module 10 sleep and violence

Question 1

persistent insomnia

Answer 1

3 nights per week - persists greater than 3 months

Question 2

episodic insomnia

Answer 2

3 nights per week for at least 1 month

Question 3

Inability to get sleep needed to function effectively during the day

Answer 3

Insomnia

Question 4

Conditions associated with insomnia

Answer 4

Increased mortality
poor career performance
overeating
hospitalizations

Question 5

Incidence and demographics of insomnia

Answer 5

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

Question 6

Risk factors for insomnia

Answer 6

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

Question 7

Hallmark symptoms of OSA

Answer 7

snoring and apnea

Question 8

other symptoms of OSA

Answer 8

daytime sleepiness
feeling unrested
headache upon awakening

Question 9

Consequences of OSA

Answer 9

panic attacks
ADHD
Depression
HTN
Accidents

Question 10

OSA affects what percent

Answer 10

children: 2%
Adults: 15-20%

Question 11

Etiology of OSA

Answer 11

small nasopharynx
tonsillar tissue in children
Obesity

Question 12

Flurazepam (Dalmane)

Answer 12

long lasting
avoid in older adults
causes excess drowsiness

Question 13

Benzos for insomnia

Answer 13

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

Question 14

Nonbenzo hypnotics

Answer 14

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

Question 15

melatonin receptor agonist

Answer 15

Rozerem

Question 16

Suppresses wakefulness

Answer 16

Orexin antagonist (suvorexant)

Question 17

Useful for initial or middle phase insomnia

Answer 17

Zaleplon (Sonata)

Question 18

Ultra-short half life

Answer 18

Zaleplon (Sonata)

Question 19

Must allow 8 hours before planned awakening

Answer 19

Zolpidem

Question 20

Short half life hypnotic

Answer 20

Zolpidem

Question 21

Intermediate acting hypnotic

Answer 21

Eszopiclone

Question 22

Antidepressants used for insomnia

Answer 22

amitriptyline
doxepin
mirtazapine
trazodone

Question 23

avoid use in older adults

Answer 23

doxepin
flurazepam

Question 24

avoid in OSA

Answer 24

benzos

Question 25

Goals of abuser

Answer 25

Power manipulation intimidation control

Question 26

characteristics of abusers

Answer 26

Antisocial Narcissistic Borderline

Question 27

Environmental stressors of abusers

Answer 27

financial relationship unemployment

Question 28

Incidence and demographics of IPV

Answer 28

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

Question 29

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

Answer 29

highschool: 10% pregnant: 15-25%

Question 30

Risk factors for abusers

Answer 30

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

Question 31

Traits and behaviors suggestive of abused person

Answer 31

fearful evasive guarded depressed passive dependent

Question 32

recurrent history consistent with abuse

Answer 32

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

Question 33

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

Answer 33

lethality

Question 34

Risk factors for suicide 1-5

Answer 34

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

Question 35

Risk factors for suicide 6-10

Answer 35

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