Jiménez-Correa Ulises, Bonilla Naylea, Álvarez-García Horacio B, Méndez-Alonzo Gerardo, Barrera-Medina Andrés, Santana-Miranda Rafael, Poblano Adrián, Marín-Agudelo Hernán A
Clinic of Sleep Disorders, National University of Mexico (UNAM), Mexico City, México.
Department of Neurology, MIG Hospital, Mexico City, México.
CNS Spectr. 2023 Oct;28(5):581-586. doi: 10.1017/S109285292300007X. Epub 2023 Feb 28.
Circadian rhythm sleep disorders are alterations that are characterized by a shift in the sleep-wake cycle relative to day and night, such as the delayed sleep phase disorder (DSPD), which is a retard of at least 2 hours in the sleep start. Typically, the patient falls asleep after 2 a.m. and wakes up after 10 a.m. and with symptom of sleep onset insomnia. The prevalence of DSPD in young adults is 0.48%, increasing to 3.3% in adolescents. Interestingly, patients with COVID-19 infection report anxiety due to the intensive care unit lockdown and constant exposure to bright light. In addition, post-COVID patients have an increased risk of developing DSPD. For example, in adolescent post-COVID patients, the prevalence of DSPD increases to 63.3%. Patients with DSPD also have alterations in metabolic health, poor school performance, cognitive impairment, and a higher risk of developing other diseases. The objective of the present review is therefore to describe the characteristics of DSPD during the COVID-19 pandemic and to outline its possible implications for physical health (eg, metabolism) and mental health (eg, anxiety or depression).
昼夜节律睡眠障碍是一种改变,其特征是睡眠-清醒周期相对于白天和黑夜发生偏移,例如延迟睡眠相位障碍(DSPD),即入睡时间至少延迟2小时。通常,患者在凌晨2点之后入睡,上午10点之后醒来,并伴有入睡性失眠症状。DSPD在年轻人中的患病率为0.48%,在青少年中增至3.3%。有趣的是,感染新冠病毒的患者报告称,由于重症监护病房封锁以及持续暴露于强光下而出现焦虑情绪。此外,新冠康复患者患DSPD的风险增加。例如,在青少年新冠康复患者中,DSPD的患病率增至63.3%。DSPD患者在代谢健康、学业成绩差、认知障碍以及患其他疾病的风险方面也存在改变。因此,本综述的目的是描述新冠疫情期间DSPD的特征,并概述其对身体健康(如新陈代谢)和心理健康(如焦虑或抑郁)可能产生的影响。
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