Noda Akiko
Nagoya University School of Health Sciences.
Nihon Rinsho. 2009 Aug;67(8):1553-62.
Insomnia is defined by a repeated difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate time and opportunity for sleep and results in some form of daytime impairment in ICSD-2. An adequate evaluation of persistent insomnia requires detailed historical information as well as medical, psychological, and psychiatric assessment. Sleep logs, questionnaires, and other self-reports devices are useful to gather preliminary information about the nature of insomnia and its potential contributing factors. The Pittsburgh Sleep Quality Index has been applied in a variety of settings to measure sleep quality. Sleep logs/diaries are widely employed in clinical research and practice. These measures can be used to guide and enhance the sleep and medical histories taken by the clinician.
根据《国际睡眠障碍分类第二版》（ICSD - 2），失眠的定义为尽管有充足的睡眠时间和机会，但仍反复出现入睡困难、睡眠持续时间短、睡眠不连贯或睡眠质量差的情况，并导致某种形式的日间功能损害。对持续性失眠进行充分评估需要详细的病史信息以及医学、心理和精神科评估。睡眠日志、问卷和其他自我报告工具有助于收集有关失眠性质及其潜在促成因素的初步信息。匹兹堡睡眠质量指数已在各种环境中用于测量睡眠质量。睡眠日志/日记在临床研究和实践中广泛使用。这些措施可用于指导和完善临床医生获取的睡眠和病史。
