EPIDEMIOLOGIC-STUDY OF SLEEP DISTURBANCES AND PSYCHIATRIC-DISORDERS - AN OPPORTUNITY FOR PREVENTION
EPIDEMIOLOGIC-STUDY OF SLEEP DISTURBANCES AND PSYCHIATRIC-DISORDERS - AN OPPORTUNITY FOR PREVENTION
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DOI：
10.1001/jama.262.11.1479
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发表时间：
1989-09-15
影响因子：
120.7
通讯作者：
KAMEROW, DB
中科院分区：
文献类型：
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作者：
FORD, DE;KAMEROW, DB
作为国家精神卫生研究所流行病学集水区研究的一部分，7954名受访者在基线和1年后使用诊断访谈时间表询问了睡眠投诉和精神症状。在这个社区样本中，10.2%和3.2%的人在第一次访谈时分别注意到失眠和嗜睡。40%的失眠症患者和46.5%的嗜睡症患者患有精神疾病，而没有睡眠问题的患者中有16.4%患有精神疾病。与没有失眠的人相比，在两次采访中失眠的人患新的重性抑郁症的风险要高得多（比值比，39.8; 95%置信区间，19.8至80.0）。对于那些在第二次就诊时已解决失眠的人来说，患上新的重度抑郁症的风险要小得多（优势比，1.6; 95%置信区间，0.5至5.3）。需要进一步的研究来确定早期识别和治疗睡眠障碍是否可以预防未来的精神疾病。
As part of the National Institute of Mental Health Epidemiologic Catchment Area study, 7954 respondents were questioned at baseline and 1 year later about sleep complaints and psychiatric symptoms using the Diagnostic Interview Schedule. Of this commmunity sample, 10.2% and 3.2% noted insomnia and hypersomnia, respectively, at the first interview. Forty percent of those with insomnia and 46.5% of those with hypersomnia had a psychiatric disorder compared with 16.4% of those with no sleep complaints. The risk of developing new major depression was much higher in those who had insomnia at both interviews compared with those without insomnia (odds ratio, 39.8; 95% confidence interval, 19.8 to 80.0). The risk of developing new major depression was much less for those who had insomnia that had resolved by the second visit (odds ratio, 1.6; 95% confidence interval, 0.5 to 5.3). Further research is needed to determine if early recognition and treatment of sleep disturbance can prevent future psychiatric disorders.