep- preventing associations are found to include o Trying too hard o Conditioned arousal to sleep related environment  Patient may be o Agitated, tense, vasoconstricted  PSG shows o Sleep latency, reduced efficiency, increased wakenings Daytime impairment in Insomnia  Fatigue, malaise, attention impairment, mood distrubances, reduce3d motivation, tension etc.  Consequences on: physical function, bodily pain, social function, vitality, more likely to get into an accident, more likely to miss work, health related costs Mental Health  Depression and anxiety correlated with insomnia  Causal relationship Paradoxical Insomnia  PSG is normal, but you FEEl like you are not getting any sleep Fatal Familial Insomnia  Rare genetic disease, become comatose and die, result of lack of a circadian rhythm Behavioral Treatments for Insomnia How we measure sleep  Sleep diary  Self report  Actiwatch (records wrist movements in sleep)  PSG Classical Conditioning  Biofeedback, “anything that can be measured can be changed” Sleep hygiene  Sleep to feel refreshed but not more  Set regular wake time  Exercise regularly  Minimize noise  Room temp slightly cooler Hauri:  Sleep aid occasionally okay  Avoid caffeine in afternoon  Alcohol disrupts sleep maintenance  Tobacco disrupts Stimulus Control  Most effective way to change your sleep  Lie down only when sleepy, wake at same time every morning, if you cant sleep get up and go to another room Sleep Restriction Therapy (SRT)  Track sleep  Determine a consistent wake up time  Calculate a total time in bed  Each week advance bedtime by 15 minutes Sleep Compression (reduces time in bed) CBT (Thought and behavior and such) Four Factor Model  Predisposing= Risk Factors  Precipitating= What causes the Insomnia?  Perpetuating= What Keeps it going?  Conditioned Arousal o CBT works for insomnia!!!!!


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