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Yıl:2016; Cilt: 6; Sayı: 2>> Özet
Psikiyatride Güncel; 2016;6(2):106-115
Uykusuzluk
S Yetkin
GATA, Ankara
Uykusuzluk en yaygın görülen uyku yakınması olup, bazı insanlar için ise süreğen bir durum olarak görülür. Uykuya başlamakta, devam ettirmekte güçlük, dinlendirici olmayan uyku ve gündüz işlevselliğinde belirgin bozulma olarak tanımlanır. Uykusuzluğun kontrolünde kapsamlı bir değerlendirme çok önemlidir. Uykusuzluk nedenlerini değerlendirirken, en iyi yaklaşım oluş mekanizması hakkında oldukça geniş düşünmek ve uykusuzluğu zaman içinde hazırlayıcı, tetikleyici ve devam ettirici bir çok etmenin etkileyebileceğini tahmin etmektir. Uykusuzluğun tedavi ve kontrolü hastaya özgü planlanmalıdır. Uykusuzluğun tedavisi bazen oldukça basit olabileceği gibi, çoğu zaman aynı anda farklı tedavi şekillerini birlikte kullanmayı gerektirebilir. Farmakolojik, bilişsel ve davranışçı tedaviler gibi bir çok tedavi seçeneği kullanılabilir.
Insomnia
Insomnia is the most common sleep disturbance and represents a chronic condition for many people. It’s defined as difficulties in falling asleep, maintaning sleep or nonrestorative sleep accompanied by significantly impaired daytime functioning. A comprehensive evalution is very important for the management of insomnia. The best general approach for considering the causes of a patient’s insomnia is to think very broadly about etiology and expect multiple factors that may predispose, precipitate or perpetuate the insomnia over time. The management and treatment of insomnia should be customized for invidual patients. While the treatment of insomnia is sometimes a simple matter, more commonly multimodal approaches are necessary. Numerous treatment options such as cognitive, behavioral treatments, and pharmacotherapy have been used for insomnia.

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