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睡眠障碍与阿片类物质使用障碍之间的相互作用:一项叙述性综述。

Crosstalk between Sleep Disturbance and Opioid Use Disorder: A Narrative Review.

作者信息

Fathi Hamid Reza, Yoonessi Ali, Khatibi Ali, Rezaeitalab Fariborz, Rezaei-Ardani Amir

机构信息

Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise, and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.

出版信息

Addict Health. 2020 Apr;12(2):140-158. doi: 10.22122/ahj.v12i2.249.

Abstract

Recent studies have revealed a growing number of patients affected by opioid use disorders (OUDs). Comorbid disorders are suspected to increase the risk of opioid-related adverse effects or treatment failure. The correlation of opioid use with sleep disturbances has been reported in many different studies and suggested to be linked to the brain regions involved in reward processing. This narrative review was intended to discuss the most recent developments in our understanding of the intricate interaction between sleep disturbance and OUD. In addition, in this study, the effects of sleep problems on the occurrence of unpleasant consequences in addiction management, such as craving and relapse in OCD patients, were highlighted. It has been shown that drug use may trigger the induction of sleep disturbances, and those suffering from difficulties in sleeping are prone to relapse to drug use, including opioids. Moreover, pharmaceutical sleep aids are likely to interfere with opiate use.

摘要

最近的研究表明,受阿片类药物使用障碍(OUDs)影响的患者数量不断增加。人们怀疑共病会增加阿片类药物相关不良反应或治疗失败的风险。许多不同的研究都报道了阿片类药物使用与睡眠障碍之间的相关性,并认为这与参与奖赏处理的脑区有关。这篇叙述性综述旨在讨论我们对睡眠障碍与阿片类药物使用障碍之间复杂相互作用的最新认识进展。此外,在本研究中,还强调了睡眠问题对成瘾管理中不愉快后果发生的影响,如强迫症患者的渴望和复发。研究表明,药物使用可能引发睡眠障碍,而睡眠困难的人容易复发药物使用,包括阿片类药物。此外,药物助眠剂可能会干扰阿片类药物的使用。

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