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1、J.AM.ACAD.childadolescpsychiatry,46:2,Feb.2007专科临床应用文献汇编患焦虑症的儿童和青少年的睡眠相关问题CANDICEA.ALFANO,PH.D.,GOLDAS.GINSBURG,PH.D.,ANDJULIENEWMANKINGERY,PH.D.目的:本项研究的目的是考察大样本(n=128)青少年焦虑症患者(如一般型、分离型、社会型)的睡眠相关问题(SRPs)。根据不同年龄、性别、焦虑症类型、焦虑严重程度以及功能性损伤,对八种特殊SRPs的发生频率进行了研究。同时,还评价了药物治疗(氟
2、伏沙明与安慰剂)对SRPs的缓解作用。方法:在这项大样本、双盲、随机对照试验中(ResearchUnitsonPediatricPsychopharmacologyAnxietyStudyGroup),在治疗前后,临床医生以及父母对这些儿童和青少年(6-17岁)的SRPs进行了报告。结果:88%的青少年至少患有一种SRP,大多数(55%)患有三种或更多。所有的SRPs均与焦虑症的严重程度呈正相关,同时影响着家庭功能。与对照组相比,氟伏沙明能显著减少儿童患者的SRPs。结论:这些结果表明SRPs常伴随着儿童焦虑症患者,在研究和临床
3、治疗需要对这些问题进行评价并给与关注。关键词:睡眠问题;儿童焦虑症;焦虑严重度;损伤;治疗Sleep-RelatedProblemsAmongChildrenandAdolescentsWithAnxietyDisordersCANDICEA.ALFANO,PH.D.,GOLDAS.GINSBURG,PH.D.,ANDJULIENEWMANKINGERY,PH.D.[ABSTRACT]Objective:Thepresentstudyexaminedsleep-relatedproblems(SRPs)amongalargesa
4、mple(n=128)ofyouthwithanxietydisorders(i.e.,generalized,separation,andsocial).ThefrequencyofeightspecificSRPswasexaminedinrelationtoage,gender,typeofanxietydisorder,anxietyseverity,andfunctionalimpairment.Theimpactofpharmacologicaltreatment(fluvoxamineversuspillplace
5、bo)inreducingSRPsalsowasexamined.Method:Aspartofalarge,double-blind,randomized,controlledtrial(ResearchUnitsonPediatricPsychopharmacologyAnxietyStudyGroup),clinicianandparentreportsofSRPswereexaminedamongchildrenandadolescents,ages6to17years,beforeandaftertreatment.R
6、esults:Eighty-eightpercentofyouthexperiencedatleastoneSRP,andamajority(55%)experiencedthreeormore.TotalSRPswerepositivelyassociatedwithanxietyseverityandinterferenceinfamilyfunctioning.SignificantlygreaterreductionsinSRPswerefoundamongchildrentreatedwithfluvoxamineco
7、mparedwithplacebo.Conclusions:ThesefindingsindicatethatSRPsarecommonlyassociatedwithchildhoodanxietydisordersandsuggestaneedfortheassessmentofandattentiontotheseproblemsinresearchandclinicalsettings.KeyWords:sleepproblems,childhoodanxiety,anxietyseverity,impairment,t
8、reatment9J.AM.ACAD.childadolescpsychiatry,46:2,Feb.2007专科临床应用文献汇编充足的睡眠对于孩子的健康和正常生长发育非常重要。因为睡眠不足会引起一系列损伤如:注意力下降、易冲动、行为问题、学校表现变差(18)9