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1、ORIGINALARTICLETheCoexistenceofNeuropathicPain,Sleep,andPsychiatricDisordersANovelTreatmentApproachCharlesE.Argoff,MD*w5affectsover20millionindividualsintheUnitedStatesAbstract:Thediagnosisandtreatmentofneuropathicpainmayandthatfibromyalgiamayaffectapproximately2%of
2、becomplicatedbycomorbidconditionssuchassleepdistur-theUSpopulation,6theprevalenceofneuropathicpainbances,depression,andanxiety.Theinterrelationshipbetweenmayactuallybemuchgreaterthanestimated.theindexneuropathicpainstateandthesecomorbiditiesisAsinothertypesofchr
3、onicpain,individualswithcomplex:comorbidconditionsexacerbatepain,andinturn,neuropathicpaincommonlyhavecomorbidities,includ-painexacerbatesthecomorbidconditions.Becausecomorbid-ingsleepdisturbancesandmooddisorders(ie,depressionitiescannegativelyimpactresponsetopa
4、intreatment,oranxiety),whichcancompoundtreatmentchallengesofhealthcareprovidersshouldassesscomorbiditiesaspartofthetheindexdiseasestateandreducethelikelihoodofadiagnosticwork-up,andmanagementstrategiesshouldbesuccessfulclinicaloutcome.7Becauseofthesimilaritiesin
5、designedtotreatthewholepatient,notjustthepain.pathophysiologythatunderlieneuropathicpain,variousTheoretically,therapiesthatnotonlyreducepain,butalsoneuropathicpainsyndromesrespondtotreatmentwithimprovesleepandreduceanxietyanddepressioncanprovideneuroactiveagents
6、—thatis,antidepressantsandantic-multiplebenefitswithouttheriskofincreasedsideeffectsonvulsants—thatmayalsoamelioratesomecomorbidinherentincombinationtherapy.Anticonvulsantsandanti-symptoms.Therefore,thisreviewwillfocusonthedepressantshavedemonstratedefficacyinimprov
7、ingneuro-complexinterrelationshipbetweenneuropathicpainandpathicpainandpositivelyimpactingcomorbidsleepandmoodsleepandpsychiatricdisorders(ie,depressionanddisturbances.Novelanticonvulsantsthatcanaddressoneoranxiety)andtheroleofantidepressantsandantic-morecomorbi
8、ditiesinadditiontopainmayrepresentviableonvulsants,especiallynovelanticonvulsants,inthetreatmentoptionsforpatientswithneuropathicpain.managementofpatientswithneuropat