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Treatment of sleep dysfunction and psychiatric disorders.

Author: BeckerPhilip M

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Overview

Sleep dysfunction is common in patients with neurologic disorders and psychiatric disorders, particularly insomnia. Insomnia is often a prominent symptom in anxiety disorders and major depression. Treatment for chronic insomnia should consider underlying psychiatric conditions. For patients with mild to moderate depression and insomnia, sedating antidepressants like mirtazapine, nefazodone, or tricyclic antidepressants can be beneficial, although side effects may limit their use. Cognitive behavioral therapy and lifestyle changes show long-term efficacy in treating chronic insomnia. Sedative hypnotic agents, such as benzodiazepines and zolpidem, are commonly used, but their long-term use should be carefully monitored. Trazodone is frequently prescribed to treat insomnia during antidepressant therapy, but research on its effectiveness in psychiatric patients is limited. Atypical antipsychotic agents like quetiapine or olanzapine may be used to address severe insomnia and agitation. It is essential to rule out underlying sleep disorders if insomnia or hypersomnia persists even after improvement in mood, anxiety, or thought disorders.
Paper Details　
Original Abstract of the Article :
Patients with neurologic disorders commonly experience sleep dysfunction and psychiatric disorders. The most common sleep dysfunction is insomnia, which is a primary symptom in 30% to 90% of psychiatric disorders. Insomnia and fatigue are prominent symptoms of anxiety disorders and major depression,...See full text at original site
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引用元：
https://doi.org/10.1007/s11940-006-0026-6

データ提供：米国国立医学図書館（NLM）

Sleep Dysfunction and Psychiatric Disorders: A Complex Relationship

This research delves into the intricate relationship between sleep dysfunction and psychiatric disorders. It's like trying to decipher the secrets of an ancient desert oasis, where both water and mental clarity are essential for survival. The study highlights how insomnia, a common sleep disorder, is a major symptom in a significant percentage of psychiatric disorders, ranging from 30% to 90%. It's like a scorching desert wind that disrupts the peaceful flow of sleep, leading to both mental and physical distress. The research also explores the overlapping symptoms of insomnia and psychiatric disorders, making it challenging to determine the root cause. They're like two intertwined desert vines, each contributing to the other's growth. This study emphasizes the importance of careful clinical judgment to differentiate between sleep deprivation causing mood disturbances and psychiatric disorders being the primary culprit for sleep disruption. The authors suggest a multi-faceted approach to treatment, including sedative antidepressants, behavioral therapy, and lifestyle modifications. It's like a well-planned journey through the desert, combining multiple strategies to ensure both physical and mental well-being.

The Importance of Multimodal Treatment for Chronic Insomnia

The study emphasizes the effectiveness of multimodal treatment, including both pharmacological and behavioral therapies, for chronic insomnia. It's like a caravan equipped with both camels and skilled navigators, each playing a vital role in navigating the challenging desert landscape.

Sleep Disruption: A Warning Sign for Underlying Issues

This study underscores the importance of recognizing sleep disruptions as potential indicators of underlying sleep disorders, even when mood, anxiety, or thought disorders improve with conventional treatments. It's like a mirage in the desert that can be misleading, prompting us to explore deeper, underlying causes.

Dr.Camel's Conclusion

Sleep dysfunction and psychiatric disorders are like two sides of a desert coin, interconnected and often difficult to disentangle. This research helps us understand the complex interplay between these two issues, emphasizing the need for careful assessment and a multimodal approach to treatment. It's like navigating a desert with a compass, understanding the terrain and using multiple tools to reach our destination.

Date :
  1. Date Completed 2011-07-14
  2. Date Revised 2022-07-16
Further Info :

Pubmed ID

16901376

DOI: Digital Object Identifier

10.1007/s11940-006-0026-6

SNS
PICO Info
in preparation
Languages

English

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