为什么要治疗失眠？
Why treat insomnia?
作者信息
Matteson-Rusby Sara E, Pigeon Wilfred R, Gehrman Philip, Perlis Michael L
机构信息
Sleep and Neurophysiology Research Laboratory, Department of Psychiatry, University of Rochester, New York and Behavioral Sleep Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia.
出版信息
Prim Care Companion J Clin Psychiatry. 2010;12(1):PCC.08r00743. doi: 10.4088/PCC.08r00743bro.
OBJECTIVE
To make the case that insomnia is better conceptualized, not as a symptom, but as a primary disorder.
DATA SOURCES
PubMed was searched from 1975-2009 using the search terms insomnia, insomnia and treatment, insomnia and cost, and insomnia and treatment and safety.
STUDY SELECTION
English-language articles and other materials were selected to address the following claims: insomnia is unremitting, insomnia is disabling, insomnia is costly, insomnia is pervasive, insomnia is pernicious, and insomnia treatment is safe and effective.
DATA EXTRACTION/SYNTHESIS: Insomnia, at least when chronic, should be conceptualized as a comorbid condition, one for which effective interventions are available.
CONCLUSIONS
It is speculated that treatment for insomnia will only become the norm when it has been demonstrated that treatment not only addresses the problem of insomnia but also serves to reduce medical and psychiatric morbidity. At that time, the question will no longer be "Why treat insomnia?" but instead "When isn't insomnia treatment indicated?"
目的
论证失眠更好的概念化方式是作为一种原发性疾病，而非一种症状。
数据来源
使用搜索词“失眠”“失眠与治疗”“失眠与成本”以及“失眠与治疗及安全性”在1975年至2009年期间对PubMed进行检索。
研究选择
选取英文文章及其他资料以探讨以下观点：失眠是持续存在的、失眠会导致功能障碍、失眠成本高昂、失眠普遍存在、失眠有害，以及失眠治疗安全有效。
数据提取/综合：失眠，至少在慢性情况下，应被概念化为一种共病状况，对此有有效的干预措施。
结论
据推测，只有当证明治疗失眠不仅能解决失眠问题，还能降低医疗和精神疾病发病率时，失眠治疗才会成为常态。届时，问题将不再是“为何治疗失眠？”，而是“何时不进行失眠治疗？”
Zotero 插件