Ware J C, Morewitz J
Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School, Norfolk.
J Clin Psychiatry. 1991 Jun;52 Suppl:55-61.
Disturbed sleep is a common problem particularly among depressed patients. Diagnostic and treatment considerations are reviewed for two of the more common insomnia problems, psychophysiological insomnia and insomnia associated with depression. Studies of the actual sleep patterns of patients with these disorders reveal reliable differences that are important to understand for optimized treatment outcome. As the differentiation of sleep disorders becomes more precise and the pharmacologic armamentarium becomes greater, emphasis needs to be placed on both understanding the etiology of the sleep complaint and selecting a drug that is best matched to correct the underlying problem.
睡眠障碍是一个常见问题，尤其在抑郁症患者中。本文回顾了两种较为常见的失眠问题，即心理生理性失眠和与抑郁症相关的失眠的诊断和治疗考量。对患有这些疾病的患者实际睡眠模式的研究揭示了可靠的差异，这对于优化治疗效果至关重要。随着睡眠障碍的区分变得更加精确，药物种类也越来越多，需要同时强调理解睡眠问题的病因以及选择最适合纠正潜在问题的药物。
