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[失眠作为老年抑郁和焦虑障碍中的一种跨诊断现象。]

[Insomnia as a transdiagnostic phenomenon in the elderly with depressive and anxiety disorders.].

作者信息

Mizinova E B, Karavaeva T A, Vasileva A V, Radionov D S

机构信息

V.M.Bekhterev National Research Medical Center for Psychiatry and Neurology, 3 Bekhterev str., St. Petersburg 192019, Russian Federation, e-mail:

Saint-Petersburg State University, Saint Petersburg, 7/9 Universitetskaya emb., St. Petersburg 199034, Russian Federation.

出版信息

Adv Gerontol. 2024;37(5):546-558.

Abstract

The article describes the forms, causes and consequences of insomnia in the elderly. It shows the clinical features of dyssomnic disorders in comorbid depressive and anxiety disorders, as the most common mental pathology of old age. The approaches of Russian and foreign authors to the diagnosis and treatment of insomnia in the elderly are considered. The analysis of the advantages and disadvantages of pharmacological and psychotherapeutic approaches in the treatment of sleep disorders in old age with comorbid affective disorders is carried out.

摘要

本文描述了老年人失眠的形式、成因及后果。它展示了共病抑郁和焦虑障碍时睡眠障碍的临床特征,这是老年期最常见的精神病理学情况。文中探讨了俄罗斯和外国作者对老年人失眠的诊断和治疗方法。对在伴有情感障碍的老年患者中治疗睡眠障碍时药物治疗和心理治疗方法的优缺点进行了分析。

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