设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
失眠的评估
作者:叶瑞繁 
单位:广东省人民医院东病区神经科 广东 广州 510080 
关键词:睡眠 失眠 思睡 评估 
分类号:G449.7
出版年,卷(期):页码:2004,12(2):207-209
摘要:

失眠是困扰许多人的最常见的睡眠问题。失眠引起白天困倦、疲劳、情绪烦恼、工作效率下降,甚至可造成致命性的结果。虽然失眠发病率很高,但大多数失眠者并未被临床医生所识别。对失眠恰当的评估对患者非常重要。本文将回顾近年来对失眠评定方面的研究,内容包括睡眠史、自评方法、心理评估,心理生理评估、医学评估、多导睡眠图及其它睡眠评估方法。

Insomnia is the most commonly reported sleep problem which affects millions of individuals,giving rise to daytime sleepiness,fatigue,emotional distress,low work productivity,even life-threatening consequences.Although high prevalence,most insomniacs do not recognized by healthcare professionals.A adequate evaluation of insomnia is important for the patient.This article provides a review of recent research on the evaluation of insomnia,which includes detailed sleep history,self-report assessment devices,psychological assessment,psychophysiologic evaluation,medical assessment,polysomnography and other sleep assessment devices.

基金项目:
作者简介:
参考文献:

[1] National Sleep Foundation.1999 omnibus survey sleep in America.Loaddown from http://www.sleepfoundatio.org
[2] Rosen R,Rrosekind M,Rosevear C,et al.Physicians education in sleep and sleep disorders:a national survey of US medical schools.Sleep,1993,16:249-254
[3] 1998 National Sleep Foundation.Sleep in America Poll.Loaddown from http//www.sleepfoudation.org
[4] Sscramm E,Hohagen F,Kappler C,ET al.Mental comorbidity of chronic insomnia in genneral practice attenders using DSM-Ⅲ-R.Acta Psychiatr Scand,1995,91(1):10-7
[5] 2002 National Sleep Foundation.Sleep in America Poll.Loaddown from http://www.sleepfoundation.org
[6] 潘集阳.睡眠障碍临床诊疗.广州:华南理工大学出版社,2001
[7] Sateia MJ,Doghramji K,Hauri PJ et al.Evaluatiom of chronic insomnia.Sleep,2000,23(2):243-263
[8] Partinen M,Kaprio J,Koskenvuo M,et al.Sleep Habits,Sleep Quality and Use of Sleeping Pills:a Population Study of 31,140 Adults in Finland.In:Guilleminault C,Lugaresi E,eds.Sleep/Wake Disorders:Natural History Epidemiology and Long-Term Evolution.New York:Raven Press,1983
[9] Bonnet MH,Arand DL.Physiological activation in patients with sleep state misperception.Psychosom Med
[10] Lijenberg B,Almqvist M,Hetta J,et al.Age and prevalence of insomnia in adulthood.Eur J Psychiatry,1989,3:5-12
[11] Deborah A,Sutto Msc Med,Harvey Moldofsky MD,et al.Insomnia and health problems in Canadians.Sleep,2001,24(6):665-670
[12] Quera-salva Ma,Orluc A,Goldenberg F,etal.Insomnia and use of hypnotics:study of a French population.sleep,1991,14:386-391
[13] 2003 National Sleep Foundation.Sleep in America Poll.Loaddown from http://www.sleepfoundation.org
[14] Gallup Organization.Sleep in America.Princeton NJ:Gallup Organization,1995
[15] Breslau N,Roth T,Rosenthal L,et al .Sleep disturbance and psychiatry disorders:a longitudian epidemiological study of young adults.Biol Psychiatry,1996,39(6):411-418
[16] Whitney C,Enright P,Newman A,Foley D,et al.Correlates of daytime sleepiness in 4578 elderly persons:the Cardiovascular Health Study.Sleep,1998,21(1):27-36
[17] Knab B,Engel RR.Perception of waking and sleeping:Possible implications for the evaluation of insomnia.Sleep,1988,11(3):265-272
[18] Douglass AB,Bornstein R,Nino-Marcia G,et al.The Sleep Disorders Questionnaire.I.Creation and multivariate structure of SDQ.Sleep,1994,17(2):160-167
[19] James W,Vstun TB.Prevalence and health consequences of insomnia:Based in a background paper submitted to the 1999 international consensus conference.Sleep,1999,22(supplement 3):427-436
[20] Saletu-Zyhlarz G,Saletu B,Anaerer P et al.Nonorganic insomnia in generalized anxiety disorder.I.Controlled studied on sleep awakening and daytime vigilance utilizing polysomnography and EEG mapping.Neuropsychobiology,1997,(3):117-129
[21] Bonnet MH,Arand DL.2-hour metabolic rate in insomniacs and matched normal sleepers.Sleep,1995,18(7):581-588
[22] Jacobs EA,Reynolds CF,Kupfer DJ.et al.The role of polysomnogphy in the differential diagnosis of chronic insomnia.Am J Psychiatry,1988,145:346-349
[23] Ancoli srael S,Cole R,Alessi C,et al.The role of actigraphy in the study of sleep and circadian rhythms.Sleep,2003,26(3):342-358
[24] Llittner M,Clete A,Kushida CA,et al.practice parameters for the role of actigraphy in the study of sleep and circadian rhythms:An Update for 2002.Sleep,2003,26(3):337-341
[25] StepanskiE,Zorick F,Roehrs T et al.Effects of sleep deprivation on daytime sleepiness in primary insomnia.Sleep,2000,23(2):215-219

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com
本系统由北京博渊星辰网络科技有限公司设计开发 技术支持电话:010-63361626