Moldofsky H
University of Toronto, Toronto, Ontario.
Can J Psychiatry. 2000 Nov;45(9):798-802. doi: 10.1177/070674370004500902.
Tiredness is one of the most common complaints that confront the clinician. Yet the nature of the symptom and its implications for sleep-related disorders is poorly understood. This review provides the clinician with an understanding of the difficulties inherent in assessing the tired patient. The complaint of tiredness is commonly an expression of sleepiness and fatigue that arises as the result of sleep-wake-related disorders. Behavioural and physiological procedures are described in the assessment and management of sleepiness and fatigue in primary sleep disorders and sleep-related medical and psychiatric disorders. Improvement in the diagnosis and management of the fatigued or sleepy patient requires that residents in psychiatry and neurology be exposed to the behavioural and physiological techniques of sleep medicine as part of their post-graduate training programs.
疲倦是临床医生面临的最常见主诉之一。然而，人们对该症状的本质及其与睡眠相关障碍的关联了解甚少。本综述旨在让临床医生了解评估疲倦患者时所固有的困难。疲倦主诉通常是由与睡眠-觉醒相关的障碍导致的嗜睡和疲劳的一种表现。本文描述了在原发性睡眠障碍以及与睡眠相关的医学和精神疾病中，评估和管理嗜睡与疲劳的行为学和生理学方法。要改善对疲劳或嗜睡患者的诊断和管理，精神病学和神经学住院医师在其研究生培训项目中，需要接触睡眠医学的行为学和生理学技术。
