在黑暗深处凝视…站在那里疑惑，害怕

Sleep Disorders Pub Date : 2019-08-01 DOI:10.1093/MED/9780190671099.003.0034

Carlos L. Rodriguez, Jagan A. Pillai

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引用次数: 0

摘要

本章综述了不规则睡眠/觉醒节律障碍(ISWRD)和日落症的诊断和治疗。ISWRD的特点是缺乏明确定义的睡眠/觉醒昼夜节律，在白天或晚上的不同时间出现睡眠和醒来的发作，与正常的睡眠/觉醒、昼夜昼夜节律无关。神经退行性疾病患者发生ISWRD的风险增加。ISWRD的诊断需要至少7天的睡眠记录或活动监测。ISWRD是制度化的一个常见原因。日落会进一步扰乱睡眠，并与痴呆症的快速发展有关。混合模式治疗用于ISWRD的治疗，包括将优化夹带的方法整合到同步因素和行为治疗中。

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Deep into that Darkness Peering . . . Stood There Wondering, Fearing

This chapter reviews the diagnosis and management of irregular sleep/wake rhythm disorder (ISWRD) and sundowning. ISWRD is characterized by lack of a clearly defined sleep/wake circadian rhythm with episodes of sleep and wake at varying times of the day or night, unrelated to a normal sleep/wake, day/night circadian rhythm Patients with neurodegenerative disorders are at increased risk for ISWRD. The diagnosis of ISWRD requires sleep log or actigraphy monitoring for at least 7 days. ISWRD is a common cause of institutionalization. Sundowning can further disrupt sleep and has been associated with more rapid progression of dementia. Mixed-modality treatment is used for the treatment of ISWRD and involves the integration of approaches to optimize entrainment to synchronizing factors and behavioral therapy.

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来源期刊

Sleep Disorders

自引率

0.00%

发文量

审稿时长

21 weeks

期刊介绍： Sleep Disorders is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of sleep disorders.