НАРУШЕНИЯ СНА В ПЕРИОД ПАНДЕМИИ СOVID-19: СПЕЦИФИКА, ПСИХОЛОГИЧЕСКОЕ ОБСЛЕДОВАНИЕ И ПСИХОТЕРАПИЯ
Ключевые слова:
COVID-19, COVID-сомния, хроническая инсомния, синдром беспокойных ног, когнитивно-поведенческая терапия
Аннотация
В статье описан феномен COVID-сомнии, который включает в себя специфический спектр изменений во сне от бессонницы до расстройства поведения во время фазы быстрого сна. Показано различное влияние COVID-19 на нарушения сна, описаны проявления ковид-ассоциированных нарушений сна (хроническая инсомния, синдром беспокойных ног). Представлена модель связи между ковид-ассоциированной тревогой, бессонницей и суицидальным мышлением. В работе систематизированы психологические факторы, влияющие на феномен COVID-сомнии. Отмечается, что прогнозируемая бессонница во время пандемии COVID-19 складывается из наличия интолерантности к неопределенности, ковид-ассоциированной тревоги, чувства одиночества, наличия симптомов депрессии и тревоги. Впервые описаны алгоритм скрининг-оценки состояния пациента в период пандемии COVID-19 и специфика полного психологического обследования феномена COVID-сомнии у пациента. Представлен протокол краткосрочной дистанционной когнитивно-поведенческой терапии тревоги Е.М. Андерсона, связанной с пандемией СOVID-19, для минимизации хронической бессонницы.
Литература
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23. McCracken L.M., Badinlou F. Psychological impact of COVID-19 in the Swedish population: Depression, anxiety, and insomnia and their associations to risk and vulnerability factors // European psychiatry: the journal of the Association of European Psychiatrists, 2020. Vol. 63, no. 1. Р. 81-88.
24. Morin C.M., Carrier J. The acute effects of the COVID-19 pandemic on insomnia and psychological symptoms // Sleep medicine. 2020. Vol. 20, no. 3. Р. 19-25.
25. Sanderson W.C., Arunagiri V., Funk A.P. The Nature and Treatment of Pandemic-Related Psychological Distress // Journal of contemporary psychotherapy. 2020. Vol. 9, no. 3. Р. 1-3.
26. Sharma V.K., Jinadatha C. Environmental chemistry is most relevant to study coronavirus pandemics // Environ Chem Lett. 2020. Vol. 8, no. 2. Р. 1-4.
27. Tasnim S., Rahman M. Epidemiology of sleep disorders during COVID-19 pandemic: A systematic scoping review // OSFHome. 2020. Vol. 3, no. 1. Р. 19-26.
28. Vs T. Vd C. Cognitive and behavioural therapies in the treatment of insomnia: A systematic meta-analysis of all the literature // J Sleep Res. 2018. Vol. 3, no. 2. Р. 1-14.
29. Zreik G., Asraf K. Maternal perceptions of sleep problems among children and mothers during the coronavirus disease 2019 (COVID-19) pandemic in Israel // J. Sleep Res. 2020. Vol. 8, no. 2. Р. 13-20.
2. Abdelhady A. COVID-19-associated sleep disorders: A case report // Neurobiol Sleep Circadian Rhythms. 2020. Vol. 9, no. 2. P. 3-5.
3. Albert P.R. Why is depression more prevalent in women? // J Psychiatry Neurosci. 2015. Vol. 1, no. 3. P. 219-221.
4. Andersson E. Brief online-delivered cognitive-behavioural therapy for dysfunctional worry related to the covid-19 pandemic: A randomised trial // PsyArXiv. 2020. No. 9. P. 7-24
5. Asmundson G.J., Taylor S. Coronaphobia: Fear and the 2019-nCoV outbreak // Journal of Anxiety Disorders. 2020. Vol. 70. Р. 10-21.
6. Besedovsky L., Lange T., Haack M. The sleep-immune crosstalk in health and disease // Physiol. Rev. 2019. Vol. 99, No. 10. Р. 1325-1380.
7. Cardinali D.P., Brown G.M., Reiter R.J. Elderly as a high-risk group during COVID-19 pandemic: effect of circadian misalignment, sleep dysregulation and melatonin administration // Sleep Vigil. 2020. Vol. 26, no. 1. Р. 1-7.
8. Chi X., Becker B., Yu Q. et al. Prevalence and Psychosocial Correlates of Mental Health Outcomes Among Chinese College Students During the Coronavirus Disease (COVID-19) // Pandemic. Front Psychiatry. 2020. Vol. 4, no. 1. Р. 8-13
9. Chi Xinli, Yuying C. Psychometric Evaluation of The Fear of COVID-19 Scale // Among Chinese Population. 2020. Vol. 6, no. 4. Р. 384-393.
10. Das G., Mukherjee N., Ghosh S. Neurological insights of COVID-19 pandemic // ACS Chem. Neurosci. 2020. Vol. 11, no. 2. Р. 1206-1211.
11. Fang H., Tu S., Sheng J. Depression in sleep disturbance: a review on a bidirectional relationship, mechanisms and treatment // J. Cell. Mol. Med. 2019. Vol. 23, no. 1. P. 2324-2332.
12. Griffin S.C., Williams A.B. Reciprocal effects between loneliness and sleep disturbance in older Americans // J. Aging Health. 2019. Vol. 9, no. 2. Р. 1156-1164.
13. Gupta R., Seithikurippu R. COVID-Somnia: How the Pandemic Affects Sleep/Wake Regulation and How to Deal with it? // Sleep and Vigilance 2020. Vol. 4. Р. 18-29.
14. Hossain M., Sultana A. Epidemiology of mental health problems in COVID-19: a review // F1000 Research. 2020.Vol. 9. Р. 636-644.
15. Ibarra-Coronado E.G., Pantaleón-Martínez A.M. The Bidirectional Relationship between Sleep and Immunity against Infections. // J. Immunol Res. 2015. Vol. 3, no. 1. Р. 67-75.
16. Jungmann S.M., Witthöft M. Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? // Journal of Anxiety Disorders. 2020. Vol. 73. Р. 10-22.
17. Killgore W., Cloonan S.A., Taylor E.C. Suicidal ideation during the COVID-19 pandemic: The role of insomnia // Psychiatry research. 2020. Vol. 29, no. 2. Р. 11-16.
18. Lauriola M., Carleton R.N., Tempesta D. A correlational analysis of the relationships among intolerance of uncertainty, anxiety sensitivity, subjective sleep quality, and insomnia symptoms // Int. J. Environ. Res. Public Health. 2019. Vol. 16, no. 9. Р. 3-15.
19. Lee S.A. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety // Death Stud. 2020. Vol. 44, no. 7. Р. 393-401.
20. Li S.H., Graham, B.M. Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones // Lancet Psychiatry. 2017. No. 4. Р. 73-82.
21. Li Y., Qin Q, Sun Q, Insomnia and psychological reactions during the COVID-19 outbreak in China. // J Clin Sleep Med. 2020. Vol. 16, no. 8. Р. 1417-1420.
22. Markku P. COVID-19-related sleep disorders // The Lancet. 2020. Vol. 20, no. 1. Р. 18-26.
23. McCracken L.M., Badinlou F. Psychological impact of COVID-19 in the Swedish population: Depression, anxiety, and insomnia and their associations to risk and vulnerability factors // European psychiatry: the journal of the Association of European Psychiatrists, 2020. Vol. 63, no. 1. Р. 81-88.
24. Morin C.M., Carrier J. The acute effects of the COVID-19 pandemic on insomnia and psychological symptoms // Sleep medicine. 2020. Vol. 20, no. 3. Р. 19-25.
25. Sanderson W.C., Arunagiri V., Funk A.P. The Nature and Treatment of Pandemic-Related Psychological Distress // Journal of contemporary psychotherapy. 2020. Vol. 9, no. 3. Р. 1-3.
26. Sharma V.K., Jinadatha C. Environmental chemistry is most relevant to study coronavirus pandemics // Environ Chem Lett. 2020. Vol. 8, no. 2. Р. 1-4.
27. Tasnim S., Rahman M. Epidemiology of sleep disorders during COVID-19 pandemic: A systematic scoping review // OSFHome. 2020. Vol. 3, no. 1. Р. 19-26.
28. Vs T. Vd C. Cognitive and behavioural therapies in the treatment of insomnia: A systematic meta-analysis of all the literature // J Sleep Res. 2018. Vol. 3, no. 2. Р. 1-14.
29. Zreik G., Asraf K. Maternal perceptions of sleep problems among children and mothers during the coronavirus disease 2019 (COVID-19) pandemic in Israel // J. Sleep Res. 2020. Vol. 8, no. 2. Р. 13-20.
Поступила в редакцию
2021-01-18
Опубликована 2021-04-15
Опубликована 2021-04-15