The comorbidity of anxiety-related disorders and insomnia: An analysis of mechanisms

Vincent Qijun Chen
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Abstract

Anxiety is a common epidemiological mental disorder that includes Generalized Anxiety Disorder (GAD), panic disorders (PD), and phobias; its causes include anxiogenic genes and the living environment; insufficient or low sleep quality can trigger and intensify anxiety disorders. Neurotransmitters play an essential role in operating our bodys crucial functions, such as emotional regulation and sleep, so much neuroimaging evidence suggests they are critical to forming anxiety and insomnia. Previous longitudinal studies suggest that insomnia is a significant index and predictor of mental health and, therefore, can also be generated from mental disorders due to their comorbidity. This short review will posit the formation of insomnia caused by the presence of anxiety disorders in patients with both insomnia and anxiety symptoms. This review further discusses some therapies that enhance and improve sleep quality among insomnia problems. It mostly debates the thesis that anxiety is the driving factor and precedes insomnia and its related neuropathological developments that can be highlighted from neurotransmitter systems and sleeping models such as the hyperarousal model. Overall, it is significant that individuals with anxiety-related disorders have lower sleeping qualities that cause functional impairment and lower subjective living qualities.
焦虑相关障碍与失眠的并发症:机制分析
焦虑症是一种常见的流行性精神障碍,包括广泛性焦虑症(GAD)、惊恐障碍(PD)和恐惧症;其病因包括致焦虑基因和生活环境;睡眠不足或睡眠质量低下会诱发和加剧焦虑症。神经递质在人体重要功能(如情绪调节和睡眠)的运行中发挥着至关重要的作用,因此许多神经影像学证据表明,神经递质对焦虑和失眠的形成至关重要。以往的纵向研究表明,失眠是心理健康的一个重要指标和预测因素,因此,失眠也可能因精神障碍的并发症而产生。这篇简短的综述将假设,在同时有失眠和焦虑症状的患者中,焦虑症的存在会导致失眠的形成。本综述还将进一步讨论在失眠问题中提高和改善睡眠质量的一些疗法。本综述主要对焦虑是失眠的驱动因素并先于失眠及其相关神经病理学发展的论点进行了辩论,这些神经病理学发展可从神经递质系统和睡眠模型(如过度焦虑模型)中得到强调。总之,与焦虑相关的失眠症患者的睡眠质量较低,导致功能受损和主观生活质量下降,这一点很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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