Long-term day and night upside down? Be alert to sleep disorders

Text/Yangcheng Evening News All Media Reporter Zhang Hua

Correspondent Zhang Xiaotao Zhang Cancheng

Picture/Provided by respondents

October 10, 2022 is the 31st World Mental Health Day, with the theme “Creating a Good Environment to Help Mental Health.” At present, due to the fast-paced life and the multi-faceted reality Stress leads to various psychological problems. Professor Pan Jiyang, chief physician of the Department of Psychiatry at the First Affiliated Hospital of Jinan University, and director of the Sleep Medicine Center, reminded us that we should be vigilant that some people may suffer from long-term mental distress, especially those with sleep disorders, especially those with mental and psychological problems.

Sleep-Wake Phase Delay Disorder: Day and Night Reverse Every Day

Xiao Fan is a first-year high school student in Guangzhou City. A fracture he once suffered completely disrupted his original rhythm of life. Because of the inconvenience of his movement after the fracture, he took online lessons at home with the help of his teachers and classmates. Without the supervision of teachers and the company of classmates, Xiao Fan, who has low self-discipline, could not keep up with the rhythm of the course, and eventually formed a vicious circle – secretly playing games in the room at night, crawling into bed at 5 in the morning, and then during the day. are used to sleep.

Later, Xiao Fan wanted to return to his normal routine, but found that he could no longer fall asleep on time. He often couldn’t fall asleep until five or six in the morning. Although he woke up in good spirits and studied Efficiency has not declined, but it has been unable to attend classes on time, affecting the study plan.

Parents took Xiao Lin to see a doctor in many hospitals successively, and went to neurology, psychology and other departments. He was diagnosed with neurodevelopmental disorders, mood disorders and other diseases, but no obvious abnormality was found. inspection results.

Night polysomnography

When nothing could be done, they came to the sleep clinic of the First Affiliated Hospital of Jinan University for treatment. After a detailed assessment, Pan Jiyang considered that Xiaofan’s problem might be delayed sleep-wake phase disorder. After perfecting nocturnal polysomnography (PSG) and circadian phase markers, as well as a two-week sleep diary, he was finally diagnosed with “sleep-wake phase delay disorder”. After expert system treatment and the guidance of a healthy sleep lifestyle, supplemented by light therapy, Xiaofan’s daytime sleepiness symptoms were significantly improved.

Professor Pan Jiyang said that epidemiological data show that the prevalence of sleep-wake phase delay disorder in the general population is 0.17%, and the prevalence in adolescents is 7%-16%. If you encounter a doctor who does not know enough about sleep disorders and other diseases, it is easy to miss or misdiagnose other diseases based on your child’s symptoms. Sleep health education, timed light therapy, and timed melatonin therapy can effectively relieve disease symptoms and improve the quality of life of patients. Therefore, it is necessary to be alert to the delayed sleep-wake phase disorder, seek medical treatment at the sleep medicine clinic as soon as possible, and make a clear diagnosis as soon as possible.

Night polysomnography

Stress Trauma: Continuing Care, Coping with Kindness

Mr. Xu is the owner of a medium-sized restaurant in a first-tier city. Due to poor management in the past three months, the restaurant has been in a state of loss, and his income is not enough to pay the high rent and other expenses. He maxed out his credit cards and borrowed money everywhere to make ends meet. After a series of blows, Mr. Xu had no choice but to close the store.

Now Mr. Xu has a new job, but the failure of his previous career has left a negative impact on him. Whenever he hears business-related topics, Mr. Xu suddenly feels short of breath , restless. Whenever he lay in bed, Mr. Xu would unconsciously panic. All that flashed in his mind were his efforts to start a restaurant by himself, as well as the sad faces of his employees when he lost money. He woke up from nightmares many times. Recently, Mr. Xu came to the First Affiliated Hospital of Jinan University for treatment, and was assessed by experts as suffering from “post-traumatic stress disorder”.

Professor Pan Jiyang first treated him to “get rid of stressors”, telling the patient to leave the “disaster” scene in time, not to go to various occasions related to economic entrepreneurship, and to see the past Business partners, reduce the reception of bad information from the outside world. Family members should also guide the patient to pay attention to positive news media and avoid contact with people related to entrepreneurial failure. In response to Mr. Xu’s situation, Professor Pan prescribed antidepressants to relieve the patient’s anxiety and pain.

After two months of treatment, Mr. Xu’s mood became stable and his sleep was better than before. At this time, Professor Pan gave him exposure therapy. his traumatic memories, and then treating the pathological components in those memories to help him deal with it smoothly. In the end, Mr. Xu’s symptoms of post-traumatic stress disorder improved significantly, and his life returned to normal.

Source | Yangcheng Evening News·Yangcheng Pie

Editor | Lin Qingqing