失眠：个性化诊断与治疗选择。

Insomnia: Personalized Diagnosis and Treatment Options.

机构信息

Department of Medicine, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD, USA; Department of Neurology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD, USA. Electronic address: https://twitter.com/KoriPoRodri.

Department of Neurology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD, USA. Electronic address: https://twitter.com/RachelSalasMD.

出版信息

Neurol Clin. 2023 Feb;41(1):1-19. doi: 10.1016/j.ncl.2022.07.004. Epub 2022 Oct 31.

DOI:10.1016/j.ncl.2022.07.004

PMID:36400549

Abstract

Chronic insomnia is a clinical diagnosis fulfilled by criteria: (a) difficulty initiating or maintaining sleep, (b) inability to sleep despite having adequate opportunities, (c) having negative daytime effects due to lack of sleep, and (d) sleep difficulty not explained by other disorder-with symptoms at least three times per week during a period of 3 months. Cognitive behavioral therapy is considered a first-line treatment but can be supported with pharmacologic or digital therapeutics. When developing a patient's care plan, we should consider a "personomics" approach in which we personalize care plans as a form of sleep precision medicine.

摘要

慢性失眠是一种临床诊断，符合以下标准：(a) 入睡或保持睡眠困难，(b) 尽管有足够的机会，但仍无法入睡，(c) 由于睡眠不足而导致白天出现负面效应，(d) 睡眠困难不能用其他障碍来解释-症状每周至少出现三次，持续 3 个月。认知行为疗法被认为是一线治疗方法，但可以辅以药物治疗或数字治疗。在制定患者的护理计划时，我们应该考虑采用“个性化医疗”方法，将护理计划个性化作为一种睡眠精准医疗的形式。