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睡眠相关摄食障碍。

Sleep-Related Eating Disorder.

机构信息

Center for Sleep Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

Center for Sleep Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

出版信息

Sleep Med Clin. 2024 Mar;19(1):55-61. doi: 10.1016/j.jsmc.2023.10.013. Epub 2023 Nov 29.

DOI:10.1016/j.jsmc.2023.10.013
PMID:38368069
Abstract

Sleep-related eating disorder is a non-rapid-eye movement parasomnia typified by recurrent episodes of eating/drinking following arousals, with associated partial/complete amnesia. Adverse health consequences and quality of life impairments are common. The condition can be idiopathic but most often accompanies unrecognized/untreated comorbid sleep disorders and/or is induced by psychoactive medications. As such, management consists of addressing comorbidities and removing potentially offending medications. While a thorough clinical history is often sufficient, additional sleep testing may help identify coexisting sleep disorders and/or other phenomena that may cause arousals. Limited data suggest benefit from topiramate and other medications in idiopathic or otherwise refractory cases.

摘要

睡眠相关进食障碍是一种非快速动眼睡眠障碍,其特征是觉醒后反复出现进食/饮水,伴有部分/完全遗忘。常见不良健康后果和生活质量受损。该病症可能是特发性的,但最常伴有未被识别/未治疗的共病睡眠障碍,或由精神活性药物引起。因此,治疗包括治疗共病和去除潜在的致病药物。虽然详细的临床病史通常就足够了,但额外的睡眠测试可能有助于确定共存的睡眠障碍和/或可能导致觉醒的其他现象。有限的数据表明,在特发性或其他难治性病例中,托吡酯和其他药物可能有效。

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