module 10 sleep and violence Flashcards

1
Q

persistent insomnia

A

3 nights per week - persists greater than 3 months

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2
Q

episodic insomnia

A

3 nights per week for at least 1 month

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3
Q

Inability to get sleep needed to function effectively during the day

A

Insomnia

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4
Q

Conditions associated with insomnia

A

Increased mortality
poor career performance
overeating
hospitalizations

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5
Q

Incidence and demographics of insomnia

A

33% of Americans have difficulty sleeping
10% meet criteria for insomnia
Highly comorbid with other psych disorders

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6
Q

Risk factors for insomnia

A

female
advanced age
stress
shift work
substances (caffeine, alcohol, benzos)

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7
Q

Hallmark symptoms of OSA

A

snoring and apnea

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8
Q

other symptoms of OSA

A

daytime sleepiness
feeling unrested
headache upon awakening

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9
Q

Consequences of OSA

A

panic attacks
ADHD
Depression
HTN
Accidents

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10
Q

OSA affects what percent

A

children: 2%
Adults: 15-20%

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11
Q

Etiology of OSA

A

small nasopharynx
tonsillar tissue in children
Obesity

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12
Q

Flurazepam (Dalmane)

A

long lasting
avoid in older adults
causes excess drowsiness

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13
Q

Benzos for insomnia

A

flurazepam (long lasting) Dalmane
temazepam (intermediate acting) Restoril
Trazolam (short acting) Halcion

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14
Q

Nonbenzo hypnotics

A

Zaleplon (Sonata)
Zolpidem (Ambien)
Eszopiclone (Lunesta)
Rozerem
Suvorexant (Belsomra)
Orexin antagonist

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15
Q

melatonin receptor agonist

A

Rozerem

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16
Q

Suppresses wakefulness

A

Orexin antagonist (suvorexant)

17
Q

Useful for initial or middle phase insomnia

A

Zaleplon (Sonata)

18
Q

Ultra-short half life

A

Zaleplon (Sonata)

19
Q

Must allow 8 hours before planned awakening

A

Zolpidem

20
Q

Short half life hypnotic

A

Zolpidem

21
Q

Intermediate acting hypnotic

A

Eszopiclone

22
Q

Antidepressants used for insomnia

A

amitriptyline
doxepin
mirtazapine
trazodone

23
Q

avoid use in older adults

A

doxepin
flurazepam

24
Q

avoid in OSA

A

benzos

25
Q

Goals of abuser

A

Power
manipulation
intimidation
control

26
Q

characteristics of abusers

A

Antisocial
Narcissistic
Borderline

27
Q

Environmental stressors of abusers

A

financial
relationship
unemployment

28
Q

Incidence and demographics of IPV

A

leading cause of death for AA women 15-24
leading cause of injury to women 15-44
50% of homeless women experience IPV

29
Q

percent of female high school students reporting IPV
percent of pregnant women reporting IPV

A

highschool: 10%
pregnant: 15-25%

30
Q

Risk factors for abusers

A

Exposure to violence at early age
low self esteem
social isolation
lack of support
cognitive impairment
Dependency

31
Q

Traits and behaviors suggestive of abused person

A

fearful
evasive
guarded
depressed
passive
dependent

32
Q

recurrent history consistent with abuse

A

accidents
suspicious or repeated fractures
physical injuries
traumas
refusal of ongoing treatment
missed appointments

33
Q

Likelihood that a person will commit suicide or homicide-focused violence at the extreme

A

lethality

34
Q

Risk factors for suicide 1-5

A

depression
antidepressants (under age 24)
prior attempt
family hx of mental disorder or substance use
family history of suicide

35
Q

Risk factors for suicide 6-10

A

family violence
firearms in the home
incarceration
male (5x more likely)
white male over age 85 (highest rate)