失眠的评估与管理。

The evaluation and management of insomnia.

机构信息

Department of Psychiatry and Human Behavior, Jefferson Sleep Disorders Center, Thomas Jefferson University, 211 South Ninth Street, Suite 500, Philadelphia, PA 19107, USA.

出版信息

Clin Chest Med. 2010 Jun;31(2):327-39. doi: 10.1016/j.ccm.2010.03.001.

DOI:10.1016/j.ccm.2010.03.001

PMID:20488291

Abstract

Insomnia is a highly prevalent malady and adversely affects many dimensions of daily human function. Although its pathophysiology is poorly understood, it seems to arise in the context of heightened arousal in neurophysiologic and psychological systems. Because it often coexists with a wide variety of medical and psychiatric conditions, the first task in the management of this condition is to identify comorbid disorders through a comprehensive evaluation. Once identified, specific treatments can be tailored to the underlying conditions. Effective cognitive/behavioral and pharmacologic management techniques are available for primary insomnia.

摘要

失眠是一种高发疾病，严重影响着人类日常生活的多个方面。尽管其病理生理学机制尚不清楚，但似乎是在神经生理和心理系统的兴奋度升高的情况下出现的。由于它常与多种医学和精神疾病同时存在，因此治疗这种疾病的首要任务是通过全面评估来确定共病障碍。一旦确定，就可以根据潜在疾病定制具体的治疗方法。对于原发性失眠，现已有有效的认知/行为和药物管理技术。