Insomnia as a transdiagnostic process in psychiatric disorders.

Insomnia as a transdiagnostic process in psychiatric disorders.
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DOI:
10.1007/s11920-014-0471-y
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发表时间:
2014-09
影响因子:
6.7
通讯作者:
Harvey, Allison G.
Harvey, Allison G.
中科院分区:
医学2区
文献类型:
--
作者:
Dolsen, Michael R.;Asarnow, Lauren D.;Harvey, Allison G.

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抑郁症是一个主要的公共卫生问题,并且与广泛的精神疾病高度共病。虽然失眠在历史上被认为是其他疾病的症状,但这种观点已经改变。流行病学和实验研究表明,失眠与几种精神疾病的发病和病程有关。此外,几项随机对照试验表明,对符合失眠和另一种精神疾病诊断标准的个体进行失眠认知行为治疗可以改善失眠以及共病精神疾病的症状。总之,这些结果涵盖了一系列的方法,提供了令人鼓舞的证据,并指出失眠是精神疾病的一个transdiagnosis过程。
Insomnia is a major public health concern, and is highly comorbid with a broad range of psychiatric disorders. Although insomnia has historically been considered a symptom of other disorders, this perspective has shifted. Epidemiological and experimental studies suggest that insomnia is related to the onset and course of several psychiatric disorders. Furthermore, several randomized controlled trials show that cognitive behavioral therapy for insomnia delivered to individuals who meet diagnostic criteria for insomnia and another psychiatric disorder improves the insomnia as well as the symptoms of the comorbid psychiatric disorder. Taken together, these results encompassing a range of methodologies have provided encouraging evidence and point toward insomnia as a transdiagnostic process in psychiatric disorders.
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