"一觉睡到天亮":特发性多梦症患者的生活经历。

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY
Kristoffer Bothelius, Nadjela Salimi, Rebecca E M Lehtilä, Tomas Furmark, Christina Nehlin Gordh
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引用次数: 0

摘要

目的:特发性嗜睡症(IH)患者报告几种主观情绪和认知症状,以及日常功能障碍。应对策略经常被使用,但其有效性被认为是最小的。本研究的目的是深入探讨患者对IH生活的看法,强调患者的个人叙述。方法:采用有目的的抽样方法,在半结构化协议的指导下,对12名诊断为IH的参与者进行了电话访谈。对访谈进行专题分析,以提取相关主题。结果:分析揭示了三个主要主题和副主题:1)被限制,特征是白天过度嗜睡,消极的情绪过程和认知障碍;2)错过生活,包括时间损失和不利的社会后果;3)试图应对,包括小睡,适应,激活自己和精神上对抗嗜睡等策略,同时也包括接受和自我同情。结论:确定的主题反映了先前报道的与IH相关的许多方面。值得注意的是,这项研究揭示了一些新的次要主题,比如“虚度一生”的生存困境,以及负罪感和羞耻感。此外,研究还强调了接纳和自我同情作为应对策略的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Sleeping My Life Away": Experiences of Living with Idiopathic Hypersomnia.

Objectives: Individuals with idiopathic hypersomnia (IH) report several subjective emotional and cognitive symptoms, as well as impairments in daily functioning. Coping strategies are frequently used, but their effectiveness is perceived to be minimal. The aim of the present study was to delve into the patient perspective on navigating life with IH, emphasizing patients' personal narratives.

Method: Utilizing a purposeful sample method, twelve participants diagnosed with IH underwent telephone interviews guided by a semi-structured protocol. The interviews were subjected to thematic analysis to extract relevant themes.

Results: Analysis unveiled three primary themes along with subthemes: 1) Being confined, characterized by excessive daytime sleepiness, negative emotional processes and cognitive disturbances, 2) Missing out on life, involving loss of time and adverse social consequences, and 3) Trying to cope, encompassing strategies like napping, adapting, activating oneself and mentally fighting sleepiness, while also embracing acceptance and self-compassion.

Conclusions: The identified themes reflected numerous aspects previously reported to be associated with living with IH. Notably, the study brought novel subthemes to light, such as the existential dilemma of "sleeping one's life away" and feelings of guilt and shame. Furthermore, the study underscored the significance of acceptance and self-compassion as coping strategies.

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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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