bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2020-3-27-34bekhterev-458Research ArticleНАУЧНЫЕ ОБЗОРЫSCIENTIFIC REVIEWАлкоголь и нарушения снаAlcohol and sleep disturbancesЕфремовИ. С.EfremovI. S.

Ефремов Илья Сергеевич—ассистент кафедры психиатрии и наркологии с курсом ИДПО

Уфа

efremovilya102@gmail.comАсадуллинА. Р.AsadullinA. R.

Асадуллин Азат Раилевич—доктор медицинских наук, доцент, старший научный сотрудник отделения лечения больных алкоголизмом НМИЦ ПН им. В.М. Бехтерева, профессор кафедры психиатрии и наркологии с курсом ИДПО ФГБОУ ВО БГМУ

Санкт-Петербург, Уфа

Saint-Petersburg, Ufa

droar@yandex.ruНасыроваР. Ф.NasyrovaR. F.

Насырова Регина Фаритовна—доктор медицинских наук, главный научный сотрудник, научный руководитель отделения персонализированной психиатрии и неврологии

Санкт-Петербург

Saint-Petersburg

nreginaf77@gmail.comАхметоваЭ. А.AkhmetovaE. A.

Ахметова Эльвина Аслямовна—кандидат медицинских наук, научный сотрудник отделения лечения больных алкоголизмом НМИЦ ПН им. В.М. Бехтерева, доцент кафедры психиатрии и наркологии с курсом ИДПО ФГБОУ ВО БГМУ

Санкт-Петербург, Уфа

Saint-Petersburg, Ufa

aea1202@yandex.ruКрупицкийЕ. М.KrupitskyE. M.

Крупицкий Евгений Михайлович—доктор медицинских наук, профессор; заместитель директора по научной работе и руководитель отдела наркологии НМИЦ ПН им. В.М. Бехтерева, руководитель лаборатории клинической фармакологии аддиктивных состояний СПб ПГМУ им. И.П. Павлова, профессор факультета психиатрии Пенсильванского университета

Санкт-Петербург

Saint-Petersburg

kruenator@gmail.comФГБОУ ВО БГМУ Минздрава РоссииРоссияBashkir State Medical UniversityRussian FederationФГБУ «Национальный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева» Минздрава России; ФГБОУ ВО БГМУ Минздрава РоссииРоссияV.M. Bekhterev national research medical center for psychiatry and neurology; Bashkir State Medical UniversityRussian FederationФГБУ «Национальный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева» Минздрава РоссииРоссияV.M. Bekhterev national research medical center for psychiatry and neurologyRussian Federation202011102020032734Copyright © Ефремов И.С., Асадуллин А.Р., Насырова Р.Ф., Ахметова Э.А., Крупицкий Е.М., 20202020Ефремов И.С., Асадуллин А.Р., Насырова Р.Ф., Ахметова Э.А., Крупицкий Е.М.Efremov I.S., Asadullin A.R., Nasyrova R.F., Akhmetova E.A., Krupitsky E.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/458

В статье представлен несистематический описательный обзор проблемы нарушения сна у пациентов с алкогольной зависимостью. Поиск проводился в базах данных GoogleScholar, Elibrary.ru, Scopus, PubMed. Рассматривались работы, опубликованные не раньше 1 января 2010 года, и не позже 10 января 2020 года. Поиск проводился с использованием поисковых запросов путем различных вариантов комбинирования указанных слов: «alcoholusedisorder», «alcoholism», «insomnia» и другие. Можно сделать вывод, что взаимосвязь между описываемыми феноменами носит двусторонний характер с взаимным подкреплением. В проведенных на настоящий момент исследованиях демонстрируется риск инициации злоупотребления алкоголем при наличии расстройств сна, что связано с использованием алкоголя в качестве сомногенного средства с дальнейшим ростом толерантности и развитиемалкоголизма. При этом выраженность нарушений сна нередко совпадает с тяжестью алкогольной зависимости. Для пациентов, находящихся в стадии ремиссии, расстройства сна являются фактором риска рецидива. Описанные нами закономерности лишь в общих чертах описывают обозначенную проблему, что создает предпосылки к дальнейшему углублению и проведению клинических и фундаментальных исследований.

This article presents a non-systematic descriptive review of sleep disturbance problems in patients with alcohol dependence. A search was carried out in databases such as Google Scholar, ELibrary.ru, Scopus, PubMed. We considered works published no earlier than January 1, 2015, but no later than January 10, 2020. A search was carried out with the use of search queries of various combinations of the specified words: “alcohol use disorder,” “alcoholism”, “insomnia,” and others. After analyzing a number of publications, it is possible to conclude that the relationship between the described phenomena is synergetic with a mutual reinforcement. In the current review it is demonstrated that the risk of the development of alcoholism against the background of sleep disturbances might be related to the initial use of alcohol as a somnolent with further development of tolerance and alcoholism. At the same time, the severity of sleep disturbances quite often coincides with the severity of alcohol dependence. For those patients who are in a stage of remission sleep disturbances is a risk factor for relapse. This review clearly demonstrates that further research of the relationships between alcohol dependence and sleep disorders are needed.

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