在可卡因使用障碍中客观睡眠架构的纵向干扰:一个翻译系统性审查
Ilona Medigue1, Sébastien Catoire2, Christelle Peyron3
1Centre de Recherche en Neuroscience de Lyon (CRNL), Inserm UMR 1028, CNRS UMR 5292, Université Claude Bernard Lyon 1, Université de Lyon, Lyon 69000, France; Service Universitaire d'Addictologie de Lyon (SUAL), Pôle MOPHA, CH Le Vinatier, Bron 69500, France.
Neuroscience and biobehavioral reviews
|July 6, 2025
概括
可卡因使用障碍显著扰乱睡眠,减少使用期间的总睡眠时间和REM睡眠. 戒断表明睡眠暂时增加,但持续碎片化,强调需要以睡眠为重点的干预措施.
科学领域:
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
- 成研究 研究成研究
背景情况:
- 可卡因使用障碍 (CUD) 与严重的睡眠障碍有关.
- 在CUD中,睡眠变化在活跃使用和戒断阶段各不相同.
- 在CUD中客观睡眠数据需要全面的纵向分析.
研究的目的:
- 系统地审查可卡因使用障碍中的客观睡眠变化.
- 为了提供在使用可卡因期间和之后睡眠变化的纵向描述.
- 为了比较人类和动物模型的发现.
主要方法:
- 系统的文献搜索 (PubMed,PsycInfo,Google Scholar) 遵循PRISMA的指导方针. 这些指导方针包括:
- 包括在CUD群体 (人/动物) 中客观睡眠测量研究的研究.
- 排除使用多种物质来隔离可卡因的影响;进行偏差风险评估.
主要成果:
- 可卡因的使用减少了总睡眠时间,睡眠效率和REM睡眠,同时增加了睡眠开始的延迟时间.
- 早期戒断的特征是总睡眠时间和REM睡眠的短暂增加,伴随着碎片化.
- 晚期戒断显示睡眠逐渐正常化,随着研究时间的影响而变化.
结论:
- 睡眠障碍在可卡因使用障碍的所有阶段都是持久的.
- 在CUD中,客观睡眠变化对多巴胺和诺亚氨基系统的影响是镜像.
- 针对睡眠障碍可能会改善CUD的长期治疗结果.
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