Sleep and chronotype in adults with persistent tic disorders.
Sleep and chronotype in adults with persistent tic disorders.
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DOI：
10.1002/jclp.23323
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发表时间：
2022-07
影响因子：
3
通讯作者：
Colwell, Christopher S.
中科院分区：
文献类型：
--
作者：
Ricketts, Emily J.;Montalbano, Gabrielle E.;Burgess, Helen J.;McMakin, Dana L.;Coles, Meredith E.;Piacentini, John;Colwell, Christopher S.
这项研究检查了患有持续性抽动障碍（PTD）（包括抽动秽语障碍）的成年人的睡眠障碍和睡眠药物使用率、夜间抽动以及与抽动和并发症状相关的睡眠和睡眠时间型。 125 名成人互联网调查受访者对睡眠史、睡眠、睡眠时间型、抽动严重程度、损伤、多动症、强迫症状、焦虑、抑郁以及情绪和行为失控进行了评分。磨牙症、失眠、抽动相关的入睡困难以及褪黑激素的使用均得到普遍认可。睡眠障碍与损伤、强迫症状以及情绪和行为失控相关。仅在 TD 中，夜间性与声音和总抽动严重程度相关。控制年龄和性别、年龄、损伤和强迫症状可预测睡眠障碍，年龄和抽动严重程度可预测睡眠类型。损伤和强迫症状在患有 PTD 的成人睡眠障碍中发挥着作用，可能是干预目标。夜间活动与抽动的严重程度有关，这可能表明干预措施可以改善睡眠类型。
This study examined sleep disorders and sleep medication use rates, nighttime tics, and sleep and chronotype in relation to tic and co-occurring symptoms in adults with persistent tic disorders (PTDs), including Tourette’s disorder (TD). One hundred twenty-five adult internet survey respondents rated sleep history, sleep, chronotype, tic severity, impairment, ADHD, obsessive-compulsive symptoms, anxiety, depression, and emotional and behavioral dyscontrol. Bruxism, insomnia, tic-related difficulty falling asleep, and melatonin use were commonly endorsed. Sleep disturbance correlated with impairment, obsessive-compulsive symptoms, and emotional and behavioral dyscontrol. Eveningness correlated with vocal and total tic severity only in TD. Controlling for age and sex, age, impairment, and obsessive-compulsive symptoms predicted sleep disturbance, and age and tic severity predicted chronotype. Impairment and obsessive-compulsive symptoms play a role in sleep disturbance in adults with PTDs, and may be intervention targets. Eveningness relates with tic severity, which may suggest the utility of interventions to advance chronotype.
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