module 10 sleep and violence Flashcards
persistent insomnia
3 nights per week - persists greater than 3 months
episodic insomnia
3 nights per week for at least 1 month
Inability to get sleep needed to function effectively during the day
Insomnia
Conditions associated with insomnia
Increased mortality
poor career performance
overeating
hospitalizations
Incidence and demographics of insomnia
33% of Americans have difficulty sleeping
10% meet criteria for insomnia
Highly comorbid with other psych disorders
Risk factors for insomnia
female
advanced age
stress
shift work
substances (caffeine, alcohol, benzos)
Hallmark symptoms of OSA
snoring and apnea
other symptoms of OSA
daytime sleepiness
feeling unrested
headache upon awakening
Consequences of OSA
panic attacks
ADHD
Depression
HTN
Accidents
OSA affects what percent
children: 2%
Adults: 15-20%
Etiology of OSA
small nasopharynx
tonsillar tissue in children
Obesity
Flurazepam (Dalmane)
long lasting
avoid in older adults
causes excess drowsiness
Benzos for insomnia
flurazepam (long lasting) Dalmane
temazepam (intermediate acting) Restoril
Trazolam (short acting) Halcion
Nonbenzo hypnotics
Zaleplon (Sonata)
Zolpidem (Ambien)
Eszopiclone (Lunesta)
Rozerem
Suvorexant (Belsomra)
Orexin antagonist
melatonin receptor agonist
Rozerem