Baskaran Archit, Marogi Emily, Bitar Ricardo, Attarian Hrayr, Saadi Altaf
Department of Neurology (AB), University of Chicago, IL; Department of Internal Medicine (EM), University of California San Francisco, CA; American University of Beirut (RB), Lebanon; Department of Neurology (HA), Northwestern University, Chicago, IL; Department of Neurology (AS), MGH Asylum Clinic, Harvard Medical School, Boston, MA.
Neurol Clin Pract. 2023 Apr;13(2):e200139. doi: 10.1212/CPJ.0000000000200139. Epub 2023 Mar 14.
Sleep disorders among refugees are common yet understudied. Interventions are difficult in resource-limited settings where most of these populations live. A systematic review of sleep disorders in refugee populations is warranted to identify prevalence, comorbidities, and the limitations of the current state of sleep health among refugees.
Sleep disturbances, particularly insomnia and nightmares, occur with a higher prevalence among refugees. Diseases associated with insomnia in this population included fibromyalgia, posttraumatic stress disorder, depression, and anxiety. Risk factors include trauma, migration, lower socioeconomic status, lower educational level, and settlement in areas with a high influx of new residents or proximity to conflict. Only a few partially successful therapies were identified.
This review identifies the high prevalence of the disturbed sleep in this population and its risk factors. It proposes ways of increasing awareness of it in this vulnerable population as a first step toward remediation.
难民中的睡眠障碍很常见，但研究不足。在大多数此类人群居住的资源有限环境中，干预措施实施困难。有必要对难民群体中的睡眠障碍进行系统综述，以确定患病率、合并症以及难民当前睡眠健康状况的局限性。
睡眠障碍，尤其是失眠和噩梦，在难民中的患病率更高。该人群中与失眠相关的疾病包括纤维肌痛、创伤后应激障碍、抑郁症和焦虑症。风险因素包括创伤、移民、社会经济地位较低、教育水平较低以及在新居民大量涌入或靠近冲突地区的定居点。仅确定了一些部分成功的疗法。
本综述确定了该人群中睡眠障碍的高患病率及其风险因素。它提出了提高对这一弱势群体睡眠障碍认识的方法，作为补救的第一步。
