medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2016-9-23-27medsovet-1378Research ArticleНЕВРОЛОГИЯNEUROLOGYОстрая (адаптационная) инсомния: терапевтическая дилеммаACUTE (ADAPTATION) INSOMNIA: THERAPEUTIC DILEMMAВОРОБЬЕВАО. В.VOROBIEVAO. V.

д.м.н., профессор

MD, Prof.

Первый Московский государственный медицинский университет им. И.М. СеченоваРоссияSechenov First Moscow State Medical UniversityRussian Federation201630122016092327Copyright © ВОРОБЬЕВА О.В., 20162016ВОРОБЬЕВА О.В.VOROBIEVA O.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/1378

Инсомния, связанная с ситуационным стрессовым событием, имеет относительно благоприятный прогноз и самостоятельно разрешается по мере уменьшения эмоционального напряжения. Однако у многих людей инсомния, начавшись в ответ на стрессовое событие, приобретает хронические черты и сохраняется после разрешения стресса. Этой категории пациентов необходима терапия на ранних этапах, при возникновении первых симптомов. В работе рассматриваются предикторы и механизмы хронизации инсомнии, а также возможности препарата доксиламин в купировании нарушений сна.

A situation stress – induced insomnia has a relatively favorable forecast and independently resolves as far as the emotional tension reduces. But in many persons insomnia that developed as a response to the stressful situation acquires chronic features and retains after the stress resolution. This category of patients requires therapy at an early stage, at development of first symptoms. The work considers predictors and insomnia chronization mechanisms, as well as possibilities of doxylamine in sleep disturbance arresting.

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The authors declare that there are no conflicts of interest present.