Yakupov E Z, Troshina Yu V
Kazan State Medical University, Kazan, Russia, Scientific Medical Research Complex 'Vashe Zdorovie', Kazan, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2016;116(5):119-124. doi: 10.17116/jnevro201611651119-124.
This review presents the data on the prevalence of anxiety disorders, insomnia and depression. General mechanisms of the pathogenesis for these conditions in respect to organism's stress- reactions to the environmental changes are considered. The specific commonality of neurotransmitter reactions, polysomnographic pictures, genetic predisposition is discussed. Specific characteristics of the sleep structure in anxiety disorders, insomnia and depression are noted. A role of comorbidity of anxiety disorders, depression and insomnia and importance of their differentiation, especially in primary care, is emphasized.
本综述介绍了焦虑症、失眠和抑郁症的患病率数据。探讨了机体对环境变化的应激反应方面这些病症发病机制的一般原理。讨论了神经递质反应、多导睡眠图表现及遗传易感性的具体共性。指出了焦虑症、失眠和抑郁症睡眠结构的具体特征。强调了焦虑症、抑郁症和失眠共病的作用及其鉴别诊断的重要性，尤其是在初级保健中。
