打破节奏的大道:关于睡眠障碍和双相情感障碍中自杀行为之间的关系的系统审查和元分析
Marta Bort1,2,3,4, Chiara Possidente5, Vincenzo Oliva1,2,3,4
1Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), Barcelona, Spain.
概括
睡眠障碍在双相情感障碍 (BD) 中很常见,并且与增加的自杀行为有关. 解决睡眠问题可能有助于降低BD患者的自杀风险.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 自杀学是一种自杀学.
背景情况:
- 睡眠障碍是双极性障碍 (BD) 在所有疾病阶段的普遍临床特征.
- 这些睡眠问题可能是自杀行为的直接触发因素,独立于其他心理健康状况.
- 在BD中睡眠障碍和自杀倾向之间的关系需要进一步研究.
研究的目的:
- 系统地审查和分析睡眠障碍和双相情感障碍中自杀行为之间的联系.
- 在BD患者中量化与睡眠障碍相关的自杀行为风险.
主要方法:
- 按照PRISMA的指导方针进行了系统审查和元分析 (SRMA).
- 在PubMed,PsycINFO和SCOPUS进行了关于睡眠障碍和自杀行为研究的搜索.
- 包括16个报告 (14个截面,2个纵向).
主要成果:
- 睡眠障碍与患有BD (OR = 1.51) 的人一生自杀行为概率增加有关.
- 自杀企图的历史与经历睡眠障碍的更高几率相关 (OR = 1.37).
- 通过匹兹堡睡眠质量指数测量睡眠质量差,与自杀倾向正相关 (r = 0.24).
结论:
- 睡眠障碍和双相情感障碍中自杀倾向之间存在显著的联系.
- 早期识别和管理睡眠问题对于减轻这一群体的自杀行为至关重要.
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