Nevsímalová S, Sonka K, Spacková N, Pretl M, Hofmannová R
Neurologická klinika 1. lékarské fakulty Univerzity Karlovy a Vseobecné fakultní nemocnice, Katerinská 30, 120 00 Praha 2, Czech Republic.
Sb Lek. 2002;103(1):51-7.
Excessive daytime sleepiness arises frequently as a consequence of insufficient or shortened nocturnal sleep, or as a result of poor sleeps hygiene. One of the most common dyssomnias with imperative sleepiness is narcolepsy. Narcolepsy is a chronic disease that greatly affects quality of life. The present study of 57 patients shows that the negative assessment is partly due to the subjective views exhibited by the narcoleptic personality prone to underestimation, negative self-image and depressive disposition. The personality traits may be due to an adaptation reaction to the disease but also to the biological predisposition. Comparison with population data for our Republic brought no evidence of progress at education or family life being adversely affected by narcolepsy, however, decreased assertion in employment and limitation in self-realization in free time was an explicit consequence of the disease. All 57 patients reported excessive daytime sleepiness as the most discomforting symptom that in 40% of them was responsible for career curtailment in a productive age and for living on partial or full disability.
白天过度嗜睡常常是夜间睡眠不足或缩短，或睡眠卫生习惯不良的结果。发作性睡病是最常见的伴有强制性嗜睡的睡眠障碍之一。发作性睡病是一种严重影响生活质量的慢性疾病。目前对57名患者的研究表明，负面评估部分归因于发作性睡病患者倾向于低估、负面自我形象和抑郁倾向所表现出的主观观点。这些人格特质可能是对疾病的一种适应性反应，但也可能是生物学易感性所致。与我国的人口数据比较并未发现发作性睡病对教育或家庭生活有不利影响的证据，然而，就业积极性下降和业余时间自我实现受限是该疾病的明显后果。所有57名患者均报告白天过度嗜睡是最令人不适的症状，其中40%的患者在工作年龄段导致职业缩短，并导致部分或完全残疾。
