与急性躁狂和抑郁症的睡眠时间改善相关
Raphael Golebiowski1, Meghna P Mansukhani1, Bhanu Prakash Kolla1,2,3
1Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.
The primary care companion for CNS disorders
|February 23, 2024
概括
与患有严重抑郁症 (MDD) 患者相比,躁狂患者在住院期间的睡眠时间有所改善. 对于躁狂患者来说,入院睡眠时间与更短的住院时间相关.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 临床心理学 临床心理学
背景情况:
- 睡眠障碍在精神疾病中很常见.
- 了解躁狂症和严重抑郁症 (MDD) 的睡眠模式对于治疗至关重要.
- 之前的研究还没有完全阐明这些疾病之间睡眠时间的差异及其与住院时间的相关性.
研究的目的:
- 为了比较患有躁狂发作和患有MDD的患者在入院,出院和住院期间的睡眠时间.
- 在两组患者中调查睡眠时间参数与住院时间之间的相关性,并对混因素进行控制.
主要方法:
- 一项对41名躁狂患者和38名患有MDD的患者进行的回顾性研究,这些患者在2018年至2021年期间被录取到急性护理精神病房.
- 使用护理观察员报告来评估睡眠时间.
- 进行了统计分析,以比较睡眠参数,并将其与停留时间相关联.
主要成果:
- 在躁狂和MDD组之间没有发现入院或出院时睡眠时间的显著差异.
- 与MDD患者 (0.37小时) 相比,躁狂患者在住院期间的睡眠时间变化更大 (1.14小时).
- 在躁狂患者中,入院时睡眠时间较短与住院时间较长有关 (r = -0.033,P = 0.03).
结论:
- 有一种趋势表明,躁狂的住院患者的睡眠时间比MDD患者的睡眠时间有更大的改善.
- 入院时的睡眠时间是患有躁狂发作的患者住院时间的重要预测指标.
- 需要进一步的研究来探索旨在改善睡眠时间的干预措施是否可以改善双相情感障碍和MDD患者的结果.
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