强迫症患者的睡眠障碍:对文献的系统审查
Therese Santiago1, Isabel Simbre2, Lourdes M DelRosso3
1Department of Psychiatry, Stanford University, Stanford, California, USA.
Journal of sleep research
|December 31, 2024
概括
患有强迫症 (OCD) 的患者会出现严重的睡眠问题,包括失眠和睡眠质量差. 对睡眠问题的查对于成人和儿童的强迫症治疗有效至关重要.
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:
- 强迫症 (OCD) 经常与睡眠障碍有关.
- 关于成人和儿科强迫症患者睡眠障碍的有限系统审查.
研究的目的:
- 系统地审查有关强迫症成人和儿科患者睡眠障碍的文献.
- 为了确定常见的睡眠问题和潜在的干预措施.
主要方法:
- 在PubMed和Web of Science上进行了全面的文献搜索,遵循PRISMA指南.
- 包括专注于强迫症和睡眠-觉醒障碍的研究,不包括非英语,非人类,抽象,综述和元分析出版物.
- 17项研究 (9项儿科,8项成人) 符合纳入标准.
主要成果:
- 患有强迫症的成年人表现出延迟的昼夜节律,增加失眠患病率,睡眠开始/维持问题以及睡眠质量差.
- 儿童强迫症患者报告睡眠质量不佳,难以开始/维持睡眠,梦和梦中行走.
- 儿童的动图学表明,总睡眠时间减少,觉醒时间增加.
- 认知行为疗法 (CBT) 在改善睡眠症状方面表现有前途.
结论:
- 成人和患有强迫症的儿童表现出与睡眠相关的问题和睡眠质量差的高患病率.
- 建议对所有强迫症患者进行睡眠障碍的常规查,以提高治疗结果.
- 进一步的研究可能会探索特定的睡眠障碍亚型和有针对性的干预措施.
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