, . . , . , (, Dressing & Riemann, 1994; Knab, 1989; Kryger, Roth & Dement, 1989; Morin, 1993), , . (ISCD The International Classification of Sleep Disorders, 1990), (American Sleep Disorders Association) , . , , , , : , , , , , , . 88 , , . , , .
(American Psychiatric Association, 1996) DSM-IV. . 32.1.1.
32.1.1. DSM-IV (-9-, -10)
:
- (307.42; F51.0);
- (307.44; F51.1);
- (347; G47.4);
- (780.59; G47.3);
- , (307.45; F51.2);
- (307.47; F51.9).
:
- (307.47; F51.5);
- (Pavor nocturnus) (307.46; F51.4);
- , (307.46; F51.3);
- (307.47; F51.8).
, :
- , (307.42; F51.0);
- , (307.44; F51.1).
:
- , (780.; G47.x);
- , (-; F1x.8).
. , , , , . , , , . , . . 32.1.2 , , , . DSM-IV ISCD .
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32.1.2. DSM-IV: (DSM-IV,S. 634)
A. , , , , ,
B. ( ) ,
C. , , ,
D. , (, , , )
E. - (, ) -
-10 , (, ).
, , , (Schramm, Hohagen, Grasshoff, Riemann, Berger, 1991), , , , , . ISCD, , .
, . :
1. ?
2. ?
3. ?
. 32.1.3 (Strauch, 1985). . , . , , , . (Borbély, Neuhaus, Mattman & Waser, 1981) , . , . , , (Hauri & Wisbey, 1992).
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32.1.3.
/ | ||
, | , | |
, | ||
7,5 | / | |
, ( ), ( ), , , 2-3 |
. , . , , . (Multiple Sleep Latency Test, MSLT), (Carskadon & Dement, 1982). , . (Hauri, 1982) , , , , , , .
American Psychiatric Association. (1996). Diagnostisches und statistisches Manual psychischer Störungen - DSM-IV (Deutsche Bearbeitung und Einleitung: Say, H., Wittchen, H. U., Zaudig, M.). Göttingen: Hogrefe.
Borbély, A., Neuhaus, H., Mattmann, P. & Waser, P. (1981). Langzeitregistrierung der Bewegungsaktivität: Anwendungen in Forschung und Klinik. Schweizer Medizinische Wochenschrift, 111, 730-735.
Carskadon, M. A. & Dement, W. C. (1982). The multiple sleep latency test: What does it measure? Sleep, 5 (Suppl.2), 67-72.
Dressing, H. & Riemann, D. (1994). Diagnostik und Therapie von Schlafstörungen. Stuttgart: Gustav Fischer.
Hauri, P. (1982). Evaluating disorders of initiating and maintaining sleep (DIMS). In C. Guilleminault (Ed.), Sleeping and Waking Disorders: Indications and Techniques (pp. 225-244). Menlo Park: Addison-Wesley.
Hauri, P. & Wisbey, J. (1992). Wrist actigraphy in insomnia. Sleep, 15, 293-301.
ISCD International classification of sleep disorders: Diagnostic and coding manual. (1990). Diagnostic Classification Steering Committee, Thorpy, M. J., Chairman. Rochester, Minnesota: American Sleep Disorders Association.
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Knab, B. (1989). Schlafstörungen. Stuttgart: Kohlhammer.
Kryger, M. H., Roth, T. & Dement, W. C. (1995). Principles and practice of sleep medicine. Philadelphia: Saunders (2nd. edition).
Morin, C. M. (1993). Insomnia. Psychological assessment and management. New York: Guilford.
Schramm, E., Hohagen, F., Grasshoff, U., Riemann, D. & Berger, M. (1991). Diagnostische Systeme zur Klassifikation von Schlafstörungen. Praxis der klinischen Verhaltensmedizin und Rehabilitation, 4, 167-176.
Strauch, I. (1985). Grundlagen und Differentialdiagnose primärer Schlafstörungen. Schweizerische Rundschau Medizische Praxis, 74, 1296-1300.
32.2. :
, , . , , - , . , , , .
? , , , ( , , ) . , , , , , . , , . . 32.2.1 .
. , , , , (Karacan, Williams, Littell & Salis, 1973) 8 11 , , 11 . , , , , , , , , . (Coates, Killen, George, Marchini, Silverman, Hamilton & Thoresen, 1982). , ( ) - 25 , .
1976 . (N = 122) (Carskadon, Dement, Mitler, Guilleminault, Zarcone & Spiegel, 1976). . , : , , 26 62 , . 45% +/- 15 , 50% 15 ( ), 5% , . , . (Edinger & Fins, 1995) , : , , , - , .
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