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首页 > 医学词汇大全 > Delayed sleep-wake phase disorder
Delayed sleep-wake phase disorder

儿科

关键词儿科 疾病 睡眠

词汇介绍

拓展阅读

解析

delayed    英 [dɪ'leɪd]  美 [dɪ'led]

释    义   adj. 延时的;定时的v. 延迟(delay的过去式)

例    句   Attempts to reduce the distance between users and your content could be delayed by, or never pass, this application architecture step. 尝试减少用户与您的内容之间的距离可能由,延迟或不能通过此应用程序体系结构的步骤。

 

sleep-wake     [sliːp-weɪk]  

释    义   [医]睡眠-觉醒;

例    句   This could be due to the effects of our natural sleep-wake cycle, or circadian rhythm, the researchers suggest. 研究者表明,这是由于我们的自然睡眠-觉醒周期或者昼夜节律的影响。

 

phase   英 [feɪz]  美 [feɪz]

释    义   n. 月相;时期,阶段

vt. 分阶段进行;使定相

例    句   Therefore, we remind the organization, in obtaining the certification process, and do not despise any one phase of the work. 因此,我们提醒组织,在获取认证证书的过程中,不要轻视任何一个阶段的工作。

 

disorder    英 [dɪsˈɔːdə(r)]  美 [dɪsˈɔːrdər]

释    义   n. 混乱;骚乱vt. 使失调;扰乱

例    句   When you have put order, which means no disorder in your life, there is energy. 当你已经安置了秩序,这意味着在你的生活中没有混乱无序,有能量。

概述

青少年容易出现各种睡眠障碍,其中常见的是失眠和睡眠时相延迟障碍(DSWPD)。睡眠时相延迟障碍通常在青春期起病,是青少年中较为常见的一类睡眠障碍,特别容易与失眠混淆。睡眠时相延迟障碍是一种昼夜节律紊乱,表现为个体倾向的睡眠-觉醒时间显著而持久的延迟,同周围环境的要求相冲突,从而引起失眠的症状,严重的白天嗜睡以及学习和行为问题。青少年最常见的是睡眠觉醒节律(内在生物钟)向后推迟2 h或以上。病因及临床意义睡眠时相延迟障碍通常在青春期比较明显,但是可以开始于儿童期,很少在30岁以后才出现症状。尽

Circadian Rhythm Sleep-Wake Phase Disorders复制标题

昼夜节律睡眠-觉醒期紊乱

发表时间:2019-08-01

影响因子:2.8

作者: Elizabeth Culnan

期刊:Neurol Clin

Delayed and advanced sleep-wake phase disorders (DSWPD and ASWPD) appeared in the literature approximately 40 years ago as delayed sleep phase syndrome and advanced sleep phase syndrome. They have traditionally been viewed as a misalign- ment of the endogenous circadian timekeeping system with the desired sleep-wake schedule. However, with consideration of the 2-process model of sleep-wake regula- tion, these disorders clearly involve the sleep homeostatic system as well. For example, those with DSWPD encounter insufficient sleep duration if enforced to a more “traditional” sleep schedule, hence homeostatic sleep pressure builds incrementally and relentlessly across the work or school week. At more recent international conferences and in some publications, there is evolving consideration that these circadian rhythm sleep-wake disorders may not be entirely distinct from the traditional insomnia disorders. What follows is foundational as well as state-of- the-art information on the diagnostic and treatment considerations for these circadian rhythm sleep-wake disorders, with subsequent future challenges in sleep and circadian medicine.Diagnostic criteria for circadian rhythm disorders are provided in both the International Classification for Sleep Disorders (ICSD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM). Both the ICSD-37 and the DSM-58 have 3 major criteria that must be met for any Circadian Rhythm Sleep Disorder. These major criteria include (1) sleep disruption that can be attributed to disruption of the circadian system or a misalignment between an individual’s endogenous rhythm and the sleep-wake schedule needed for work and social activities, which is (2) associated with daytime sleepiness and/or insomnia and (3) causes clinically significant impairment or distress in at least 1 domain of functioning (eg, social, occupational).

译文

延迟和晚期睡眠觉醒期障碍(DSWPD和ASWPD)在文献中出现在大约40年前作为延迟睡眠期综合征和晚期睡眠期综合征。它们传统上被认为是内源性昼夜节律系统与期望的睡眠-觉醒时间表不一致。然而,考虑到睡眠-觉醒调节的两过程模型,这些紊乱显然也涉及到睡眠稳态系统。例如,那些患有dswpd的人,如果按照更“传统”的睡眠计划,睡眠时间就会不足,因此,在整个工作周或学习周内,稳态睡眠压力会不断增加。在最近的一些国际会议和一些出版物中,人们不断考虑到,这些昼夜节律性睡眠-觉醒障碍可能与传统的失眠障碍并不完全不同。以下是关于这些昼夜节律性睡眠-觉醒障碍的诊断和治疗考虑的基础和最新的信息,以及随后的睡眠和昼夜医学的挑战。国际睡眠障碍分类(icsd)和精神障碍诊断统计手册(dsm)都提供了昼夜节律障碍的诊断标准。icsd-37和dsm-58都有3个主要的标准,必须满足任何昼夜节律性睡眠障碍。这些主要标准包括(1)睡眠中断,可归因于昼夜节律系统的中断或个人的内源性节律与工作和社会活动所需的睡眠-觉醒时间表之间的失调,(2)与白天困倦和/或失眠相关,(3)在至少1个功能领域(如社交、职业)引起临床上显著的损害或困扰。