Roncero Carlos, García-Ullán Llanyra, Bullón Alberto, Remón-Gallo Diego, Vicente-Hernández Begoña, Álvarez Ana, Caldero Amaya, Flores Andrea, Aguilar Lourdes
Psychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007 Salamanca, Spain.
Psychiatry Unit, School of Medicine, University of Salamanca, Campus Miguel de Unamuno C/ Alfonso X El Sabio s/n, 37007 Salamanca, Spain.
J Clin Med. 2020 Sep 4;9(9):2862. doi: 10.3390/jcm9092862.
Sleep disorders are often associated with drug use. Nearly 70% of patients admitted for detoxification report sleep problems. Dual disorder (DD) is the comorbidity between mental disorders in general and disorders related to psychoactive substance use. The association between substance use and sleep disorders (SD) appears to be bidirectional. Our objective is to analyze the association between sleep disturbance history and drug use pattern (alcohol, cannabis, opioids, and cocaine).
Analysis of data in the first interview at the Addictions Unit of the Department of Psychiatry at the University of Salamanca Health Care Complex between October 2017 and January 2020. The sample consists of 398 patients. We studied the association between different variables: origin of patients (Inpatient Dual Diagnosis Detoxification Unit (IDDDU) vs. Outpatient Drug Clinic (ODC), presence of affective disorder, psychotic disorder, type of drug used, and treatment.
Of patients with DD, 62% had more delayed sleep induction, sleep fragmentation, early awakening, and nightmares. Outpatients had more difficulty falling asleep because, in many cases, they had not previously sought any medical assistance. On the other hand, 67% of the patients with insomnia presented depression.
There is evidence of a harmful association between DD and SD.
睡眠障碍常与药物使用相关。近70%因戒毒入院的患者报告存在睡眠问题。双重障碍（DD）是一般精神障碍与精神活性物质使用相关障碍之间的共病情况。物质使用与睡眠障碍（SD）之间的关联似乎是双向的。我们的目的是分析睡眠障碍史与药物使用模式（酒精、大麻、阿片类药物和可卡因）之间的关联。
对2017年10月至2020年1月期间萨拉曼卡大学医疗中心精神病学系成瘾科首次访谈中的数据进行分析。样本包括398名患者。我们研究了不同变量之间的关联：患者来源（住院双重诊断戒毒单元（IDDDU）与门诊药物诊所（ODC））、情感障碍的存在、精神障碍、使用的药物类型和治疗情况。
在双重障碍患者中，62%的患者入睡延迟、睡眠碎片化、早醒和噩梦情况更严重。门诊患者入睡困难更多，因为在很多情况下，他们之前未曾寻求过任何医疗帮助。另一方面，67%的失眠患者存在抑郁症状。
有证据表明双重障碍与睡眠障碍之间存在有害关联。
