PSY 4327 Lecture Notes - Lecture 14: Stress Management, Restless Legs Syndrome, Dementia

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10 Aug 2016
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Somniloquy (speaking in your sleep)
• Can happen REM or NREM
• Can be incoherent, complete sentences, rarely makes much sense.
• No evidence that it is linked to dreams
• Harmless, unless you have bed partners that are annoyed with it
• Common in children (50%) and adults (5%)
• Runs in families
• Makes for a good dramatic plot device in fiction novels but rarely gives any insights in real life
Night Terrors
• Happens in SWS, first third of the night.
• Sit up in bed, screaming or shouting. Eyes are wide open and expression is terrified. Rarely
makes sense, cannot hear/understand people (person is asleep). May or may not run.
Wake slowly, confused. May or may not remember a nightmare.
Common in children (6.5% of kids) 4-12. They grow out of it. Rare to see it in adults.
• Same risks as sleepwalking, same treatment: sort out other issues or wait for them to grow out
of it.
Confusional Arousals (exaggerated form of waking up from SWS)
• Wake form SWS confused, out of it, can be aggressive or incoherent for up to 15 minutes
• Self test:
• Hassomeonetoldyouthatyouactinawaythatisstrangeorconfusedwhentheywakeyou? •
Hasthisbehaviorbeendescribedasbeinghostileoraggressive?
• Havetheseactionsbeeninappropriateinanyway?
• Isthisapatternofbehaviorthatoccursonaregularbasis?
Common in children, usually grow out of it (as with most SWS dossorders)
In the morning it’s called “severe sleep inertia” and can happen every day for years, causing
problems i.e. sleeping through alarm clock
• Treatment in adults includes sleeping more, cutting out alcohol, sleeping pills, and
antidepressants.
Sleep Related Eating Disorder
• Compulsive eating/drinking after waking in the night. Fast.
• May or may not be alert / remember it. Often become aggressive or violent if prevented.
• Targets are usually high calorie food but can also be weird, inedible, or toxic substances.
Sloppy prep can cause injuries.
• Can cause obesity, indigestion, shame, overcompensation, sleep deprivation.
• More common in women. Shows up in 20s. Can be caused by medication for depression, other
sleep disorders. Risk factors include narcolepsy, stress, dieting / eating disorders, ending
alcohol/smoking.
• Treated with meds, more sleep, changing existing meds.
Nightmares
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