Lemperière T, Ades J
Nouv Presse Med. 1982 Oct 14;11(40):2981-6.
According to sleep specialists, 30 to 80% of insomnia cases have a psychiatric cause. The author distinguishes between acute insomnia induced by acute psychiatric disorders and chronic insomnia associated with more or less permanent personality disturbances. This article reviews neurotic, depressive and maniac insomnia, insomnia of the alcoholic and of the toxicomaniac, insomnia during schizophrenia and chronic delusion. Insomnia may be the first symptom reported by the patient, hiding a subjacent psychiatric disorder. At the contrary, a short and insufficient sleep can only be discovered through a thorough investigation of the patient and questioning of his familiars.
根据睡眠专家的说法，30%至80%的失眠病例都有精神方面的原因。作者区分了由急性精神障碍引起的急性失眠和与或多或少永久性人格障碍相关的慢性失眠。本文回顾了神经症性、抑郁性和躁狂性失眠、酗酒者和吸毒成瘾者的失眠、精神分裂症和慢性妄想症期间的失眠。失眠可能是患者报告的首个症状，掩盖了潜在的精神障碍。相反，短暂且不足的睡眠只能通过对患者进行全面调查并询问其家属才能发现。
