Sleep

Question 1

How common is disrupted sleep and what is sleep quality?

Answer 1

Aus 40$ inadequate, 9% diagnosis of primary sleep disorder

Sleep quality: multidimensional- duration, timing, efficient, disturbances, breathing, perceived quality

Question 2

What are the consequences of poor sleep?

Answer 2

Obesity: linked to short and long sleep durations- daytime sleepiness effects prefrontal regulation of food intake
Occupational health: absenteeism, safety, engagement

Question 3

What are sleep disorders, how are they diagnosed and how may they be treated?

Answer 3

over 10% of population, frequency increases with age. Effects on daytime functioning, life quality and high risk of comorbidities. Can be representation of prodromal expression of mental illness.

Accurate diagnosis: sleep diary, polysomnography

Treatment: pharmacological, relaxation/CBT, phsyical- seep equipment, weight loss, treatment of co-occurring condition

Question 4

What is insomnia and what are the consequences?

Answer 4

30% of adults have symptoms at some stage, more common in women, very often comorbid.
Dissatisfaction with sleep, causing distress at least three night per week for 3 months
Consequences: daytime fatigue, irritability, anxiety , high BP

Question 5

What is Narcolepsy and how is it treated?

Answer 5

Recurrent periods of irrepressible need to sleep- can involve cataplexy (sudden loss of muscle tone->paralysis), REM sleep latency less than 15mins
. May have genetic link
Treatment: lifestyle factors (sleep routines, regular naps), psychotropic meds
Cataplexy- carers, stimulus control (brought on by intense emotion), antidepressants