在悲伤之后失眠的轨迹
Thomas A de Lang1, Asuman Buyukcan-Tetik2, Peter J de Jong1
1Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS, Groningen, the Netherlands.
丧亲后的失眠症状往往遵循弹性,恢复或慢性轨迹. 基线抑郁症预测失眠轨迹,影响长期悲伤障碍 (PGD) 风险.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 悲伤研究 悲伤研究
背景情况:
- 在丧亲后,失眠症状很常见.
- 这些症状可能会使长期悲伤障碍 (PGD) 恶化.
- 典型的失眠轨迹和悲伤后的危险因素尚未得到充分了解.
研究的目的:
- 为了调查失眠症状的典型轨迹,在丧生后.
- 为了确定与丧亲后的慢性失眠相关的危险因素.
主要方法:
- 有220名近期丧失亲人的人参加了活动.
- 在三个时间点收集了关于社会人口结构,损失,反,回避,悲伤和抑郁的数据.
- 增长混合模型被用来分析失眠轨迹.
主要成果:
- 确定了三个失眠轨迹类别:弹性 (47%),恢复 (43%) 和慢性 (10%).
- 基线抑郁症状是失眠轨迹最强的预测因素.
- 一年后的随访显示,PGD患病率为9% (弹性),27% (恢复) 和60% (慢性).
- 失眠症状的变化与长期悲伤症状的变化有很强的相关性.
结论:
- 失眠症状在丧亲后表现出不同的轨迹.
- 针对失眠可能有利于PGD治疗,特别是伴随性抑郁症.
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