Lecture_23_Class+Copy (1).pptx

Lecture_23_Class+Copy (1).pptx - Psychopathology Lecture 23...

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Psychopathology Lecture 23
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News, question, concerns
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Review from last lecture 4 stages of Sleep Dyssomnias Insomnia Hypersomnolence Narcolepsy Breathing related sleep d/os
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Parasomnias Abnormal events occurring during sleep Grinding teeth Sleepwalk Night terrors Nightmares
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Nightmare D/o: Criteria A. Repeated occurrences of extended, extremely dysphoric, and well-remembered dreams that usually involve efforts to avoid threats to survival, security or physical integrity and occur during the second half of the major sleep episode B. On awakening from the dysphoric dreams, the person rapidly becomes oriented and alert C. The sleep disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning D. The nightmare symptoms are not attributable to the physiological effects of a substance (e.g drug or substance) E. Co-existing mental and medical d/os do not adequately explain the predominant complaint of dysphoric dreams
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Nightmare d/o specifications Mild: less than one episode per week on average Moderate: One or more episodes per work on average, but not nightly Severe: nightly
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Nightmare d/o Occurs during REM sleep Prevalence is unknown Common in children age 3-5 (10-50%) Approximately 9-30% of adults experience them regularly Some evidence suggests that it’s more common in females
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Discussion
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Sleep Terrors Most common in children (about 6%) More common in boys Much less common in adults (2%) Potential genetic ties
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