Department ofPsychophysiology, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8553, Japan.
J Clin Sleep Med. 2012 Apr 15;8(2):191-3. doi: 10.5664/jcsm.1778.
Insomnia is a common problem among patients with obsessive-compulsive disorder (OCD), and patients suffering from acute insomnia with psychiatric comorbidity are more likely to develop chronic insomnia without appropriate intervention. Here we report a case of obsessive-compulsive disorder with acute insomnia, successfully treated with early sleep psychiatric non-pharmacological intervention. The augmentation of medication runs a risk of exacerbating daytime impairment. Clinicians usually prescribe medication, such as antidepressants and hypnotics without reflections for such complaints. However, the use of these sedative agents is often problematic, especially when patients have kept a good QOL activity in daily life. The rapid recovery from acute insomnia in this case suggests that the appropriate use of actigraphy is a favorable non-pharmacological intervention in acute insomnia.
失眠是强迫症（OCD）患者常见的问题，患有急性失眠合并精神共病的患者，如果没有适当的干预，更有可能发展为慢性失眠。在这里，我们报告了一例强迫症伴急性失眠患者，通过早期睡眠精神科非药物干预成功治疗。药物的增效作用有加重白天损害的风险。临床医生通常会开处方，如抗抑郁药和催眠药，而不会对这些投诉进行反思。然而，这些镇静剂的使用往往存在问题，尤其是当患者在日常生活中保持良好的生活质量活动时。该病例中急性失眠的快速恢复表明，在急性失眠中适当使用活动记录仪是一种有利的非药物干预措施。
