Çocuk ve Ergenlerde Anksiyete Bozuklukları ve Uyku
Özet
Anksiyete bozuklukları ile uyku arasındaki ilişkiyi inceleyen bu çalışma, her iki durumun çocuk ve ergenlerdeki yaygınlığını, patofizyolojik mekanizmalarını ve klinik etkileşimlerini ele almaktadır. Anksiyete bozukluklarının çocukluk çağında %6-20 oranında görüldüğü ve akademik başarı ile yaşam kalitesini olumsuz etkilediği belirtilmektedir. Araştırmalar, anksiyete bozukluğu olan çocukların %85'inin uyku sorunları yaşadığını ve bu ilişkinin sıklıkla çift yönlü olduğunu ortaya koymaktadır. Patofizyolojik açıdan genetik etmenler, aile ortamı, HPA aksı aktivitesi ve bilişsel çarpıtmalar bu etkileşimde rol oynayan temel unsurlar olarak tanımlanmıştır. Yaygın anksiyete bozukluğu, ayrılık kaygısı ve panik bozukluk gibi alt tiplerde toplam uyku süresinde azalma ve uykuya dalma süresinde uzama gibi sorunlar gözlenmektedir. Sonuç olarak çalışma, anksiyete ve uyku bozukluklarının birbirini tetikleyen karmaşık bir yapıda olduğunu vurgulayarak, bu alanda daha fazla araştırmaya ihtiyaç duyulduğunu ifade etmektedir.
This study, examining the relationship between anxiety disorders and sleep, addresses the prevalence, pathophysiological mechanisms, and clinical interactions of both conditions in children and adolescents. It is noted that anxiety disorders occur at a rate of 6-20% in childhood, negatively impacting academic success and quality of life. Research reveals that 85% of children with anxiety disorders experience sleep problems, and this relationship is often bidirectional. Pathophysiologically, genetic factors, family environment, HPA axis activity, and cognitive distortions are identified as key elements playing a role in this interaction. In subtypes such as generalized anxiety disorder, separation anxiety, and panic disorder, issues like reduced total sleep time and prolonged sleep onset latency are observed. In conclusion, the study emphasizes that anxiety and sleep disorders exist in a complex, mutually triggering structure and states the need for further research in this field.
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