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相关概念视频

Management of Insomnia01:19

Management of Insomnia

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The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
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Narcolepsy01:07

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Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
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Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

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Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
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Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
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Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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[精神障碍中的高睡眠症]

O V Kotova1,2, A A Belyaev3, V E Medvedev1

  • 1Medical Institute of Peoples' Friendship University, Moscow, Russia.

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|June 5, 2023
PubMed
概括

过度的白天嗜睡,称为高睡眠症,影响全球数百万人,并与心理健康问题有关. 治疗侧重于根本原因,特别是当高睡眠症是精神障碍的次要原因时.

关键词:
情感障碍 情感障碍 情感障碍衍生性高睡眠症 衍生性高睡眠症诊断 诊断 诊断 诊断 诊断差异诊断是一种差异诊断.这是一种遗传先决条件.过度睡眠症是一种超眠症.精神障碍 精神障碍 精神障碍

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科学领域:

  • 神经学 神经学
  • 精神病学是一个精神病学.
  • 睡眠医学 睡眠医学

背景情况:

  • 超眠症的特征是过度的白天嗜睡,与夜间睡眠障碍无关.
  • 它影响了全球成年人口的很大一部分,在某些地区的患病率更高.
  • 这种情况与许多并发症有关,包括肥胖和精神障碍,并对生活质量产生负面影响.

研究的目的:

  • 探索高睡眠症的多面性质,特别是与精神障碍的关系.
  • 讨论评估白天嗜睡的诊断方法.
  • 概述高睡眠综合征的治疗策略.

主要方法:

  • 利用自我观察和客观的方法,如多重睡眠延迟测试,动图和多重睡眠记录来诊断.
  • 对药物诱导的高睡眠症和睡眠不足综合征进行了差异诊断.
  • 分析病因因素,包括精神疾病中的生物和心理原因.

主要成果:

  • 过度睡眠经常与精神障碍,特别是抑郁症和双相情感障碍同时发生,通常作为次要疾病.
  • 每日多睡眠视图显示,白天和晚上都在床上时间增加 (clinophilia).
  • 过度白天嗜睡的遗传率估计为17%.

结论:

  • 超眠症综合征的治疗必须是病因学的.
  • 对于二次性高睡眠症,治疗应优先解决潜在的精神障碍.
  • 需要进一步的研究来澄清高睡眠症中自我报告和客观测量的睡眠之间的关系.