Management of insomnia in sleep disordered breathing
来源:https://doi.org/10.1183/16000617.0080-2019【Hennie C.J.P. Janssen , Lisette N. Venekamp , Geert A.M. Peeters】
Management of insomnia in sleep disordered breathing
文章摘要
Both obstructive sleep apnoea (OSA) and chronic insomnia disorder are highly prevalent in the general population. Whilst both disorders may occur together by mere coincidence, it appears that they share clinical features and that they may aggravate each other as a result of reciprocally adverse pathogenetic mechanisms. Comorbidity between chronic insomnia disorder and OSA is a clinically relevant condition that may confront practitioners with serious diagnostic and therapeutic challenges. Current data, while still scarce, advocate an integrated and multidisciplinary approach that seems superior over the isolated treatment of each sleep disorder alone.
目录
一、Introduction
二、Definitions
三、Co-occurrence of insomnia and OSA
四、Insomnia profile in OSA cluster analysis
五、The relationship between OSA and insomnia
六、Methodological issues
七、Clues for clinical management
(一)Assessment of combined insomnia with OSA
(二)Empirical therapeutic approach
八、Conclusions
九、References