Brownlow Janeese A, Miller Katherine E, Gehrman Philip R
Department of Psychology, College of Health & Behavioral Sciences, Delaware State University, 1200 North DuPont Highway, Dover, DE 19901, USA; Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, 3535 Market Street, Suite 670, Philadelphia, PA 19104, USA.
Mental Illness Research, Education, and Clinical Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, 3900 Woodland Avenue, Philadelphia, PA 19104, USA.
Sleep Med Clin. 2020 Mar;15(1):71-76. doi: 10.1016/j.jsmc.2019.10.002. Epub 2019 Nov 27.
Insomnia is the most common sleep problem, affecting between 30% and 50% in the general adult population. Insomnia is characterized by difficulty initiating and maintaining sleep, along with dissatisfaction with sleep quality or quantity. Insomnia complaints are linked to clinically significant distress or impairment in key areas of functioning, especially daytime cognitive performance. Cognitive impairments related to insomnia are subtle, and may represent distinct differences from those seen in other sleep disorders. This article updates and summarizes the recent literature investigating cognitive impairments in individuals with insomnia, and identifies the cognitive domains of functioning that are consistently impaired.
失眠是最常见的睡眠问题,在普通成年人群中的发生率为30%至50%。失眠的特征是入睡困难和维持睡眠困难,同时对睡眠质量或数量不满意。失眠主诉与临床上显著的痛苦或关键功能领域的损害有关,尤其是白天的认知表现。与失眠相关的认知损害很细微,可能与其他睡眠障碍中所见的损害存在明显差异。本文更新并总结了近期关于失眠患者认知损害的研究文献,并确定了持续受损的认知功能领域。