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轻度创伤性脑损伤患者的睡眠与精神障碍

Sleep and Psychiatric Disorders in Persons With Mild Traumatic Brain Injury.

作者信息

Mollayeva Tatyana, D'Souza Andrea, Mollayeva Shirin

机构信息

Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Canada.

Toronto Rehabilitation Institute-University Health Network, 550 University Avenue, Rm 11207, Toronto, ON, M5G 2A2, Canada.

出版信息

Curr Psychiatry Rep. 2017 Aug;19(8):47. doi: 10.1007/s11920-017-0800-z.

Abstract

Mild traumatic brain injury (mTBI) frequently challenges the integrity of sleep function by affecting multiple brain areas implicated in controlling the switch between wakefulness and sleep and those involved in circadian and homeostatic processes; the malfunction of each causes a variety of disorders. In this review, we discuss recent data on the dynamics between disorders of sleep and mental/psychiatric disorders in persons with mTBI. This analysis sets the stage for understanding how a variety of physiological, emotional and environmental influences affect sleep and mental activities after injury to the brain. Consideration of the intricate links between sleep and mental functions in future research can increase understanding on the underlying mechanisms of sleep-related and psychiatric comorbidity in mTBI.

摘要

轻度创伤性脑损伤(mTBI)常常通过影响多个与控制清醒和睡眠转换以及昼夜节律和稳态过程相关的脑区来挑战睡眠功能的完整性;其中任何一个功能出现故障都会导致多种紊乱。在本综述中,我们讨论了有关mTBI患者睡眠障碍与精神/心理障碍之间动态关系的最新数据。这一分析为理解各种生理、情感和环境影响如何在脑损伤后影响睡眠和心理活动奠定了基础。在未来研究中考虑睡眠与心理功能之间的复杂联系,可以增进对mTBI中睡眠相关和精神共病潜在机制的理解。

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