睡眠障碍对BDD症状和治疗反应的影响
Emily E Bernstein1, Dalton Klare2, Hilary Weingarden1
1Massachusetts General Hospital, United States of America; Harvard Medical School, United States of America.
Journal of affective disorders
|November 12, 2023
概括
睡眠障碍在身体形障碍 (BDD) 中很常见,但这项研究发现睡眠问题与BDD症状严重程度或治疗结果之间没有直接联系. 需要进一步的研究来探索这种关系.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 行为科学 行为科学
背景情况:
- 身体形障碍 (BDD) 是一种普遍存在的心理健康状况,通常未得到充分治疗,认知行为疗法 (CBT) 作为黄金标准治疗.
- 很大一部分BDD患者对现有的治疗方法没有充分的反应,这凸显了探索其他促成因素的必要性.
- 睡眠障碍是一个常见的问题,可能会影响BDD和相关疾病的发展,维持和治疗,但它在这个人群中仍未得到充分研究.
研究的目的:
- 为了研究睡眠障碍与身体形障碍 (BDD) 症状严重程度之间的关系.
- 检查睡眠障碍是否影响BDD患者接受认知行为疗法 (CBT) 的治疗反应.
- 在治疗的背景下,探索睡眠和BDD症状的潜在独立性.
主要方法:
- 数据来自基于智能手机应用程序的CBT对BDD的随机对照试验.
- 参与者接受了12周的治疗,在基线,第6周和第12周进行评估.
- 测量睡眠障碍和BDD症状严重程度,以分析它们的相互关系和对治疗结果的影响.
主要成果:
- 三分之二的参与者在基线报告了显著的失眠.
- 在基线睡眠障碍和BDD症状严重程度之间没有发现显著的相关性 (r = 0.02).
- 治疗前睡眠障碍没有预测BDD症状的减少,睡眠改善或BDD症状在治疗期间也没有相互预测.
结论:
- 尽管BDD样本中的失眠率很高,治疗期间睡眠和BDD症状都有所改善,但这些因素似乎在很大程度上独立地起作用.
- 这些发现表明,睡眠障碍可能不是BDD中CBT治疗反应的主要驱动因素或障碍.
- 建议进行进一步的研究,以复制这些发现,并更好地了解睡眠和BDD之间的复杂相互作用.
相关概念视频
Management of Insomnia
259
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
259
Insufficient Sleep and Sleep Deprivation
148
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
148
Substance Use Disorders Affecting Sleep
174
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
174
REM Sleep Behavior Disorder
211
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
211
Sleep-Wake Cycles
1.4K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.4K
Insomnia
88
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
88


