成人持续性抽动障碍患者的睡眠与昼夜类型。
Sleep and chronotype in adults with persistent tic disorders.
机构信息
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA.
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.
出版信息
J Clin Psychol. 2022 Jul;78(7):1516-1539. doi: 10.1002/jclp.23323. Epub 2022 Feb 12.
OBJECTIVE
This study examined sleep disorders and sleep medication use rates, nighttime tics, and sleep and chronotype in relation to tic and co-occurring symptoms in adults with persistent tic disorders (PTDs), including Tourette's disorder (TD).
METHODS
One hundred twenty-five adult internet survey respondents rated sleep history, sleep, chronotype, tic severity, impairment, attention deficit hyperactivity disorder, obsessive-compulsive symptoms, anxiety, depression, and emotional and behavioral dyscontrol.
RESULTS
Bruxism, insomnia, tic-related difficulty falling asleep, and melatonin use were commonly endorsed. Sleep disturbance correlated with impairment, obsessive-compulsive symptoms, and emotional and behavioral dyscontrol. Eveningness correlated with vocal and total tic severity only in TD. Controlling for age and sex, age, impairment, and obsessive-compulsive symptoms predicted sleep disturbance, and age and tic severity predicted chronotype.
CONCLUSIONS
Impairment and obsessive-compulsive symptoms play a role in sleep disturbance in adults with PTDs, and may be intervention targets. Eveningness relates to tic severity, which may suggest the utility of interventions to advance chronotype.
目的
本研究旨在调查睡眠障碍和睡眠药物使用频率、夜间抽动、睡眠和昼夜节律与持续性抽动障碍（PTD）成人的抽动和共病症状之间的关系，包括妥瑞氏症（TD）。
方法
125 名成年互联网调查受访者对睡眠史、睡眠、昼夜节律、抽动严重程度、障碍、注意力缺陷多动障碍、强迫症症状、焦虑、抑郁以及情绪和行为失控进行了评分。
结果
磨牙症、失眠、与抽动相关的入睡困难和褪黑素使用较为常见。睡眠障碍与障碍、强迫症症状和情绪及行为失控相关。只有在 TD 中，夜间型与发声和总抽动严重程度相关。在控制年龄和性别后，年龄、障碍和强迫症症状预测睡眠障碍，而年龄和抽动严重程度预测昼夜节律。
结论
在 PTD 成人中，障碍和强迫症症状与睡眠障碍有关，可能是干预的目标。夜间型与抽动严重程度有关，这可能表明干预措施促进昼夜节律的有效性。
Zotero 插件