17
Psychiatric Disorders That Affect Sleep
NOTE: This chapter corresponds to Chapter 22 in Fundamentals of Sleep Technology, 2nd edition.
1. Mood disorders include:
A. Major depressive disorder (MDD)
B. Dissociative disorder
C. Schizophrenia
D. Attention deficit hyperactivity disorder (ADHD)
2. Depression is most likely to begin:
A. At retirement
B. During adolescence or early adulthood
C. At age 40
D. In extreme old age
3. Total or partial deprivation of which sleep stage can result in significant improvement in depressive symptoms?
A. N1 sleep
B. N2 sleep
C. N3 sleep
D. REM sleep
4. Major depressive disorder (MDD) is typically associated with:
A. Increased percentage of N3 sleep
B. Elevated sleep efficiency
C. Reduction or absence of N2 sleep
D. Early morning awakening
5. Changes in REM sleep associated with a major depressive episode consist of:
A. Decreased REM density
B. Prolonged REM sleep latency
C. Increased REM density
D. Decreased REM sleep
6. Most antidepressant medications can give rise to:
A. Shortened REM latency
B. Decreased REM sleep
C. Increased REM density
D. Decreased stage N3 sleep
7. Bipolar disorder is characterized by the episodes of depression, mania, and:
A. Hypomania
B. Hyperphagia
C. Hallucinations
D. Halitosis
8. During the manic phase of a bipolar disorder, patients frequently have:
A. Excessive sleepiness
B. Periods of sleeplessness
C. Decreased REM sleep
D. Severe phase advance
9. During the winter, patients with seasonal affective disorder (SAD) frequently complain of:
A. Anxiety
B. Decreased sleep requirements
C. Hypersomnia
D. Hypomanic episodes
10. Seasonal affective disorder (SAD) may improve with:
A. Sedative hypnotics
B. Antihistamine drugs
C. Melatonin
D. Bright light therapy
11. Patients with generalized anxiety disorder (GAD) commonly have difficulty with:
A. Sleep onset and sleep maintenance insomnia
B. Waking up in the morning
C. Staying awake during the day
D. Sleep paralysis
12. Patients with panic disorder may experience:
A. Hypnagogic hallucinations
B. Sleep attacks
C. Cataplexy
D. Insomnia
13. Obsessive–compulsive disorder (OCD) patients often exhibit:
A. Decreased wake time after sleep onset (WASO)
B. Increased total sleep time (TST)
C. Delayed bedtimes
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