Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Psychology, Stress Research Institute, Stockholm University, Stockholm, Sweden.
Transl Psychiatry. 2024 Jul 12;14(1):284. doi: 10.1038/s41398-024-03009-4.
Disturbed sleep comes in many forms. While the key role of sleep in mental health is undisputed, our understanding of the type of sleeping problems that manifest in the early stages of psychiatric disorders is limited. A sample without psychiatric diagnoses (N = 440, 341 women, 97 men, 2 non-binaries; M = 32.1, SD = 9.4, range 18-77) underwent a comprehensive assessment, evaluating eight sleep features and 13 questionnaires on common psychiatric complaints. Results revealed that traits of affect disorders, generalized anxiety, and ADHD had the worst sleep profiles, while autism disorder, eating disorder, and impulsivity traits showed milder sleep issues. Mania was the only trait associated with an overall better sleep profile. Across traits, insomnia and fatigue dominated and sleep variability was least prominent. These findings provide support for both transdiagnostic and disorder-specific targets for prevention and treatment.
睡眠障碍有多种形式。虽然睡眠在心理健康中的关键作用是毋庸置疑的，但我们对精神障碍早期表现出的睡眠问题类型的了解是有限的。一个没有精神诊断的样本（N=440，341 名女性，97 名男性，2 名非二元性别；M=32.1，SD=9.4，范围 18-77）接受了全面评估，评估了八项睡眠特征和 13 项常见精神疾病的问卷。结果表明，情感障碍、广泛性焦虑和 ADHD 的特征具有最差的睡眠状况，而自闭症障碍、饮食障碍和冲动特质则显示出较轻的睡眠问题。躁狂是唯一与整体更好的睡眠状况相关的特征。在所有特征中，失眠和疲劳占主导地位，睡眠变异性最不明显。这些发现为预防和治疗提供了跨诊断和特定障碍的目标支持。
