{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:01:07Z","timestamp":1777521667357,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2005,3,1]],"date-time":"2005-03-01T00:00:00Z","timestamp":1109635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:sec>\n                    <jats:title>Position du probl\u00e8me:<\/jats:title>\n                    <jats:p>Le syndrome d'apn\u00e9es du sommeil se d\u00e9finit par la survenue, pendant le sommeil, d'arr\u011bts respiratoires de dur\u00e9e sup\u00e9rieure ou \u00e9gale \u00e0 10 secondes, selon un index sup\u00e9rieur ou \u00e9gal \u00e0 5 par heure. Cliniquement, il se caract\u00e9rise par la pr\u00e9sence de ronflements nocturnes sonores continus ou entrecoup\u00e9s de pauses avec reprise respiratoire bruyante. Le sommeil est agit\u00e9, entrecoup\u00e9 d'\u00e9veils, peu reposant. Il existe une hypersomnolence diurne avec pr\u00e9sence d'endormissements involontaires r\u00e9p\u00e9t\u00e9s et souvent m\u00e9connus par le sujet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Description clinique:<\/jats:title>\n                    <jats:p>Dans cet article, une observation de syndrome d'apn\u00e9es du sommeil d'origine centrale chez une patiente en th\u00e9rapeutique de substitution par opiac\u00e9s est d\u00e9crite.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9thodologie:<\/jats:title>\n                    <jats:p>Une analyse du trac\u00e9 polysomnographique avant et apr\u00e8s sevrage de m\u00e9thadone est r\u00e9alis\u00e9e chez cette patiente.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>L'\u00e9tiologie et la physiopathologie de ce diagnostic font l'objet d'une approche critique. Le rappel d'une attention n\u00e9cessaire de la part du clinicien face \u00e0 de tels patients dans le cadre du traitement de troubles du sommeil induits est pos\u00e9.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>La pr\u00e9sence d'apn\u00e9es centrales est une contre-indication \u00e0 la prescription de benzodiaz\u00e9pines durant le sevrage d'opiac\u00e9s de type m\u00e9thadone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/070674370505000304","type":"journal-article","created":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T21:50:54Z","timestamp":1483653054000},"page":"153-158","source":"Crossref","is-referenced-by-count":3,"title":["M\u00e9thadone et Syndrome d'Apn\u00e9es du Sommeil"],"prefix":"10.1177","volume":"50","author":[{"given":"Philippe","family":"Durst","sequence":"first","affiliation":[{"name":"Psychiatre, Centre Hospitalier Sainte Marie, R\u00e9seau ERAHSM, 19, cours du Temple, 07000 Privas, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00f4me","family":"Palazzolo","sequence":"additional","affiliation":[{"name":"Psychiatre, Docteur en anthropologie, Centre Hospitalier Sainte Marie, R\u00e9seau ERAHSM, 87, avenue Joseph Raybaud, BP 1519, 06009 Nice cedex 01, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Pierre","family":"Peyrelong","sequence":"additional","affiliation":[{"name":"Psychiatre, Centre Hospitalier Sainte Marie, R\u00e9seau ERAHSM, 19, cours du Temple, 07000 Privas, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Berger","sequence":"additional","affiliation":[{"name":"Psychiatre, Centre Hospitalier Sainte Marie, R\u00e9seau ERAHSM, 19, cours du Temple, 07000 Privas, 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