Sleep disorders- Insomnia

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Mind Map on Sleep disorders- Insomnia, created by chloehathaway on 04/10/2014.
chloehathaway
Mind Map by chloehathaway, updated more than 1 year ago
chloehathaway
Created by chloehathaway almost 11 years ago
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Resource summary

Sleep disorders- Insomnia
  1. Inability to sleep long term and there is a problem initiating sleep.
    1. Primary insomnia- having sleep problems that are not directly associated with any other health condition such as drug abuse
      1. Secondary insomnia- having sleep problems because of something else. There is a singe underlying medical, psychiatric or environmental cause. In such cases, insomnia is a symptom of the main disorder. E.g. insomnia is a symptom of hear disease Insomnia is typical of people doing shift work- abnormal biological rhythms cause sleepiness at inappropriate times. It may also be the result of environmental factors, such as too much caffeine or alcohol.
        1. Monti 2004 argued that many cases of insomnia could be treated by treating underling causes, such as a medical condition. This suggests that some forms of insomnia are secondary- the result of other illnesses- and are not an illness in themelves.
        2. Evaluation point- Chronic insomnia is highly complex and unlikely to be explained by one single factor. The are number of factors that may contribute to a person's insomnia makes it very difficult to conduct meaningful research because research tends to fond only small effects. This means that research is unlikely to uncover clear solutions to the problem.
          1. Primary V Secondary insomnia- it is important to distinguish between primary and secondary insomnia because of the implication for treatment. If insomnia is a symptom of another disorder then it is important to treat the disorder rather than the insomnia. However, It may not be that simple to work out the causes of a persons insomnia-does depression cause insomnia or does insomnia cause depression. There is a clear problem of cause and effect here.
            1. Savard et al 2003 found fewer immune cells in the bodies of people with chronic insomnia compared with good sleepers. This would make insomniacs more vulnerable to physical illness. However, there is a problem with cause and effect because it could be that stress was the initial cause of insomnia and stress does have a negative effect on the immune system researched by Kiecolt-Glaser et al
          2. Primary insomnia subtypes
            1. 1. Psychophysiological- anxiety-induced insomnia. Intermittent periods of stress resulting in poor sleep. There is a vicious cycle of trying harder to sleep and becoming tenser. Bedroom habits wich condition an individual to response.
              1. IDA- one of the causes of primary insomnia is a persons belief that they are going to have difficulty sleeping. This expectation becomes a self-fulfilling prophecy because the person is tense when trying to sleep. One method to treat this is based on attribution theory. The insomniac has learned that their sleeping difficulty is due to insomnia. If they can be convinced that the source of difficulty is due to something else this will end their dysfunctional attribution. Storm and Nesbitt gave insomniacs a pill and told either the pill would stimulate them or act as a sedative. Those who expected arousal went to sleep faster because they attributed their arousal to the pill and relaxed.
              2. 2. Idiopathic- occurs at an early age, may be due to abnormalities in brain mechanism controlling SWC. t is suggested that there is a brain abnormality that exists in the sleep cycle, causing a person to have high arousal and inability to sleep.
                1. However, there is difficultly in generalising as there are so many types of insomnia attributable to so many different cases that it is nearly impossible to make generalisations that describe all cases of insomnia.
                2. Sleep-state misperception- many people sleep adequately but do not feel it. Some underestimate total seep and overestimate the time it takes to fall asleep. It could be suggested that these discrepancies result from an unclear perception of consciousness and difficultly distinguishing sleep from waking.
                  1. Research to support- Dement- each morning he completed questionnaires estimating how long t took to fall asleep, he reported 1-4 hours but never took longer than 30 minutes.
                    1. There may be a familial link. Asked 256 primary insomniacs to complete a questionnaire on family history. 72.7% had a family link supporting the fact there may be a hederdiatory element. However, subjective self reports should never be relied on such as questionnaires as there may be a element of bias, answering in a way that they think the researcher wants. This therefore results in a undermined validity.
                3. Secondary insomnia causes
                  1. Hormonal changes- in women menstruation. There is a decrease in melatonin production that helps to control sleep. This reduces as people age, this supprts the fact that as we get older we sleep for less time.
                    1. Medical illnesses- may disrupt sleep and cause insomnia, e.g. high blood pressure. Katz studied insomniacs with chronic medical conditions such as diabetes, finding 50% of them suffered from insomnia, 34% from a mild form and 16% severe. This supports that secondary insomnia results from other conditions and is separate from primary insomnia.
                      1. Lifestyle factors- stimulants like caffeine trigger awakenings. Nicotine- smokers take longer to fall asleep. Shift work- hard to maintain sleep due to rotating shift
                        1. Research to support-McClenaghan found that low blood glucose levels are a common cause of maintenance insomnia, where suffers have problems waking throughout the night or waking up too early, with stimulants like tea, coffee and alcohol negatively affecting blood sugar levels. Other foods such as bacon and potatoes stimulate production of adrenaline which can interfere with sleep. Protein rich food assist in production of serotonin and melatonin, which help induce and maintain sleep, suggesting there are good and bad foods related to sleep patterns and that some peoples diet may be a significant factor in their insomnia.
                      2. IDA- research can be considered holisitic because it considers many wide-ranging influences, psychological and physiological such as hormonal fluctuations, personality factors, maladaptive learning experiences and cognitive functioning, this demonstrates the fact that the research can not be considered narrow as all factors are incorporated.
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