Williams R L, Karacan I
Hosp Community Psychiatry. 1985 Sep;36(9):951-7. doi: 10.1176/ps.36.9.951.
The publication of a new nosology of sleep and arousal disorders in 1979 established the need for differential diagnosis of sleep disorders based on polysomnographic evaluations as well as medical history and physical examination. This review of recent developments in diagnosing and treating sleep disorders covers such topics as prevalence, findings related to sleeping pills and insomnia, effects of depression on sleep, and managing the elderly patient with disturbed sleep. The authors caution against misuse of hypnotic drug therapy for treatment of insomnia and encourage physicians to inquire about sleep patterns even when a patient is presenting a seemingly unrelated problem.
1979年一种新的睡眠与觉醒障碍分类学的发表确立了基于多导睡眠图评估以及病史和体格检查进行睡眠障碍鉴别诊断的必要性。这篇关于睡眠障碍诊断和治疗最新进展的综述涵盖了患病率、与安眠药和失眠相关的发现、抑郁症对睡眠的影响以及管理睡眠紊乱的老年患者等主题。作者告诫不要滥用催眠药物疗法治疗失眠,并鼓励医生即使在患者表现出看似不相关问题时也询问其睡眠模式。