Sleep and Cardiovascular Disease: Emerging Opportunities for Psychology
Sleep and Cardiovascular Disease: Emerging Opportunities for Psychology
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DOI：
10.1037/amp0000362
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发表时间：
2018-11-01
影响因子：
16.4
通讯作者：
Buysse, Daniel J.
中科院分区：
文献类型：
--
作者：
Hall, Martica H.;Brindle, Ryan C.;Buysse, Daniel J.
睡眠障碍与紊乱已涉及心血管疾病的发病率和死亡率。越来越多的证据表明，对心血管疾病（CVD）具有风险或抵抗力的社会心理因素也与睡眠有关。美国的种族/族裔少数群体与非西班牙裔白人在睡眠方面存在显著差异，这表明睡眠及其与社会心理因素的相互作用，可能导致在心血管疾病以及更广泛的健康和功能方面所观察到的差异。人们对睡眠和社会心理因素相互作用影响心血管疾病的病理生理学和临床进程的程度了解较少。本文综述了将睡眠时间短和失眠（两种可改变的睡眠障碍）与心血管疾病相关联的观察性和实验性证据，包括关键的生理机制。还综述了睡眠、种族/族裔以及已知对心血管疾病具有风险或抵抗力的社会心理因素（包括抑郁、心理压力和亲密人际关系）之间存在显著相互关系的证据。有人提出，一个整合心理学和睡眠研究领域的知识、方法和测量的跨学科研究框架，可用于推动心血管疾病预防和治疗的进展。还讨论了有前景的新方向、预期的挑战以及跨学科科学和研究方法培训的重要性。
Sleep disturbances and disorders have been implicated in cardiovascular morbidity and mortality. Converging evidence suggests that psychosocial factors that confer risk or resilience to cardiovascular disease (CVD) are also related to sleep. Profound differences in sleep among racial/ethnic minorities compared with non-Hispanic Whites in the United States suggest that sleep, and its interplay with psychosocial factors, may contribute to observed disparities in CVD and in health and functioning more broadly. Less understood is the extent to which sleep and psychosocial factors interact to influence the pathophysiology and clinical course of CVD. This article reviews observational and experimental evidence linking short sleep duration and insomnia, both modifiable sleep disturbances, to CVD, including key physiological mechanisms. Also reviewed is evidence of significant interrelationships among sleep, race/ethnicity, and psychosocial factors known to confer risk or resilience to CVD, including depression, psychological stress, and close interpersonal relationships. It is proposed that a transdisciplinary research framework that integrates knowledge, methods, and measures from the fields of psychology and sleep research may be used to catalyze advances in the prevention and treatment of CVD. Also discussed are promising new directions, expected challenges, and the importance of training in transdisciplinary science and research approaches.