Malingering And Addiction In The Treatment Of Sleep Disorders

Permalink: https://essayscrest.com/malingering-and-…-sleep-disorders/

Abstract

Objectives

To examine the relationships of poor sleep to both subjective and objective cognitive functioning, attention deficit hyperactivity disorder (ADHD) and sluggish cognitive tempo (SCT) symptoms, and mental health variables in college students, controlling for noncredible symptom reporting and noncredible performance.

Methods

99 undergraduate students (M_age = 19.9, SD = 1.1), 60% female and 72% first-year students, completed a neuropsychological battery and self-report questionnaires at a single lab visit. 56% of the sample identified as “poor sleepers” (>5 on the Pittsburgh Sleep Quality Index [PSQI]).

Results

Poor sleepers reported worse current (college grade point average [GPA]) but not past (high school GPA, American college test [ACT] score) academic performance. Additionally, they reported more mental health concerns, including depression and stress, but not anxiety. Poor sleepers reported more functional impairment and subjective cognitive concerns, including more Diagnostic and Statistical Manual of Mental Disorders (DSM) inattentive and hyperactive/impulsive symptoms, more SCT symptoms, and more executive dysfunction, even when controlling for depressive symptoms. However, poor sleepers did not differ from good sleepers on measures of objective cognition.

Conclusions

ADHD and SCT symptoms and concerns in college students may be related to poor sleep, which can lead to misdiagnosis for individuals presenting with ADHD-like complaints for the first time in college. Sleep difficulties may be modifiable with empirically supported sleep interventions; thus, in assessment for either of these presentations, a careful sleep history should be taken. Archives of Clinical Neuropsychology, acaa023,

https://doi.org/10.1093/arclin/acaa023

CLICK HERE TO ORDER Malingering And Addiction In The Treatment Of Sleep Disorders Paper

According to the National Sleep Foundation (2013), about 30–40% of the general population reports some level of insomnia during their lives, and 10–15% experience significant, chronic insomnia. For these individuals, medications to help induce and sustain sleep may be helpful. On the other hand, sleep aids pose potential concerns, namely abuse. Some people exceed recommended doses, and some continue taking medications even after symptoms are no longer present. Others obtain medications under false pretenses, which is one form of malingering. Malingering occurs when clients make up or exaggerate symptoms for some personal gain. Although mental health professionals may not be directly implicated in the client’s deceit, their unique position to receive more accurate and honest information than other medical professionals presents ethical concerns. What is the mental health professional’s role in these instances? In which instances would it be appropriate to break confidentiality due to a concern of malingering? How could the malingering potentiality be planned for and avoided?

For this Assignment, conduct an Internet search or a Walden Library search for at least one peer-reviewed journal article that addresses a counseling issue related to malingering and addiction in treating sleep disorders.

In a 4- to 5-page, APA-formatted paper, include the following:

A description and explanation of the major types of drugs prescribed for sleep disorders
An explanation of the potential for addiction associated with these medicines
An explanation of the issues related to malingering in the treatment of sleep disorders
An explanation of the mental health professional’s role in mitigating the potentialities of malingering

Malingering And Addiction In The Treatment Of Sleep Disorders