Importance of regular lifestyle with daytime bright light exposure on circadian rhythm sleep—wake disorders in pervasive developmental disorders

Importance of regular lifestyle with daytime bright light exposure on circadian rhythm sleep—wake disorders in pervasive developmental disorders
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规律的生活方式以及白天强光照射对昼夜节律的重要性 广泛性发育障碍中的睡眠-觉醒障碍

DOI:
10.1016/j.jdsr.2011.04.001
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发表时间:
2011
影响因子:
6.6
通讯作者:
Nakamura W
Nakamura W
中科院分区:
医学2区
文献类型:
--
作者:
Takasu NN;Toichi M;Nakamura W

文献摘要

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对表现出社会不适应以及退出社会场合和活动的个人给予了相当大的关注,这种状态在日语中被称为“蛰居族”。最近,社会适应不良和隐蔽青年状态也被注意到在广泛性发育障碍(pdd)患者中非常普遍,这涉及到社会互动和沟通的异常。患有pdd的人报告说,他们倾向于在不规律或不适当的时间睡觉和醒来,并且天生患有睡眠障碍,他们倾向于在深夜或白天睡觉,同时经历社会适应不良和隐蔽青年状态。因此,他们的口腔卫生可能由于昼夜节律紊乱而恶化,例如唾液分泌节律异常或由于情绪/情绪和社会问题而拒绝和不配合牙科护理,这些问题是由他们的睡眠和觉醒模式引起的。在这篇综述中,我们描述了有规律的生活方式的重要性,特别是有规律的睡眠-觉醒节奏,在白天适当的时间暴露在明亮的光线下,通过改善他们的昼夜节律紊乱来管理pdd的口腔健康。
Considerable attention has been paid to individuals showing social maladjustment as well as withdrawal from social situations and activity, a state referred to as “Hikikomori” in Japanese. Recently, social maladjustment and Hikikomori states have also been noted to be highly prevalent among individuals with pervasive developmental disorders (PDDs), which involve abnormalities in social interactions and communication. The individuals with PDDs report a tendency to sleep and wake at irregular or inappropriate times and to suffer from sleep disorders by nature, and they tend to sleep at extreme late night or during the day while experiencing social maladjustment and Hikikomori states. Therefore, it is probable that their oral hygiene might deteriorate due to a circadian rhythm disorder, such as an abnormal salivary secretion rhythm or refusals and noncooperation of dental care due to mood/emotional and social problems, underlying and caused by their sleep and wake patterns. In this review, we describe the importance of regular lifestyle, especially regular sleep–wake rhythm with appropriately timed bright light exposure during daytime, for management of oral health in PDDs via improving their circadian rhythm disorders.