挑战主观过度白天嗜睡作为失眠症状:一项回顾性研究
Elisabetta Fasiello1,2, Samantha Mombelli3,4, Marco Sforza2
1Faculty of Psychology, Vita-Salute San Raffaele University, Milan, Italy.
Journal of sleep research
|December 9, 2023
概括
患有失眠障碍 (ID) 的患者不经常报告嗜睡,与疲劳不同. 失眠的认知行为疗法 (CBT-I) 改善了白天的功能和疲劳,但可能会增加嗜睡,这表明一种解离.
科学领域:
- 睡眠医学 睡眠医学
- 临床心理学 临床心理学
背景情况:
- 诊断手册将失眠障碍 (ID) 与白天疲劳和嗜睡联系起来.
- 然而,ID患者通常不会在临床环境中报告主观嗜睡.
研究的目的:
- 调查智商中的主观嗜睡 (爱普沃思嗜睡量表 - ESS) 以及其与白天功能和疲劳的独立性.
- 评估对失眠的认知行为治疗 (CBT-I) 对ID患者白天后果,嗜睡和疲劳的影响.
主要方法:
- 在健康对照组 (HCs),ID患者和过度白天嗜睡 (EDS) 患者中对ESS的回顾性分析.
- 在接受CBT-I的ID患者中ESS的前后评估.
- 失眠严重程度指数和疲劳惯性尺度评估了白天的功能和疲劳.
主要成果:
- ID患者报告ESS水平类似于HC和低于EDS患者.
- 在ID中,ESS和白天功能之间没有显著的相关性,但失眠严重程度/白天影响和疲劳之间有显著的相关性.
- CBT-I改善了白天的后果和疲劳,但导致了统计学上显著的嗜睡增加.
结论:
- 在失眠症中,主观的嗜睡常常与白天的功能和疲劳脱离.
- CBT-I有效地改善了ID的白天障碍和疲劳,但可能会增加主观的嗜睡.
- 研究结果表明,在ID中存在过度唤醒状态,影响着超越睡眠症状的清醒状态.
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