恐慌症中的睡眠障碍与并发性复杂PTSD:一种可能的关系和不同的精神病理吗?
Elvira Anna Carbone1, Giulia Menculini2, Renato de Filippis3
1Department of Medical and Surgical Sciences, University "Magna Græcia", 88100 Catanzaro, Italy.
Life (Basel, Switzerland)
|August 26, 2023
概括
在恐慌障碍 (PD) 患者中,复杂的创伤后应激障碍 (cPTSD) 与更差的睡眠质量和增加的催眠使用有关. 解决创伤对于管理睡眠障碍和PD中的焦虑至关重要.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 创伤研究 创伤研究
背景情况:
- 创伤和睡眠障碍经常是并发症,特别是在焦虑症中.
- 交感性过度兴奋,可能是由于noradrenergic系统失调,可能会将创伤和睡眠问题联系起来.
- 复杂的创伤后应激障碍 (cPTSD) 是一种严重的创伤反应形式.
研究的目的:
- 调查cPTSD并发症和恐慌障碍 (PD) 中睡眠障碍之间的关联.
- 为了确定睡眠质量不佳是否与PD患者的精神病理负担更高相关.
- 探索特定睡眠参数与PD中cPTSD之间的关系.
主要方法:
- 211名患有PD的参与者完成了国际创伤问卷,汉密尔顿焦虑评分表 (HAM-A) 和匹兹堡睡眠质量指数 (PSQI).
- 参与者根据cPTSD的存在或不存在被分为子组.
- 后勤回归分析了cPTSD和PSQI分数之间的关联 (主观睡眠质量,睡眠持续时间,睡眠有效性,催眠使用).
主要成果:
- cPTSD小组显示HAM-A得分明显更高,表明焦虑程度更高.
- 在cPTSD亚样本中,自我组织 (DSO) 和整体PSQI得分的障碍显著增加.
- 后勤回归显示cPTSD与主观睡眠质量低下和催眠使用增加有显著的关联.
结论:
- 患有cPTSD的恐慌症患者经历了更严重的睡眠障碍和更高的焦虑负担.
- 长时间的创伤暴露加剧了PD的睡眠问题和焦虑.
- 针对睡眠和创伤领域的有针对性的治疗干预对于PD患者来说是必要的.
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