Familial incidence of insomnia

Familial incidence of insomnia
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DOI:
10.1046/j.1365-2869.2000.00182.x
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发表时间:
2000-03-01
影响因子:
4.4
通讯作者:
Morin, C
Morin, C
中科院分区:
医学3区
文献类型:
--
作者:
Bastien, CH;Morin, C

文献摘要

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本研究评估了失眠症患者睡眠障碍的家族发病率。样本包括285名在睡眠障碍诊所接受失眠评估的患者。所有患者都完成了睡眠调查,并进行了半结构化的临床访谈,作为他们对失眠的初步评估的一部分。从睡眠调查中获得关于其家庭成员(一级和二级亲属)睡眠障碍的存在和性质的信息。研究结果表明,35%的失眠症患者有睡眠障碍的家族史。失眠是最常见的睡眠障碍类型(76%),母亲是最常见的家庭成员。当失眠症在40岁之前发作时,家庭成员中睡眠障碍的报告比在以后的生活中更普遍。阳性家族史在失眠主诉涉及睡眠发作困难相对于睡眠维持或混合性失眠时略高。虽然目前的研究结果表明,失眠的积极家族史可能是失眠的潜在危险因素,但尚不清楚这是否反映了遗传倾向或社会学习现象。
This study evaluated the familial incidence of sleep disturbances among individuals with insomnia complaints. The sample consisted of 285 patients evaluated for insomnia at a sleep disorders clinic. All patients completed a sleep survey and underwent a semistructured clinical interview as part of their initial evaluation of insomnia. Information on the presence and nature of sleep disturbances among their family members (first- and second-degree relatives) was obtained from a sleep survey. The findings indicate that 35% of patients consulting for insomnia had a positive family history of sleep disturbances. Insomnia was the most common type of sleep disturbance identified (76%) and the mother was the most frequently afflicted family member. Reports of sleep disturbances among a family member were more prevalent when the onset of insomnia was before 40-years-old than when it was later in life. A positive family history was slightly higher when the insomnia complaint involved sleep-onset difficulties relative to sleep-maintenance or mixed insomnias. Although the present findings suggest that a positive family history of insomnia may be a potential risk factor for insomnia, it is unclear whether this reflects a genetic predisposition or a social learning phenomenon.