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睡眠障碍与心理健康:理解认知联系。

Sleep disorders and mental health: Understanding the cognitive connection.

作者信息

Akpoveta Eguono Deborah, Okpete Uchenna Esther, Byeon Haewon

机构信息

Department of Community Medicine, Federal Medical Centre, Asaba 322022, Delta, Nigeria.

Department of Digital Anti-Aging Healthcare (BK21), Inje University, Gimhae 50834, South Korea.

出版信息

World J Psychiatry. 2025 Jun 19;15(6):105362. doi: 10.5498/wjp.v15.i6.105362.

Abstract

Sleep disorders, particularly insomnia, have emerged as a critical public health challenge, with the situation worsened by the coronavirus disease-2019 pandemic. Insomnia symptoms, which affected up to 45% of the population during this period, highlight the urgent need to understand the mechanisms linking sleep disturbances to mental health outcomes. Recent findings suggest that cognitive failures, such as memory lapses and attentional deficits, mediate the relationship between insomnia and emotional disorders such as anxiety and depression. The role of personality traits, particularly neuroticism, adds further complexity, as it may either exacerbate or buffer these effects under specific conditions. This review explores the study by Li , which offers valuable insights into the cognitive-emotional pathways influenced by sleep disturbances. The study makes significant contributions by identifying key cognitive mechanisms and proposing the dual role of neuroticism in shaping emotional outcomes. To advance these findings, this letter advocates for future longitudinal research and the integration of targeted interventions, such as cognitive-behavioral therapy for insomnia, into public health frameworks. By addressing insomnia-induced cognitive dysfunction, these strategies can enhance emotional regulation and foster resilience, particularly in vulnerable populations facing the mental health impacts of the pandemic.

摘要

睡眠障碍,尤其是失眠,已成为一项严峻的公共卫生挑战,而2019冠状病毒病大流行使这一情况更加恶化。在此期间,高达45%的人口受到失眠症状影响,这凸显了迫切需要了解将睡眠障碍与心理健康结果联系起来的机制。最近的研究结果表明,认知失误,如记忆失误和注意力缺陷,在失眠与焦虑和抑郁等情绪障碍之间的关系中起中介作用。人格特质,尤其是神经质的作用,增加了进一步的复杂性,因为它可能在特定条件下加剧或缓冲这些影响。本综述探讨了李的研究,该研究为受睡眠障碍影响的认知-情感途径提供了宝贵的见解。该研究通过识别关键的认知机制并提出神经质在塑造情绪结果中的双重作用做出了重大贡献。为了推进这些研究结果,本信函倡导未来进行纵向研究,并将有针对性的干预措施,如失眠的认知行为疗法,纳入公共卫生框架。通过解决失眠引起的认知功能障碍,这些策略可以增强情绪调节能力并培养恢复力,尤其是在面临大流行心理健康影响的弱势群体中。

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