患有多动症的成年人的睡眠问题:患病率及其与精神病并发症的关系
Mirte van der Ham1, Denise Bijlenga1,2,3, Mylène Böhmer1
1PsyQ Expertise Center Adult ADHD, The Hague, The Netherlands.
Journal of attention disorders
|October 2, 2024
概括
患有多动症的成年人经常出现睡眠障碍,超过60%的查结果呈阳性. 这些睡眠问题,包括延迟睡眠阶段综合征和失眠,与ADHD患者常见的精神病并发症有关.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
背景情况:
- 睡眠问题在患有注意力缺陷/多动症障碍 (ADHD) 的成年人中很普遍.
- 睡眠障碍可能双向地与ADHD严重程度和其他精神疾病有关.
- 了解这些关联对于全面的ADHD患者护理至关重要.
研究的目的:
- 为了确定各种睡眠障碍在成人多动症患者的大队伍中的患病率.
- 调查睡眠障碍的积极查和精神病相关疾病之间的关联.
- 为了告知综合治疗策略的同时发生的睡眠和精神问题在成年人有多动症.
主要方法:
- 追溯分析来自专业门诊的3691名成人多动症患者的数据.
- 使用荷兰睡眠障碍问卷 (HSDQ) 选失眠,偏睡,高睡眠,CRSD,RLS/PLMD和SBD.
- 使用临床评估和小型国际神经精神病学面试 (M.I.N.I.) 评估精神病相关疾病. 再加上,还有一个.
主要成果:
- 大约60%的成人多动症患者的查结果至少为一种睡眠障碍呈阳性.
- 最常见的睡眠障碍症状是延迟睡眠阶段综合征 (DSPS) (36%),失眠 (30%) 和不安腿综合征/周期性四肢运动障碍 (RLS/PLMD) (29%).
- 睡眠问题与并发性抑郁症,焦虑症,物质使用障碍,人格障碍和创伤后应激障碍有显著联系.
结论:
- 患有多动症的成年人通常会经历睡眠问题,经常与特定的精神病相关疾病有关.
- 在这个人群中,对睡眠障碍的系统查对于更好地了解其临床表现至关重要.
- 解决睡眠和精神疾病问题的综合治疗方法可以改善患者的治疗结果.
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