Vanderbilt University, United States.
Vanderbilt University, United States.
J Anxiety Disord. 2016 Jan;37:104-29. doi: 10.1016/j.janxdis.2015.12.001. Epub 2015 Dec 21.
Recent research suggests that sleep disturbance may be a transdiagnostic process, and there is increasing interest in examining how sleep disturbance may contribute to anxiety and related disorders. The current review summarizes and synthesizes the extant research assessing sleep in anxiety and related disorders. The findings suggest that sleep disturbance exacerbates symptom severity in the majority of anxiety and related disorders. However, the nature of sleep disturbance often varies as a function of objective versus subjective assessment. Although sleep disturbance is a correlate of most anxiety and related disorders, a causal role for sleep disturbance is less clear. A model of potential mechanisms by which sleep disturbance may confer risk for the development of anxiety and related disorders is discussed. Future research integrating findings from basic sleep research with current knowledge of anxiety and related disorders may facilitate the development of novel treatments for comorbid sleep disturbance and clinical anxiety.
最近的研究表明，睡眠障碍可能是一种跨诊断过程，人们越来越关注研究睡眠障碍如何导致焦虑和相关障碍。目前的综述总结和综合了评估焦虑和相关障碍中睡眠的现有研究。研究结果表明，睡眠障碍会加重大多数焦虑和相关障碍的症状严重程度。然而，睡眠障碍的性质往往因客观评估与主观评估的不同而有所不同。尽管睡眠障碍是大多数焦虑和相关障碍的一个相关因素，但睡眠障碍是否起因果作用尚不清楚。讨论了睡眠障碍可能导致焦虑和相关障碍发展的潜在机制模型。将基础睡眠研究的结果与当前对焦虑和相关障碍的认识相结合的未来研究，可能有助于为共病睡眠障碍和临床焦虑症开发新的治疗方法。
