Comorbid Insomnia: Reciprocal Relationships and Medication Management

被引：15

作者：

Glidewell, Robert N. ^{[1
]}

Moorcroft, William H. ^{[2
]}

Lee-Chiong, Teofilo ^{[3
]}

机构：

[1] Lynn Inst Healthcare Res, Sleep Med & Res Program, 1625 Med Ctr Point,Suite 260, Colorado Springs, CO 80907 USA

[2] Northern Colorado Sleep Consultants, Ft Collins, CO 80526 USA

[3] Univ Colorado, Sch Med, Natl Jewish Hlth, Div Sleep Med, Denver, CO 60206 USA

来源：

SLEEP MEDICINE CLINICS | 2010年 / 5卷 / 04期

关键词：

Comorbid; Insomnia; Depression; Pain; Obstructive sleep apnea; Combination therapy;

D O I：

10.1016/j.jsmc.2010.08.012

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The relationships between insomnia comorbid with medical and psychiatric illness are complex and remain poorly understood. The relationship varies according to the specific comorbidity, as do the relevant treatment options and their effects. Comorbid insomnia has a pervasive role in the course of general medical and psychiatric illness. This article reviews the literature on the reciprocal interactions between insomnia and medical and psychiatric illness and on pharmacotherapy approaches for comorbid insomnia. The focus is on several of the comorbidities that are most common or relevant for the sleep clinician, including major depressive disorder, chronic pain, obstructive sleep apnea, chronic obstructive pulmonary disease, end-stage renal failure, dementia, alcohol use disorders, and comorbid insomnia during terminal illness.

引用

页码：627 / 646

页数：22

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