Sleep Medicine and Psychophysiology (수면정신생리)
- Volume 17 Issue 1
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- Pages.16-20
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- 2010
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- 1225-7354(pISSN)
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- 2713-8631(eISSN)
Sleep Disorders and Restless Legs Syndrome in Alcohol Dependence Patients
알코올 의존 환자의 수면 장애와 하지불안증후군
- Lee, Moon-In (Department of Psychiatry, Chosun University of Medicine) ;
- Jung, Hong-Joo (Dasarang Hospital, Gwangu) ;
- Kim, Han-Sok (Dasarang Hospital, Gwangu) ;
- Hwang, In-Bok (Dasarang Hospital, Gwangu) ;
- Sin, Jae-Jung (Dasarang Hospital, Gwangu) ;
- Kang, Sang-Bum (Dasarang Hospital, Gwangu) ;
- Yun, Woo-Sang (Dasarang Hospital, Gwangu) ;
- Kim, Sang-Hoon (Department of Psychiatry, Chosun University of Medicine)
- 이문인 (조선대학교 의과대학 정신과학교실) ;
- 정홍주 (광주광역시 다사랑병원) ;
- 김한석 (광주광역시 다사랑병원) ;
- 황인복 (광주광역시 다사랑병원) ;
- 신재정 (광주광역시 다사랑병원) ;
- 강상범 (광주광역시 다사랑병원) ;
- 윤우상 (광주광역시 다사랑병원) ;
- 김상훈 (조선대학교 의과대학 정신과학교실)
- Received : 2009.10.16
- Accepted : 2010.03.30
- Published : 2010.06.30
Abstract
Objectives: We review the sleep problems of the alcohol dependence patients. Especially we are interested in the prevalence, the severity of symptoms, anxiety, depression, and sleep quality of restless legs syndrome (RLS) in the alcohol dependence patients. Methods: We recruit 86 alcohol dependence patients who were admitted from October 6th, 2008 to October 17th, 2008. We interviewed each patient and evaluated sleep questionnaires such as the Sleep Disorder Questionnaire (SDQ), the Pittsburgh Sleep Quality Index (PSQI) and the International Restless Legs Syndrome Study Group (IRLSSG) rating scale. The presence of RLS and its severity were assessed using the IRLSSG diagnostic criteria and the IRLSSG severity scale, respectively. Depression and anxiety were evaluated by the Beck Depression Inventory (BDI) and the Beck anxiety inventory (BAI). Results: Of all 86 patients, 59 patients have insomnia, 33 patients have RLS, 30 patients have Periodic limb movement disorder (PLMD), 29 patients have nightmare. RLS patients have more high score in the BAI (
1) 알코올 의존 환자에서 불면은 68.6%의 환자들이 호소하고 있는 중요한 치료적 목표 중 하나이다. 2) 알코올 의존 환자에서의 불면과 관련된 중요한 원인은 RLS(38.4%)와 이와 흔히 동반되는 PLMD(34.9%)였다. 3) 지속되는 RLS 증상은 환자의 수면의 질적 저하를 가져오며, 불안과 같은 정서에 부정적인 결과를 가져온다. 이에 알코올 의존 환자에서 수면관련 장애들에 대한 진단적 고려와 적극적인 치료적인 접근이 반드시 필요하다.