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Psych 133 Sleep > Sleep in Teens > Flashcards

Sleep in Teens Flashcards

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1
Q

What is the TST gap?

A

Difference of total sleep time of adolescents between non-school days and school days

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2
Q

Sleep trends during adolescence (4)

A

delayed bedtimesdelayed rise times on weekendsdecline in TST during weekgreater discrepancy in sleep patterns between weekdays and wekeends

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3
Q

Need for sleep remains constant, about _____

A

9 hours

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4
Q

Average teen gets ______ of sleep per night

A

7.5 hours

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5
Q

Percentage of teens getting _______ of sleep increases with age

A

<7 hours

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6
Q

Caregiver belief

A

Believe that adolescent gets enough sleep on school nights

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7
Q

Psychosocial factors affecting teens sleep-deprivation (3)

A

decreased parental monitoring
academic demand
other activities: social, extracurricular, employment

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8
Q

Biological factors affecting teens sleep-deprivation (2)

A

40% decrease in SWS

onset of puberty triggers a preference for eveningness

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9
Q

_____________ leads to behavioral issues like daytime sleepiness, more caffeine consumption, greater likelihood of non-alcoholic drug use

A

insufficient sleep

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10
Q

psychosocial correlates to insufficient sleep are lower _________ and _________, chance of clinical _________, more ________ symptoms

A

self-esteem
life satisfaction
depression
depressive

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11
Q

Most data of insufficient sleep in teens is ________, some ___________ data, and very little ______________ data

A

correlational
longitudinal
experimental

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12
Q

______ % of US population over a 12-month period experience teen sleep disturbance

A

30

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13
Q

_______ of all lifetime mental disorders start by ______ years of age

A

Half

14

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14
Q

sleep deprivation can cause (6)

A 
tiredness
difficulties with focused attention
effects on learning, memory consolidation
irritability and risk taking
difficulties with affect regulation
accidents
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15
Q

What is the temporal gap in brain development?

A

During adolescence there is a higher stage due to sharper rise in development in subcortical regions compared to prefrontal regions

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16
Q

subcortical regions vs prefrontal regions

A

subcortical: emotion, reward seeking, etc
prefrontal: behavior regulation and cognitive control

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17
Q

There is ___________ and _____________ association between sleep and anxiety and depressive symptoms in youth

A

cross-sectional

longitudinal

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18
Q

____________ consequences in adults from sleep deprivation experiments

A

affective

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19
Q

evening types have greater … (6)

A 
depression/anxiety symptoms
emotional instability
suicidality
aggressive/antisocial behavior, and rule-breaking
poor self-regulation
use of alcohol and nicotine
tendency for impuslivity
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20
Q

eveningness in 11-18 year olds predicts and predates ________ at 18-24 years

A

emotional distress/depression
criminal activity
alcohol use
drug use

21
Q

What is the bi-directional escalating vicious cycle between?

A

sleep disturbance and mood regulation difficulty

22
Q

When to use CBT in treatment of sleep problems in teens?

A

insomnia cases
hypersomnia
co-morbid and hypersomnia
delayed sleep phase

23
Q

Transdiagnostic approach

A

6 x 50 minute sessions of multiple components

24
Q

TA Session 1

A

Functional analysis, goal setting, motivational interviewing, education

25
Q

TA Session 2-3

A

behavioral components

26
Q

TA Session 4-5

A

cognitive components

27
Q

TA Session 6

A

relapse prevention

28
Q

FID

A

frequency
intensity
duration

29
Q

ABC

A

antecedents
behaviors
consequences

30
Q

“Wide lens” approach

A

overview on sleep over past month

31
Q

“Narrow lens” approach

A

overview on sleep on recent typical night

32
Q

Homework for functional analysis

A

sleep diary

33
Q

Aim for case formulation

A

determine thoughts, feelings, coping behaviors

34
Q

Involve _________ in motivational interviewing can reduce conflictual vicious cycle

A

parents

35
Q

entrainment can be obtained via

A

meal times, social cues, temperature, light

36
Q

________ promotes sleepiness

A

melatonin

37
Q

Melatonin is secreted by the ______________

A

pineal gland

38
Q

Melatonin is _________ by light and __________ by darkness

A

inhibited, permitted

39
Q

Goal of behavioral component: minimize fluctuation in ___________ cycle

A

sleep-wake

40
Q

Owls can shift bedtime forward _________ minutes per week

A

20-30

41
Q

Sleep Restriction Therapy

A

Pre: keep sleep diary for 7-14 days
Then: calculation TST and TIB for each night, and SE
Therapy:
1. cut bedtime to actual amount slept
2. prohibit sleep outside hours (30 min nap allowed before 3pm)
3. based on average of 5 nights, when SE is >85%, increase bedtime by 15 minutes

42
Q

Stimulus Control Therapy

A

Go to bed only when sleepy
Use bed only for sleeping
If unable to sleep in 20 mins, move to another room and stay up until sleepy
Awaken at same time every morning regardless of TST
Do not nap

43
Q

Wind-down period

A 
30-60 minutes
relaxing activities
reduce light
highly individualized
regularized
44
Q

Sleep is like a __________ not a ___________

A

dimmer

lightswitch

45
Q

Sleep inertia

A

universal feeling of grogginess occurring for the first hour upon waking

46
Q

Wake-up is an ______, must be _______

A

anchor

brisk

47
Q

Improving sleep improves ____________ functioning and reduce range of ______ among teens

A

emotional

risks

48
Q

Sleep treatment may also _____________________ of comorbid psychiatric disorders

A

reduce symptoms and processes

Psych 133 Sleep (9 decks)

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