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[精神病学与心理治疗中的睡眠医学鉴别诊断]

[Sleep medicine differential diagnostics in psychiatry and psychotherapy].

作者信息

Pollmächer T, Wetter T C, Happe S, Richter K, Acker J, Riemann D

机构信息

Zentrum für psychische Gesundheit, Klinikum Ingolstadt, Krumenauerstr. 25, 85049, Ingolstadt, Deutschland,

出版信息

Nervenarzt. 2014 Jan;85(1):57-66. doi: 10.1007/s00115-013-3895-4.

Abstract

Complaints about disturbed sleep or increased daytime sleepiness are among the most frequent symptoms reported to psychiatrists by patients. Such complaints can be symptoms of an underlying psychiatric disorder or indicative of a separate or comorbid sleep disorder. Hence, basic knowledge in the differential diagnosis of sleep medicine pathologies is pivotal for psychiatrists and psychotherapists. In the present overview following a description of the diagnostic methods, the diagnostic work-up according to the major symptomatic clusters, namely disturbances in initiating and maintaining sleep, abnormal nocturnal movements and excessive daytime sleepiness will be presented.

摘要

睡眠障碍或日间嗜睡增加是患者向精神科医生报告的最常见症状之一。此类症状可能是潜在精神障碍的表现,也可能表明存在单独的或共病的睡眠障碍。因此,睡眠医学病症鉴别诊断的基础知识对精神科医生和心理治疗师来说至关重要。在本综述中,在描述诊断方法之后,将介绍根据主要症状群进行的诊断检查,即入睡和维持睡眠障碍、异常夜间运动和日间过度嗜睡。

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