Insomnia, Psychiatric Disorders, and the Transdiagnostic Perspective
Insomnia, Psychiatric Disorders, and the Transdiagnostic Perspective
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DOI：
10.1111/j.1467-8721.2008.00594.x
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发表时间：
2008-10-01
影响因子：
7.2
通讯作者：
Harvey, Allison G.
中科院分区：
文献类型：
--
作者：
Harvey, Allison G.
失眠通常与其他精神疾病一起发生。我的目的是解决从这一观察中产生的两个问题。首先，失眠通常被认为是所谓的“原发性”精神障碍的副现象。在新的证据的基础上，我认为失眠可能是精神疾病多因素引起和维持的一个重要但未被充分认识的机制。第二，失眠可能是一种跨诊断过程——这一过程在精神疾病中很常见。识别和研究跨诊断过程的举措与标准的“以疾病为中心”的方法形成对比，在这种方法中，分类系统和研究项目专门研究单一疾病。后一种方法可能会忽略疾病之间有趣且潜在重要的相似性。如果开发出跨诊断治疗方法是可行的，其对公共卫生的影响将是惊人的。关于睡眠在精神疾病中的作用的研究，以及对跨诊断方法的有效性和实用性的测试，为提高我们对精神疾病的理解和治疗提供了丰富的机会。
Insomnia commonly occurs along with other psychiatric disorders. I aim to address two issues that arise from this observation. First, insomnia is commonly assumed to be epiphenomenal to the so-called "primary" psychiatric disorder. On the basis of new evidence, I argue instead that insomnia may be an important but under-recognized mechanism in the multifactorial cause and maintenance of psychiatric disorders. Second, insomnia may be a transdiagnostic process-a process that is common across psychiatric disorders. The move to identify and study transdiagnostic processes contrasts with the standard "disorder focused" approach in which classification systems and research programs specialize in a single disorder. The latter approach can neglect the intriguing and potentially important similarities across disorders. If it were feasible to develop transdiagnostic treatments, the public health implications would be startling. Research on the role of sleep in psychiatric disorders and tests of the validity and utility of a transdiagnostic approach provide rich opportunities for improving our understanding of, and the treatment of, psychiatric disorders.