Sleeping Disorders Week 12

Question 1

What are the main types of elimination disorders?

Answer 1

Enuresis, Encopresis Other Specified Elimination Disorder, and Unspecified Elimination Disorder.

Question 2

defined as the repeated voiding of urine into bed or clothes, either involuntarily or intentionally.

Answer 2

Enuresis.

Question 3

involves passing urine only during nighttime sleep,

Answer 3

Nocturnal Enuresis

Question 4

diurnal Enuresis

Answer 4

involves passing urine during waking hours.

Question 5

characterized by repeated passage of feces into inappropriate places, with an occurrence of at least one such event each month for at least 3 months.

Answer 5

Encopresis

Question 6

dissatisfaction with sleep quantity or quality, the sleep disturbance causing significant distress or impairment, occurring at least three nights per week for at least 3 months, and the difficulty occurring despite adequate opportunity for sleep.

Answer 6

insomnia

Question 7

refers to the overall balance of sleep and wakefulness during a night of sleep, evaluating how consolidated or disrupted the sleep is.

Answer 7

sleep continuity

Question 8

distinguished by recurrent periods of irrepressible need to sleep or lapsing into sleep during the day and may include episodes of cataplexy,

Answer 8

Narcolepsy

Question 9

does not involve cataplexy. characterized by excessive sleepiness despite at least 7 hours of sleep, recurrent periods of sleep or lapses during the day, and significant distress or impairment in important areas of functioning.

Answer 9

hypersomnolence

Question 10

defined as an urge to move the legs, often accompanied by uncomfortable sensations, that begins or worsens during periods of rest and is usually worse in the evening or at night.

Answer 10

restless leg syndrome

Question 11

disorders characterized by abnormal behavioral, experiential, or physiological events that occur in association with sleep, specific sleep stages, or sleep-wake transitions.

Answer 11

parsomnia

Question 12

is characterized by repeated occurrences of well-remembered distressing dreams, usually involving threats to safety, occurring during the second half of the sleep episode.

Answer 12

Nightmare Disorder

Question 13

a treatment modality that focuses on modifying behaviors within family interactions and enhancing communication patterns to address dysfunctional family dynamics.

Answer 13

behavioral family therapy

Question 14

Amount of REM sleep and distribution of sleep stages

Answer 14

sleep architecture

Question 15

Which of the following conditions is defined as a delay in sleep onset and awakening times?

Answer 15

Delayed sleep phase type

Question 16

WHY ARE SLEEP DISORDERS IN THE
DSM?

Answer 16

Sleep disorders are often accompanied by depression,
anxiety, and cognitive changes that must be addressed in
treatment planning and management. Furthermore,
persistent sleep disturbances (both insomnia and excessive
sleepiness) are established risk factors for the subsequent
development of mental illnesses (including substance use
and non–substance use disorders) and other medical
conditions. They may also represent a prodromal expression
of an episode of mental illness, allowing the possibility of
early intervention to preempt or to attenuate a full-blown
episode. They may also negatively impact our partner

Question 17

why are sleep disorders important for us?

Answer 17

A review of multiple studies found that the symptom of insomnia may
increase the risk for suicidal thoughts, suicidal behavior, and death,
even after adjustment for depression, and that nightmares increase
risk for suicidal thoughts and behavior (Bernert and Nadorff 2015). In
one study of college students, 31.3% of those with sleep problems had
suicidal thoughts, and conversely, nearly all (82.7%) individuals with
suicidal thoughts had sleep problems (Becker et al. 2018). A review and
consensus statement of the American Academy of Sleep Medicine
concluded that in teenagers, < 8 hours of sleep is associated with
increased risk of self-harm, suicidal thoughts, and suicidal behavior
(Paruthi et al. 2016).