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Difference in Psychological Distress between Patients with Periodic Limb Movement Disorder and Restless Legs Syndrome 周期性肢体运动障碍与不宁腿综合征患者心理困扰的差异
Q4 Medicine Pub Date : 2019-06-30 DOI: 10.17241/SMR.2019.00339
J. Byun, Jeong-Su Kim, Y. Shin, K. Hwang, Y. Jung, W. Shin
Background and ObjectiveaaWe used the Symptom Checklist 90-Revised (SCL-90-R) to compare the psychosomatic symptom profiles between periodic limb movement disorder (PLMD) and restless legs syndrome (RLS) patients. MethodsaaTwenty consecutive drug-naïve RLS patients, 20 ageand sex-matched patients with PLMD and healthy controls were enrolled. Questionnaires evaluating sleep (Pittsburgh Sleep Quality Index, and Insomnia Severity Index), depression (Beck Depression Inventory II), and psychosomatic symptoms (SCL-90-R) were administered. Polysomnography was performed in the patients with PLMD or RLS. ResultsaaThe mean age of the subjects was 57.5 ± 10.9 years, and half of the subjects were male. Compared with the patients with RLS, the patients with PLMD exhibited a reduced total sleep time (276.6 ± 41.3 vs. 322.4 ± 42.9, p = 0.04) and a decreased proportion of REM sleep (12.5 ± 6.6 vs. 17.8 ± 7.8, p = 0.009). The patients with RLS exhibited higher SCL-90-R T-scores on the somatization (post hoc p < 0.001), obsessive-compulsive (post hoc p < 0.001), interpersonal sensitivity (post hoc p = 0.003), anxiety (post hoc p = 0.005), and psychoticism (post hoc p = 0.004) domains than the controls. Compared to the controls, the patients with PLMD exhibited higher SCL-90-R scores only in hostility (post hoc p = 0.016). Somatization in the RLS patients was significantly worse than that in the PLMD patients (post hoc p = 0.003). ConclusionsaaThe results of our study demonstrate that psychosomatic distress is greater in RLS patients and lesser in PLMD patients. Somatization was a distinguishing symptom between RLS and PLMD. Sleep Med Res 2019;10(1):25-30
背景与目的采用症状检查表90-修订版(SCL-90-R)比较周期性肢体运动障碍(PLMD)和不宁腿综合征(RLS)患者的心身症状特征。方法连续纳入20例drug-naïve RLS患者、20例年龄和性别匹配的PLMD患者和健康对照。使用问卷评估睡眠(匹兹堡睡眠质量指数和失眠严重程度指数)、抑郁(贝克抑郁量表II)和心身症状(SCL-90-R)。对PLMD或RLS患者进行多导睡眠图检查。结果患者平均年龄为57.5±10.9岁,男性占一半。与RLS患者相比,PLMD患者总睡眠时间减少(276.6±41.3比322.4±42.9,p = 0.04), REM睡眠比例减少(12.5±6.6比17.8±7.8,p = 0.009)。RLS患者在躯体化(事后p < 0.001)、强迫(事后p < 0.001)、人际敏感(事后p = 0.003)、焦虑(事后p = 0.005)和精神质(事后p = 0.004)领域的SCL-90-R t评分高于对照组。与对照组相比,PLMD患者仅在敌意方面表现出更高的SCL-90-R评分(事后p = 0.016)。RLS患者躯体化程度明显差于PLMD患者(事后p = 0.003)。结论本研究结果表明,RLS患者的心身压力较大,而PLMD患者的心身压力较小。躯体化是RLS和PLMD的区别症状。睡眠医学杂志,2019;10(1):25-30
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引用次数: 2
Correlation between Tonsil Shadow Area on Skull Lateral View and Tonsil Volume after Tonsillectomy 扁桃体切除术后颅骨侧视扁桃体阴影面积与扁桃体体积的相关性
Q4 Medicine Pub Date : 2019-06-30 DOI: 10.17241/SMR.2019.00395
Ho Chan Kim, J. Park, Yoo-Sam Chung
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引用次数: 1
The Relationship between Depression and Insomnia Symptoms Amongst a Sample of UK University Students 英国大学生抑郁与失眠症状的关系
Q4 Medicine Pub Date : 2019-06-30 DOI: 10.17241/SMR.2019.00332
U. Akram, Asha Akram, M. Gardani, A. Ypsilanti, K. McCarty, S. Allen, L. Lazuras
Research exploring the relationship between mental health difficulties and insomnia amongst students in the UK remains limited. This study further examined the extent of potential relationships between insomnia, anxiety and depression symptoms amongst university students in the UK. A sample of 487 students from four northern universities completed The Insomnia Severity Index, SLEEP-50, and Hospital Anxiety and Depression Scales. Approximately one fifth of students experienced mild to severe levels of depressive symptoms, and two thirds reported anxious symptoms. One quarter of students indicated insomnia symptoms in the clinical range, however the prevalence of sleep-disorders other than insomnia remained low ( < 5%). Finally, symptoms of insomnia and apnoea were significantly related to depression, after controlling for co-morbid anxiety. The current outcomes highlight the high prevalence of depressive and insomnia symptoms amongst university students in the UK. Considering the relationship between insomnia and depression, student- focused mental health services should explore the possibility of treating insomnia to circumvent depression.
在英国,关于学生心理健康问题和失眠之间关系的研究仍然有限。这项研究进一步调查了英国大学生失眠、焦虑和抑郁症状之间的潜在关系。来自北方四所大学的487名学生完成了失眠严重程度指数、睡眠-50和医院焦虑和抑郁量表。大约五分之一的学生经历了轻度到重度的抑郁症状,三分之二的学生报告了焦虑症状。四分之一的学生在临床范围内表现出失眠症状,但除失眠以外的睡眠障碍的患病率仍然很低(< 5%)。最后,在控制共病焦虑后,失眠和呼吸暂停症状与抑郁显著相关。目前的结果突出了英国大学生中抑郁和失眠症状的高患病率。考虑到失眠与抑郁之间的关系,以学生为中心的心理健康服务应探索治疗失眠以规避抑郁的可能性。
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引用次数: 17
Correlation of Salivary Resistin Levels with Obstructive Sleep Apnea Syndrome in Pediatric Subjects 儿童唾液抵抗素水平与阻塞性睡眠呼吸暂停综合征的相关性
Q4 Medicine Pub Date : 2018-12-30 DOI: 10.17241/SMR.2018.00269
J. H. Hwang, I. Kim, Hyesook Lee, D. Park, Chan-Soon Park
Background and ObjectiveaaObstructive sleep apnea syndrome (OSAS) is considered to be closely related to systemic inflammation. Resistin levels have been demonstrated to be a measure of systemic inflammation. For children, salivary resistin (SR) sampling is an easy and pain-free method for sample collection and is optimal for multiple sampling. Therefore, we aimed to evaluate correlations among SR levels, objective polysomnography (PSG) parameters, and subjective sleep symptoms. MethodsaaFifty-six children who attended our clinic over 1 year were enrolled prospectively; these children underwent clinical evaluation, questionnaire studies, and PSG. SR was measured at 2 points: at night before PSG and in the early morning after PSG. resultsaaThe subjects (n = 56) were divided into the control [n = 23, apnea hypopnea index (AHI) < 1] and OSAS (n = 33, AHI ≥ 1) groups. SR levels after PSG in the OSAS and control groups were similarly higher than that before PSG. There was no significant difference in SR levels between the two groups and among the control and OSAS subgroups. SR levels in the OSAS subgroups were not related to AHI, tonsil size, AN (adenoid-nasopharyngeal) ratio, questionnaire results, lowest oxygen saturation, and oxygen desaturation index (ODI). ConclusionsaaSR levels had no significant correlation with AHI, scores of the Korean version of modified pediatric Epworth Sleepiness Scale, the lowest oxygen saturation, and ODI; SR levels exhibited diurnal variations regardless of the presence of OSAS. However, there is no consensus regarding the relationship between resistin levels and OSAS. Further studies should be pursued in the future. Sleep Med res 2018;9(2):77-82
背景与目的阻塞性睡眠呼吸暂停综合征(OSAS)被认为与全身炎症密切相关。抵抗素水平已被证明是衡量全身炎症的指标。对于儿童来说,唾液抵抗素(SR)采样是一种简单、无痛的样本采集方法,是多次采样的最佳方法。因此,我们旨在评估SR水平、客观多导睡眠图(PSG)参数和主观睡眠症状之间的相关性。方法前瞻性地纳入56名在我们诊所就诊超过1年的儿童;这些儿童接受了临床评估、问卷调查和PSG。SR在两个点进行测量:巴黎圣日尔曼足球俱乐部之前的晚上和巴黎圣日曼足球俱乐部之后的凌晨。结果56例受试者分为对照组(n=23,AHI<1)和OSAS组(n=33,AHI≥1)。OSAS组和对照组PSG后的SR水平同样高于PSG前。两组之间以及对照组和OSAS亚组之间的SR水平没有显著差异。OSAS亚组的SR水平与AHI、扁桃体大小、AN(腺样体-鼻咽)比率、问卷结果、最低血氧饱和度和氧去饱和指数(ODI)无关。结论saaSR水平与AHI、韩国版改良儿童Epworth嗜睡量表评分、最低血氧饱和度和ODI无显著相关性;无论OSAS的存在与否,SR水平都表现出昼夜变化。然而,对于抵抗素水平与OSAS之间的关系还没有达成共识。今后应进行进一步的研究。Sleep Med res 2018;9(2):77-82
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引用次数: 0
The Mediating Effect of Anxiety in the Relationship between Nightmares and Night Eating Syndrome in Female Undergraduate Students 焦虑在女大学生噩梦与夜食综合征关系中的中介作用
Q4 Medicine Pub Date : 2018-12-30 DOI: 10.17241/SMR.2018.00290
Jiyun Lee, S. Suh
Background and ObjectiveaaA nightmare is an unpleasant dream that awakes individuals and causes anxiety, fear and despair which lead to impulsive behaviors such as night eating. The purpose of this study is to investigate the mediating effects of depression and anxiety on the relationship between nightmare and night eating syndrome (NES). Both depression and anxiety are strongly relevant to a nightmare, which could increase night eating behaviors. MethodsaaParticipants of the study were 171 female undergraduate students (mean age 21.70 ± 1.76 years). All completed the following questionnaires: Disturbing Dream and Nightmare Severity Index, Night Eating Questionnaire, Hospital Anxiety and Depression Scale, and the Insomnia Severity Index. resultsaaResults showed there was a significant correlation among nightmare severity and night eating, depression, anxiety and insomnia (p < 0.05). After controlling for insomnia, anxiety continued to partially mediate the relationship between nightmare severity and NES (n = 171, B = 0.033, 95% CI = 0.001, 0.107). However, depression was not significant. ConclusionsaaIn conclusion, anxiety but not depression may be an important treatment target in treating females who have both nightmares and night eating. Sleep Med res 2018;9(2):104-109
背景和目的噩梦是一种令人不快的梦,它会唤醒个人,引起焦虑、恐惧和绝望,从而导致冲动行为,如夜间进食。本研究的目的是探讨抑郁和焦虑对噩梦与夜食综合征(NES)关系的中介作用。抑郁和焦虑都与噩梦密切相关,噩梦可能会增加夜间进食行为。方法研究对象为171名女大学生(平均年龄21.70±1.76岁)。所有人都完成了以下问卷调查:扰梦噩梦严重程度指数、夜间饮食问卷、医院焦虑抑郁量表和失眠严重程度指数。结果梦魇严重程度与夜食、抑郁、焦虑、失眠之间存在显著相关性(p<0.05)。控制失眠后,焦虑继续部分介导梦魇严重程度和NES之间的关系(n=171,B=0.033,95%CI=0.00010.107)。结论焦虑而非抑郁可能是治疗同时做噩梦和夜食的女性的重要治疗靶点。Sleep Med res 2018;9(2):104-109
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引用次数: 1
Clinical Characteristics and Efficacy of Iron Treatment for Restless Legs Syndrome Patients with Very Low Ferritin Levels 铁治疗极低铁蛋白水平的不宁腿综合征的临床特点及疗效
Q4 Medicine Pub Date : 2018-12-30 DOI: 10.17241/SMR.2018.00171
Tae Joon Kim, J. Jun, Keuntae Kim, Tae-won Yang, Byeong-su Park, Jung-Ah Lim, J. Byun, J. Sunwoo, Jung-Won Shin, K. Jung
Restless legs syndrome (RLS) is associated with dopaminergic dysfunction, and iron deficiency, manifesting as low ferritin. However, ferritin levels do not correlate well with demographic data. Based on the hypothesis that very low ferritin can accurately reflect clinical information, we herein described characteristics and treatment efficacy of RLS patients with ferritin levels under 15 ng/mL. We retrospectively reviewed 196 patients and collected clinical data. Twenty-one patients had ferritin levels under 15 ng/mL and were compared with those having ferritin levels over 15 ng/mL. The patients with very low ferritin levels were predominantly female, had earlier onset of symptoms, and showed a superior response to iron therapy. In conclusion, RLS patients with ferritin levels under 15 ng/mL showed distinct demographic features and treatment efficacy. Further studies on more patients with long-term follow-up are warranted to support this observation. Sleep Med Res 2018;9(2):118-123
不宁腿综合征(RLS)与多巴胺能功能障碍和铁缺乏有关,表现为低铁蛋白。然而,铁蛋白水平与人口统计数据没有很好的相关性。基于极低的铁蛋白水平可以准确反映临床信息的假设,我们描述了铁蛋白水平低于15 ng/mL时RLS患者的特征和治疗效果。我们回顾性分析了196例患者并收集了临床资料。21例患者的铁蛋白水平低于15 ng/mL,并与铁蛋白水平高于15 ng/mL的患者进行比较。铁蛋白水平极低的患者主要为女性,症状发作较早,对铁治疗反应较好。综上所述,铁蛋白水平低于15 ng/mL的RLS患者具有明显的人口学特征和治疗效果。需要对更多患者进行长期随访的进一步研究来支持这一观察结果。睡眠医学杂志,2018;9(2):118-123
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引用次数: 0
Two Cases of Narcoleptic patients with sleep paralysis as a Chief Complaint 以睡眠麻痹为主诉的发作性睡症患者2例
Q4 Medicine Pub Date : 2018-12-30 DOI: 10.17241/SMR.2018.00311
Y. Choi, J. Song, Tae-Won Kim, Sung-Min Kim, I. Cho, Seung-Chul Hong
Sleep paralysis is considered as a dissociated state during which rapid eye movement sleep related muscle atonia appears while a subject is fully awake. We present a 22-year-old man and a 19-yearold man diagnosed with narcolepsy who previously visited our clinic with phenomenon of sleep paralysis. When a patient is brought to the clinic with sleep paralysis, various physiologic and medical conditions such as stress, trauma, hereditary factors, physical health, sleep disorders and other psychiatric disorders are taken into consideration. Prevalence of sleep paralysis in narcolepsy patients is known to be 20–50%. Therefore, it is necessary that clinicians should carefully examine the presence or absence of narcoleptic symptoms when dealing with patients with sleep paralysis and should conduct the multiple sleep latency tests confirm the diagnosis of narcolepsy if necessary. Sleep Med Res 2018;9(2):128-130
睡眠麻痹被认为是一种游离状态,在这种状态下,当受试者完全清醒时,会出现与睡眠相关的快速眼动肌肉无力。我们介绍了一名22岁的男子和一名19岁的男子,他们被诊断为嗜睡症,之前曾因睡眠瘫痪现象来过我们的诊所。当患者因睡眠瘫痪被带到诊所时,会考虑各种生理和医学状况,如压力、创伤、遗传因素、身体健康、睡眠障碍和其他精神障碍。发作性睡病患者睡眠瘫痪的患病率为20-50%。因此,临床医生在处理睡眠瘫痪患者时,有必要仔细检查是否存在发作性睡病症状,并在必要时进行多次睡眠潜伏期测试,以确认发作性睡症的诊断。睡眠医学研究2018;9(2):128-130
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引用次数: 0
Lifestyle Modification in Patients with Obstructive Sleep Apnea 阻塞性睡眠呼吸暂停患者生活方式的改变
Q4 Medicine Pub Date : 2018-12-30 DOI: 10.17241/SMR.2018.00255
J. Kim, H. J. Lim
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引用次数: 2
sleep and Respiration of perry syndrome: polysomnographic and pathological Correlations perry综合征的睡眠和呼吸:多导睡眠图和病理学相关性
Q4 Medicine Pub Date : 2018-12-30 DOI: 10.17241/SMR.2018.00213
K. Ji, Mi‐Ri Kang, E. Chung, Sang Jin Kim
Perry syndrome is a rare, adult-onset, autosomal dominant, progressive neurodegenerative disorder that is characterized by parkinsonism, weight loss, psychiatric symptoms, and central hypoventilation. We report the case of a 51-year-old man, whose condition was genetically identified as Perry syndrome. Here we focus the polysomnographic (PSG) findings and discuss the correlations between PSG and neuropathological findings. Sleep Med Res 2018;9(2):115-117
Perry综合征是一种罕见的成人发病常染色体显性进行性神经退行性疾病,以帕金森、体重减轻、精神症状和中枢性低通气为特征。我们报告的情况下,51岁的男子,其条件是遗传鉴定为佩里综合征。在这里,我们重点讨论了多导睡眠图(PSG)的结果,并讨论了多导睡眠图与神经病理结果之间的相关性。睡眠医学杂志,2018;9(2):115-117
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引用次数: 0
Botulinum Toxin Injection for Managing Sleep Bruxism 肉毒杆菌毒素注射治疗睡眠磨牙症
Q4 Medicine Pub Date : 2018-12-30 DOI: 10.17241/SMR.2018.00199
Seurin Kim, Keun jeong Park, Y. Shim, S. Kim
Botulinum toxin (BoNT), a potent neurotoxin that reversibly blocks presynaptic acetylcholine release, has been applied successfully to treat severe sleep bruxism (SB). However, little work has been reviewed on the effectiveness of BoNT and its injection protocol such as drug dose and injection sites in masticatory muscles. Therefore, we reviewed recent studies on application of BoNT in SB patients. Sleep Med Res 2018;9(2):73-76
肉毒毒素(BoNT)是一种可逆阻断突触前乙酰胆碱释放的强效神经毒素,已成功应用于治疗严重睡眠磨牙症(SB)。然而,关于BoNT的有效性及其注射方案(如药物剂量和咀嚼肌注射部位)的研究很少。因此,我们回顾了近年来BoNT在SB患者中的应用研究。睡眠医学研究2018;9(2):73-76
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引用次数: 1
期刊
Sleep Medicine Research
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