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失眠障碍及其与精神病理学的相互关系。

Insomnia disorder and its reciprocal relation with psychopathology.

机构信息

Psychiatric Sleep Center Assen, Mental Health Services Drenthe, the Netherlands; Department of Clinical Psychology & Experimental Psychopathology University of Groningen, the Netherlands; Forensic Psychiatric Hospital Assen, Mental Health Services Drenthe, the Netherlands.

Forensic Psychiatric Hospital Assen, Mental Health Services Drenthe, the Netherlands.

出版信息

Curr Opin Psychol. 2021 Oct;41:34-39. doi: 10.1016/j.copsyc.2021.02.001. Epub 2021 Feb 11.

DOI:10.1016/j.copsyc.2021.02.001
PMID:33691218
Abstract

Sleep is crucial for daytime functioning. In populations with psychiatric conditions, many people suffer from insomnia symptoms or an insomnia disorder. Emerging evidence suggests a bidirectional relationship between insomnia and various psychopathologies, implying that insomnia not only may be a consequence of mental disorders but also may contribute to new development, symptom severity, and reoccurrence of diverse mental disorders. Research on potential mechanisms underlying the insomnia psychopathology association is important, both from the preventive and treatment perspective. Most hypotheses concern the influence of insomnia on emotion regulation and on shared pathophysiological pathways, ranging from gut microbiome composition to genetic and specific neurotransmitter system aberrations.

摘要

睡眠对于日间功能至关重要。在患有精神疾病的人群中,许多人患有失眠症状或失眠障碍。新出现的证据表明,失眠与各种精神病理学之间存在双向关系,这意味着失眠不仅可能是精神障碍的后果,而且可能导致新的发展、症状严重程度和各种精神障碍的复发。从预防和治疗的角度来看,研究失眠与精神病理学关联的潜在机制非常重要。大多数假说都涉及失眠对情绪调节和共同病理生理途径的影响,范围从肠道微生物组组成到遗传和特定神经递质系统异常。

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