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文献概要

増大号特集 精神科診療のピットフォール 疾患各論 睡眠障害

睡眠障害(不眠症)

著者: 吉池卓也1

所属機関: 1国立精神・神経医療研究センター精神保健研究所睡眠・覚醒障害研究部

ページ範囲:P.762 - P.767

ピットフォール
・主観,客観の一方に偏って診断してしまう
・併存疾患を見逃してしまう
・精神疾患との縦断的関係を見過ごしてしまう
・不眠症の心性への配慮を欠いてしまう

参考文献

1)American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders, Fifth ed. (DSM-5). American Psychiatric Publishing, Washington D.C., 2013(日本精神神経学会日本語版用語監修,髙橋三郎,大野裕監訳:DSM-5精神疾患の診断・統計マニュアル.医学書院,2014)
2)米国睡眠医学会,日本睡眠学会診断分類委員会監訳:睡眠障害国際分類第3版.ライフ・サイエンス,2018
3)Vgontzas AN, Fernandez-Mendoza J, Liao D, et al:Insomnia with objective short sleep duration. The most biologically severe phenotype of the disorder. Sleep Med Rev 17:241-254, 2013
4)Ohayon MM, Roth T:Place of chronic insomnia in the course of depressive and anxiety disorders. J Psychiatr Res 37:9-15, 2003
5)Roth T, Jaeger S, Jin R, et al:Sleep problems, comorbid mental disorders, and role functioning in the national comorbidity survey replication. Biol Psychiatry 60:1364-1371, 2006
6)Taylor DJ, Mallory LJ, Lichstein KL, et al:Comorbidity of chronic insomnia with medical problems. Sleep 30:213-218, 2007
7)Chang PP, Ford DE, Mead LA, et al:Insomnia in young men and subsequent depression. The Johns Hopkins Precursors Study. Am J Epidemiol 146:105-114, 1997
8)Salo P, Sivertsen B, Oksanen T, et al:Insomnia symptoms as a predictor of incident treatment for depression:Prospective cohort study of 40, 791 men and women. Sleep Med 13:278-284, 2012
9)Cho HJ, Lavretsky H, Olmstead R, et al:Sleep disturbance and depression recurrence in community-dwelling older adults:a prospective study. Am J Psychiatry 165:1543-1550, 2008
10)Irwin MR, Carrillo C, Sadeghi N, et al:Prevention of incident and recurrent major depression in older adults with insomnia:a randomized clinical trial. JAMA Psychiatry 79:33-41, 2022
11)Fava M, McCall WV, Krystal A, et al:Eszopiclone co-administered with fluoxetine in patients with insomnia coexisting with major depressive disorder. Biol Psychiatry 59:1052-1060, 2006
12)Pollack M, Kinrys G, Krystal A, et al:Eszopiclone coadministered with escitalopram in patients with insomnia and comorbid generalized anxiety disorder. Arch Gen Psychiatry 65:551-562, 2008
13)Manber R, Edinger JD, Gress JL, et al:Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disorder and insomnia. Sleep 31:489-495, 2008
14)Harvey A:A cognitive model of insomnia. Behav Res Ther 40:869-893, 2002
15)Yoshiike T, Kuriyama K, Honma M, et al:Neuroticism relates to daytime wakefulness and sleep devaluation via high neurophysiological efficiency in the bilateral prefrontal cortex:a preliminary study. Psychophysiology 51:396-406, 2014
16)Krueger JM, Rector DM, Roy S, et al:Sleep as a fundamental property of neuronal assemblies. Nat Rev Neurosci 9:910-919, 2008
17)Buysse DJ, Germain A, Hall M, et al:A neurobiological model of insomnia. Drug Discov Today Dis Model 8:129-137, 2011
18)Riedner BA, Goldstein MR, Plante DT, et al:Regional patterns of elevated alpha and high-frequency electroencephalographic activity during nonrapid eye movement sleep in chronic insomnia:A pilot study. Sleep 39:801-812, 2016
19)Nofzinger EA, Boysse DJ, Germain A, et al:Functional neuroimaging evidence for hyperarousal in insomnia. Am J Psychiatry 161:2126-2129, 2004

掲載雑誌情報

出版社:株式会社医学書院

電子版ISSN:1882-126X

印刷版ISSN:0488-1281

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