嗜睡症
白天过度嗜睡
医学
睡眠障碍
流行病学
精神科
安眠药
公共卫生
心理学
神经学
失眠症
内科学
病理
作者
Laura Pérez‐Carbonell,Emmanuel Mignot,Guy Leschziner,Yves Dauvilliers
出处
期刊:The Lancet
[Elsevier]
日期:2022-09-01
卷期号:400 (10357): 1033-1046
被引量:78
标识
DOI:10.1016/s0140-6736(22)01018-2
摘要
Excessive daytime sleepiness (EDS) is a public health issue. However, it remains largely undervalued, scarcely diagnosed, and poorly supported. Variations in the definition of EDS and limitations in clinical assessment lead to difficulties in its epidemiological study, but the relevance of this symptom from a socioeconomic perspective is inarguable. EDS might be a consequence of several behavioural issues leading to insufficient or disrupted sleep, as well as a consequence of sleep disorders including sleep apnoea syndrome, circadian disorders, central hypersomnolence disorders (narcolepsy and idiopathic hypersomnia), other medical or psychiatric conditions, or medications. Furthermore, EDS can have implications for health as it is thought to act as a risk factor for other conditions, such as cardiovascular and neurodegenerative disorders. Because of the heterogeneous causes of EDS and the complexity of its pathophysiology, management will largely depend on the cause, with the final aim of making treatment specific to the individual using precision medicine and personalised medicine.
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