Ando K, Hayakawa T, Ohta T, Kayukawa Y, Ito A, Iwata T, Okada T
Aichi Prefectural Shiroyama Hospital, Nagoya, Japan.
Jpn J Psychiatry Neurol. 1994 Mar;48(1):37-41. doi: 10.1111/j.1440-1819.1994.tb02994.x.
Therapeutic trials for sleep-wake schedule disorders have been described, but a long-term follow-up of adolescents with such disorders have not previously been reported. We investigated 10 adolescents with sleep-wake schedule disorders who had formerly received intensive treatment. The investigation was carried out with detailed questionnaires about current sleep conditions and social state. The follow-ups were obtained from 1.2 to 11.2 years after the initial treatment. Three cases have remitted, and six have improved in illness severity. All patients showed improvement in social adaptation. Improvement in the social adaptation level was greater than improvement in the illness severity level. More cases should be studied to learn what factors influence the prognosis of these disorders.
已有关于睡眠-清醒节律障碍治疗试验的描述，但此前尚未报道过对患有此类障碍的青少年进行长期随访的情况。我们对10名曾接受过强化治疗的睡眠-清醒节律障碍青少年进行了调查。通过详细的问卷对他们当前的睡眠状况和社会状态进行了调查。随访是在初始治疗后的1.2至11.2年进行的。3例已缓解，6例病情严重程度有所改善。所有患者的社会适应能力均有所改善。社会适应水平的改善大于疾病严重程度的改善。应该研究更多的病例，以了解哪些因素会影响这些障碍的预后。
