DelRosso Lourdes M, Mogavero Maria Paola, Baroni Argelinda, Bruni Oliviero, Ferri Raffaele
Division of Pulmonary and Sleep Medicine, Seattle Children's Hospital, 4800 Sand Point Way, Northeast, Seattle, WA, USA.
Istituti Clinici Scientifici Maugeri, IRCCS, Scientific Institute of Pavia, Via Salvatore Maugeri 4, Pavia 27100, Italy.
Child Adolesc Psychiatr Clin N Am. 2021 Jan;30(1):143-157. doi: 10.1016/j.chc.2020.08.010. Epub 2020 Oct 27.
Children with psychiatric comorbidities frequently are referred for evaluation of sleep complaints. Common sleep symptoms can include difficulty falling asleep, frequent nocturnal awakening, restless sleep, and symptoms of restless legs syndrome (RLS). The understanding of the sleep condition in relation to the psychiatric comorbidity often is a challenge to the physician and often sleep disorders remain undiagnosed, untreated, or undertreated. Restless legs syndrome has been associated with psychiatric comorbidities and with certain medications, such as antidepressants, antihistamines, and antipsychotics. This article reviews the presentation of RLS and restless sleep, the association with psychiatric comorbidities, and treatment options.
患有精神疾病合并症的儿童经常因睡眠问题而被转诊进行评估。常见的睡眠症状可能包括入睡困难、夜间频繁醒来、睡眠不安以及不安腿综合征(RLS)的症状。了解与精神疾病合并症相关的睡眠状况对医生来说往往是一项挑战,睡眠障碍常常仍未得到诊断、治疗或治疗不足。不安腿综合征与精神疾病合并症以及某些药物有关,如抗抑郁药、抗组胺药和抗精神病药。本文综述了不安腿综合征和睡眠不安的表现、与精神疾病合并症的关联以及治疗选择。