Sleep and psychopathology
Sleep and psychopathology
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DOI：
10.1016/s0962-1849(96)80013-8
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发表时间：
1996-09-01
期刊：
影响因子：
--
通讯作者：
Ware, JC
中科院分区：
文献类型：
--
作者：
Morin, CM;Ware, JC
本文探讨了睡眠障碍和精神病理学之间的关系。流行病学、横断面和纵向数据表明，睡眠障碍和精神病理学之间的共病率很高，尤其是失眠、焦虑和抑郁之间。50%至80%的精神病患者在疾病的急性期抱怨睡眠障碍。相反，在以失眠为主要主诉的寻求治疗的个体和随机选择的社区样本中，大约三分之一显示出并发的精神病理学，三分之一显示出不一定超过精神障碍阈值的心理症状，另外三分之一将失眠作为功能自主障碍。睡眠障碍的严重程度与并发的精神病理学之间存在正相关，但仍缺乏明确的因果关系证据。然而，纵向数据表明，焦虑和紧张的生活事件往往先于急性睡眠困难，而持续失眠可能是随后发展为抑郁症的危险因素。同时讨论了睡眠障碍和精神病理学的预防和治疗的意义。
This article examines the relationship between sleep disturbance and psychopathology. Epidemiological, cross-sectional, and longitudinal data suggest a high rate of comorbidity between sleep disturbance and psychopathology, particularly between insomnia, anxiety, and depression. Between 50% and 80% of psychiatric patients complain of sleep disturbances during the acute phase of their illness. Conversely, among treatment-seeking individuals with a primary complaint of insomnia and randomly selected community samples, approximately one third display a concurrent psychopathology, one third exhibit psychological symptoms that do not necessarily exceed the threshold for a psychiatric disorder, and another third present insomnia as a functionally autonomous disorder. There is a positive relationship between severity of sleep disturbances and concurrent psychopathology, but unequivocal evidence of a cause-and-effect relationship is still lacking. However, longitudinal data suggest that anxiety and stressful life events often precede acute sleep difficulties, whereas persistent insomnia may be a risk factor for subsequent development of depression. Implications for the prevention and treatment of coexisting sleep disturbance and psychopathology are discussed.