患有复发性-缓解性多发性硬化症的患者在疾病修饰治疗中睡眠不足的患病率和相关性
Dimitar Taskov1,2, Sonya Ivanova1,2, Nikolay Topalov1,2
1Multiprofile Hospital for Treatment in Neurology and Psychiatry, St. Naum, 1113 Sofia, Bulgaria.
Journal of clinical medicine
|November 13, 2025
概括
睡眠障碍在多发性硬化症 (MS) 中很常见. 失眠和焦虑,而不是疾病因素,在治疗中复发性复发性多发性硬化症患者中显著影响睡眠质量.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 睡眠障碍在多发性硬化症 (MS) 中很普遍.
- 导致MS患者睡眠不足的因素仍未得到充分研究.
- 这项研究的重点是复发性复发性多发性硬化症 (RRMS) 疾病修饰疗法 (DMT) 的子集.
研究的目的:
- 为了确定RRMS患者在DMT上睡眠质量差的患病率.
- 为了识别独立相关的因素与睡眠不足在这个人群中.
主要方法:
- 一项涉及399名接受DMT治疗的RRMS患者的横截面研究.
- 使用经过验证的工具进行睡眠评估:PSQI,ISI,ESS,FSS,STOP-Bang,HAM-A.
- 记录-二项式回归分析以确定睡眠不良的独立预测因素.
主要成果:
- 42%的RRMS患者报告睡眠质量不佳.
- 失眠严重程度 (RR=1.07) 和焦虑 (RR=1.02) 独立地与睡眠不足有关.
- 人口和疾病相关因素与睡眠不足没有显著的关联.
结论:
- 在RRMS患者中,睡眠障碍是常见的.
- 失眠和焦虑是影响RRMS睡眠质量的关键独立因素.
- 针对失眠和焦虑的有针对性的干预措施可以改善MS患者的睡眠和生活质量.
相关概念视频
REM Sleep Behavior Disorder
1.3K
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
1.3K
Substance Use Disorders Affecting Sleep
391
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
391
Management of Insomnia
517
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
517
Insufficient Sleep and Sleep Deprivation
816
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
816
Narcolepsy
475
Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
475
Sedatives and Hypnotics Drugs: Miscellaneous Agents
490
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
490


