神经疾病中的失眠:患病率,机制,影响和治疗方法
1Centre ChronoS, GHU Paris - Psychiatry Neurosciences, 1, rue Cabanis, 75014 Paris, France.
Revue neurologique
|August 24, 2023
概括
失眠在神经系统疾病中很常见,症状恶化并影响生活质量. 失眠的认知行为疗法 (CBT-I) 是主要的治疗方法,还有其他可用于改善患者结果的选择.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 在患有神经系统疾病的患者中,失眠的发生率明显高于一般人群.
- 在不同的神经疾病中,患病率差异很大,包括神经退行性疾病,和偏头痛.
- 导致这些患者失眠的因素包括身体,神经精神和行为因素,以及昼夜节律障碍.
研究的目的:
- 审查神经系统疾病中失眠的患病率和促成因素.
- 为了检查神经疾病和失眠之间的双向关系.
- 概述当前和潜在的治疗策略,以管理这个患者群体的失眠.
主要方法:
- 关于各种神经系统疾病中的失眠研究的文献综述.
- 分析导致睡眠障碍的因素.
- 对治疗疗效的评估和建议.
主要成果:
- 失眠会加剧神经系统疾病的症状,导致抑郁症的增加,死亡率和生活质量的降低.
- 失眠的认知行为疗法 (CBT-I) 是推的第一线治疗.
- 黑色素,明亮光疗法和其他药理学药物显示出作为二线或辅助疗法的前景.
结论:
- 有效的失眠管理对于改善神经系统疾病患者的治疗结果至关重要.
- 在这个人群中,CBT-I是治疗失眠的基石.
- 需要对新型治疗方案进行进一步的研究,以改善患者护理,并解决并发性睡眠障碍的复杂性.
相关概念视频
Insomnia
106
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.
Multiple factors contribute...
Multiple factors contribute...
106
Narcolepsy
138
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.
138
Management of Insomnia
281
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...
281
Restless Leg Syndrome and Night Terrors
203
Restless Leg Syndrome (RLS), also known as Willis-Ekbom disease, is a neurological disorder characterized by an uncontrollable urge to move the legs due to uncomfortable sensations. These sensations typically occur during periods of rest or inactivity, particularly when lying down or sitting, and can severely disrupt sleep.
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
203
Sleep-Wake Cycles
1.4K
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).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.4K
Understanding Sleep
408
Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
408


