Download Sleep Disorders: Diagnostic Criteria for Insomnia, Hypersomnia, Narcolepsy, NREM Arousal D and more Quizzes Social Work in PDF only on Docsity! TERM 1 Insomnia Disorder DEFINITION 1 Diagnostic Criteria:1. A predominant complaint of dissatisfaction with sleep quantity or quality,associated with one or more of the following symptoms: - Difficulty initiating sleep. NOTE: Children may manifest as difficulty initiating sleep without caregiver intervention. -Difficulty maintaing sleep, characterized by frequent awakenings or problems returning to sleep after awakenings. NOTE: In children may manifest as difficulty returning to sleep without caregiver intervention. - Early-morning awakening with inability to return to sleep.2. The sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.3. The sleep difficulty occurs at least 3 nights per week.4. The sleep difficulty is present for at least 3 months.5. The sleep difficulty occurs despite adequate opportunity for sleep.6. The insomnia is not better explained by and does not occur exclusively during the sours of another sleep-wake disorder (e.g., narcolepsy, a breathing-realted sleep disorder, a circadian rhythm sleep- awake disorder, a parasomnia).7. The insomnia is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication).8. Coexisting mental disorder and medical conditions do not adequately explain the predominant complaint of insomnia.TERM 2 Hypersomnolence Disorder DEFINITION 2 Diagnostic Criteria:1. Self-reported excessive sleepiness (hypersonmlence) despite a main sleep period lasting at least 7 hours, with at least one of the following symptoms: - Recurrent periods of sleep or lapse into sleep within the same day. -A prolonged main sleep episode of more than 9 hors per day that is non restorative (e.g., unrefreshing). -Difficulty being fully awake after abrupt awakening.2. The hyper somnolence occurs at least three time per week, for at least 3 month.3. The hyper somnolence is accompanied by significant distress or impairment in cognitive, social, occupational, or other important areas of functioning.4. The hyper somnolence is not better explained by and does not occur exclusively during the course of another sleep disorder (e.g., narcolepsy, breathing-related sleep disorder, circadian rhythm sleep-wake disorder, or parasomnia).5. The hyper somnolence is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication).6. Coexisting mental and medical disorders do not adequately explain the predominant complaint of hyper somnolence. TERM 3 Narcolepsy DEFINITION 3 Diagnostic Criteria:1. Recurrent periods of an irrepressible need to sleep, lapsing into sleep, or napping occurring within the same day. These must have been occurring at least three times per week over the past 3 moths.2. The presence of at least one of the following: -Episodes of cataplexy, defined as either (a), or (b), occurring at least: -In individuals with longstanding disease, brief (seconds to minutes) episodes of sudden bilateral loss of muscle rhone with maintained consciousness that are precipitated by laugher or joking. -In children or in individuals within 6 months or onset, spontaneous grimaces or jaw-orpeing episodes with tongue thrusting or a global hypotonia, without any obvious emotional triggers. -Hypercertin dificiency, as measured using cerebrospinal fluid. TERM 4 Non-Rapid Eye movement Sleep Arousal Disorders DEFINITION 4 The essential feature of non0rapid eye movement (NREM) sleep arousal disorder is the repeated occurrence of incomplete arousals, usually beginning during the first third of the major sleep episode, that typically are brief, lasting 1-10 minutes, but may be protracted, lasting up to 1 hour.Diagnostic Criteria:1. Recurrent episodes of incomplete awakening from sleep, usually occurring during the first third of the major sleep episode, accompanied by either one of the following: -Sleepwaling: -Sleep terrors:2. No or little dream imagery is recalled (e.g., only a single visual scene)3. Amnesia for the episodes is present.4. The episodes cause clinically significant distress or impair meant in social, occupational, or there important areas of functioning.5. The disturbance is not attributable to the physiological effects of a substance.6. Coexisting mental and medical disorders do not explain the episodes of sleepwalking or sleep terrors. TERM 5 Nightmare Disorder DEFINITION 5 Diagnostic Criteria1. Repreated occurrences of extended, extremely dysphoric. and well-remembered dreams that usually involve efforts to avoid threats to survival, security, or physical integrity and that generally occur during the second half of the major sleep episode.2. On awakening from the dysphoric dreams, the individual rapidly becomes oriented and alert.3. The sleep disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.4. The nightmare symptoms are not attributable to the physiological effects of a substance (e.g. a drug abuse)5. Coexisting mental and medical disorders not not adequately explain the predominant complaint of dysphoric dreams