Secteur 8, Hôpital Valvert, Marseille, France.
Centre du Sommeil, Hôpital de la Timone, Marseille, France.
J Clin Sleep Med. 2018 Sep 15;14(9):1503-1507. doi: 10.5664/jcsm.7324.
The aim of this study was to assess the frequency of past and current psychiatric disorders among patients referred to a sleep unit for polysomnography.
A total of 152 patients referred to the Sleep Center of Timone Hospital in Marseille were included from January 12 to March 31, 2015. Clinical data were collected using the Mini International Neuropsychiatric Interview.
The final sample consisted of 102 patients. Polysomnography helped diagnose the following common sleep disorders: obstructive sleep apnea, restless legs syndrome, insomnia, and non-rapid eye movement sleep arousal disorder. Ninety patients (88%) had psychiatric disorders. All patients (27) without a common sleep disorder diagnosis had psychiatric disorders and among patients with a common sleep disorder diagnosis 84% had psychiatric disorders. Among the psychiatric disorders a past major depressive episode was the most frequent pathology.
This study shows that patients referred to a sleep unit have a high prevalence of psychiatric disorders. This may be explained by residual symptoms of psychiatric illnesses, a diagnostic misdirection, a denial of psychiatric diagnosis, or an undiagnosed somatic symptom disorder. Finally, this study shows the importance of cross-disciplinary communication considering the diagnostic heterogeneity that may represent a sleep complaint.
本研究旨在评估因多导睡眠图检查而被转至睡眠单位的患者过去和当前精神障碍的频率。
2015 年 1 月 12 日至 3 月 31 日，共纳入 152 例转诊至马赛蒂姆诺医院睡眠中心的患者。使用迷你国际神经精神访谈收集临床数据。
最终样本包括 102 例患者。多导睡眠图有助于诊断以下常见睡眠障碍：阻塞性睡眠呼吸暂停、不宁腿综合征、失眠和非快速眼动睡眠觉醒障碍。90 例（88%）患者存在精神障碍。所有（27 例）无常见睡眠障碍诊断的患者均存在精神障碍，而在有常见睡眠障碍诊断的患者中，84%存在精神障碍。在精神障碍中，过去的重性抑郁发作是最常见的病理。
本研究表明，被转至睡眠单位的患者存在较高的精神障碍患病率。这可能是由于精神疾病的残留症状、诊断误导、对精神诊断的否认或未诊断的躯体症状障碍所致。最后，本研究表明，考虑到可能代表睡眠主诉的诊断异质性，跨学科交流很重要。
