トラウマに焦点を当てた治療後の主観的および客観的な睡眠障害
Salomé Porten1, Franziska Friedmann2, Nikola Schoofs1
1Department of Psychiatry and Neuroscience, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
European journal of psychotraumatology
|August 27, 2025
まとめ
トラウマに焦点を当てた治療は,トラウマ後ストレス障害 (PTSD) の女性の主観的な睡眠の質を改善したが,客観的な睡眠の測定は変化しなかった. 多くの参加者は治療後に臨床的に有意な睡眠障害を経験しました.
科学分野:
- 心理学
- 睡眠医学
- トラウマ研究
背景:
- トラウマ後ストレス障害 (PTSD) は 睡眠障害と共に頻繁に発生します
- トラウマに焦点を当てた治療がPTSD患者の睡眠に与える影響については,一貫性がないと報告されています.
研究 の 目的:
- トラウマ・フォーカス・セラピー中の主観的および客観的な睡眠の変化を分析する.
- PTSDに対する弁証術行動療法 (DBT-PTSD) と睡眠に対する認知処理療法 (CPT) の効果を比較する.
主な方法:
- PTSDを持つ180人の女性を対象としたランダム化制御試験 (RCT) の二次分析.
- 睡眠は,ピッツバーグ睡眠品質指数 (PSQI),睡眠日記,およびアチグラフィを用いて,初期,6ヶ月および12ヶ月で評価された.
- 睡眠のモニタリングは,各評価ポイントで1週間行われました.
主要な成果:
- 治療後の主観的な睡眠品質 (PSQI,睡眠日記) が著しく改善され,DBT- PTSDとCPTの違いは認められなかった.
- アクティグラフィーによる客観的な睡眠測定は 重要な変化を示さなかった.
- 参加者の76%は,治療後の臨床的に重要な主観的な睡眠障害を報告した.
結論:
- トラウマに焦点を当てた治療は,PTSD患者の主観的な睡眠の質を高めますが,客観的な睡眠パラメータは改善しません.
- 患者のかなりの割合が持続的な睡眠障害を経験し,睡眠特有の介入が必要であることを示唆しています.
- PTSDと睡眠障害の統合治療の有効性を調べるためにさらなる研究が必要である.
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