sleeping well 1 by psychologist sivert straume presented at rcnuwc flekke, sunnfjord, norway...
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Sleeping wellSleeping well
1
by psychologist Sivert Straumepresented at RCNUWC
Flekke, Sunnfjord, Norway 01.11.2010
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The presenterThe presenterSivert Straume
Psychologist
Sleep research
Clinical work, Aleris medical centre, Bergen
Aleris
Biggest private health and care enterprice in Scandinavia
Sleep school
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Sleep. ConclusionSleep. ConclusionSleep is important
Follow some sleep advices
Don´t worry about your sleep
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SleepSleep
muscle relaxation
altered physiological processes
ignoring the surrounding environment
altered brain activity
an altered state of consciousness
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Normal sleepNormal sleep
6-9 hours a night?
Well-being, good mood, adequate alertness, good health
A natural process
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InsomniaInsomnia
«A condition of unsatisfactory quantity and/or quality of sleep, which persists for a considerable period of time, including difficulty falling asleep, difficulty staying asleep, or early final wakening»
(Nonorganic Insomnia in ICD-10)
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Causes of insomniaCauses of insomnia
Depression
Anxiety
Somatic disorders and pain
Environmental factors
Vicious circles of behaviour and cognition
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Sleep apneaSleep apneaDuring sleep:
Snoring
Choking or gasping
Long pauses in breathing
Daytime sleepiness
Waking up with a dry mouth or sore throat
Morning headaches
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Behaviourally induced Behaviourally induced insufficient sleep insufficient sleep
syndromesyndrome
exessive daytime sleepiness
short sleep duration
considurably longer sleeping in weekends
voluntary, but unintentional
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Pseudo-insomniaPseudo-insomnia
Worrying about sleeping to little, while actually sleeping sufficiently.
Exaggerated beliefs about sleep need
Sleep-state misinterpretation
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Environmental sleep Environmental sleep disorderdisorder
Lying awake due to the bad sleeping environment
Typically sleeping partner´s snoring
«Noice in the room, outside the building and in the room next door»
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Poor sleep, Poor sleep, consequencesconsequences
Short-term
Sleepiness
Fatigue
Reduced alertness
Bad mood
Reduced learning
Long-term
Depression
Anxiety
Weight gain
High blood pressure
Disability
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Sleep. ConclusionSleep. ConclusionSleep is important
Follow some sleep advices
Don´t worry about your sleep
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Sleep - a natural Sleep - a natural processprocess
Sleepiness factors:
Sleep drive
Internal clock
Wakefulness factors
Physiological
Emotional
Cognitive
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«Calculating» «Calculating» sleepinesssleepinessSleep drive
+Internal clock
- Physiological arousal
- Emotional arousal
- Cognitive arousal
= Sleepiness
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Insomnia, vicious Insomnia, vicious circlescircles
negative emotions associated with bed and bedtime
exaggerated beliefs about the negative consequences of sleep loss
dysfunctional compensatory strategies
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Advices for good Advices for good sleepingsleeping
Sleep hygiene
Stimulus control
Sleep restriction
Cognitive therapy
Relaxation techniques
http://www.medicinenet.com/insomnia/page5.htm#stimulushttp://www.lommelegen.no/sovn/1
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Sleep hygieneSleep hygieneSleep as much as possible to feel rested, then get out of bed (do not over-sleep).
Maintain a regular sleep schedule.
Do not force yourself to sleep.
Do not drink caffeinated beverages in the afternoon or evening.
Do not drink alcohol prior to going to bed.
Do not smoke, especially in the evening.
Adjust the bedroom environment to induce sleep.
Do not go to bed hungry.
Resolve stress and anxiety before going to bed.
Exercise regularly, but not 4-5 hours prior to bed time.
http://www.medicinenet.com/insomnia/page4.htm#sleep20
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Stimulus controlStimulus controlUse the bed only for having sex and sleeping, not working, reading, watching TV, eating, or other mentally stimulating activities.
Go to bed only when you feel ready to sleep.
Turn off the lights and all the noise in and around the bedroom.
Get up at the same time every morning to avoid over-sleeping.
If you do not fall asleep longer than 20 minutes after going to bed, get up and try some relaxation techniques until you are ready to sleep again.
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http://www.medicinenet.com/insomnia/page5.htm#stimulus
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Sleep restrictionSleep restrictionCareful assesment of sleep pattern with a sleep diary
Calculating and planning a new sleep schedule with less time in bed
Adjusting sleep schedule to allow gradually more bed-time as sleep efficiency improve
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Cognitive therapyCognitive therapyUnrealistic conceptions about sleep
Erroneous conceptions of the sleep problem
Erroneous beliefs about the consequences of sleep-loss
Misinterpretation of day-time functioning, for instance by interpreting all negative incidences as caused by the sleep-loss.
Erroneus beliefs about the causes of sleeplessness
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Sleep. ConclusionSleep. ConclusionSleep is important
Follow some sleep advices
Don´t worry about your sleep
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Reasons not to worryReasons not to worry
Biology is on your side.
Sleep is important, not crucial.
Our body compensates for lost sleep
Trancient insomnia is normal.
Treatment is available
Worrying will not help you
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How to deal with How to deal with worryingworrying
Distraction (pleasant thought)
Mindfulness
Constructive problem solving
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Sleep. ConclusionSleep. ConclusionSleep is important
Follow some sleep advices
Don´t worry about your sleep
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Seasonal Seasonal affective affective disorderdisorder✴Depressive symptoms
✴Controversial diagnosis
✴Light therapy
Useful links:About SAD•(in Norwegian): http://www.sv.uit.no/seksjon/psyk/LYSBEHANDLING.htm•(in English) http://depression.about.com/od/sad/a/besttreatment.htmSelf-help organization: http://www.sada.org.uk/Light therapy lamps:•http://www.pixmania.com/no/no/1786636/art/lanaform/genial-light-67220.html•http://www.anxiety-depression-solutions.co.uk/Golite_Blu_BEST_FOR_CHRONIC_FATIGUE_PRICE_DROP_CHEAPEST_ONLINE_STOCK/71.htm?jssCart=236de6168d2795c8e8aaaacd67e0f9d2
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