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作为睡眠研究员和老年精神病学家的一段旅程的反思。

Reflections on a journey as sleep researcher and geriatric psychiatrist.

作者信息

Reynolds Charles F

机构信息

Distinguished Professor of Psychiatry and UPMC Endowed Professor in Geriatric Psychiatry, Emeritus, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.

出版信息

Sleep Adv. 2023 Nov 8;4(1):zpad032. doi: 10.1093/sleepadvances/zpad032. eCollection 2023.

Abstract

After first recalling the origins of my interest in sleep and dreams at UVa (1969) and my MD thesis at Yale on sleep in mood disorders (1973), I will describe my service to the field of sleep disorders medicine, through various roles in the American Sleep Disorders Association, the Institute of Medicine, the National Institute of Mental Health, and the DSM-5 Task Force of the American Psychiatric Association. I will then present the broad themes of my contributions to psychiatric sleep research, focusing on the neurobiology of sleep as a dimension of the risk and protective architecture for depression in older adults, as a bridge to diagnostic and treatment issues in later-life depression, and to clinical and translational neuroscience addressing the intersections of sleep, aging, and mind/brain health. Throughout this narrative, I highlight many relationships with mentors and mentees. All of my scientific activity has been team-based, providing the social matrix for the physician-scientist I have become. This paper is part of the Living Legends in Sleep Research series, which is sponsored by Idorsia Pharmaceuticals and Jazz Pharmaceuticals.

摘要

首先回顾一下我1969年在弗吉尼亚大学对睡眠和梦境产生兴趣的起源,以及1973年在耶鲁大学关于情绪障碍中睡眠的医学博士论文,之后我将描述我在睡眠障碍医学领域的贡献,这是通过在美国睡眠障碍协会、医学研究所、国家心理健康研究所以及美国精神病学协会《精神疾病诊断与统计手册》第五版工作组中担任的各种角色来实现的。然后我将阐述我对精神科睡眠研究贡献的广泛主题,重点关注睡眠的神经生物学,它是老年人抑郁症风险和保护机制的一个维度,是连接晚年抑郁症诊断和治疗问题的桥梁,也是解决睡眠、衰老与脑/心理健康交叉问题的临床和转化神经科学的桥梁。在整个叙述过程中,我将突出与导师和学员的诸多关系。我所有的科学活动都是基于团队的,这为我成为一名医生科学家提供了社会环境。本文是由艾多斯制药公司和爵士制药公司赞助的“睡眠研究传奇人物”系列文章的一部分。

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