美国退伍军人中创伤后应激障碍症状的表现形式的差异,有或没有临床失眠
Jason C DeViva1,2, Elissa McCarthy3, Ian Fischer4
1Veterans Affairs Connecticut Health Care System, West Haven, Connecticut.
概括
患有创伤后应激障碍 (PTSD) 和失眠的退伍军人经历了更严重的症状,包括反应和兴奋. 这些发现强调了对退伍军人的PTSD进行量身定制的评估和治疗方法的需要.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 军人卫生保健 军人卫生保健
背景情况:
- 创伤后应激障碍 (PTSD) 在退伍军人中很普遍.
- 临床失眠经常与PTSD同时发生,可能会改变症状表现.
- 了解这些差异对于有效的退伍军人护理至关重要.
研究的目的:
- 为了研究PTSD症状的现型表现,在退伍军人中同时出现可能的PTSD和临床失眠.
- 将可能患有PTSD和失眠的退伍军人与可能仅患有PTSD的退伍军人之间的症状严重程度和特定症状概况进行比较.
主要方法:
- 分析了2019-2020年全国退伍军人健康和弹性研究的数据.
- 调查包括4069名美国退伍军人的全国代表性样本.
- 对可能的PTSD和临床失眠进行查.
主要成果:
- 3.9%的退伍军人可能患有PTSD和临床失眠;3.2%可能仅患有PTSD.
- 同时发生失眠的退伍军人报告说,入侵,回避和唤醒症状的严重性更大.
- 与创伤相关的睡眠困难,生理反应性和夸张的惊反应独立预测了PTSD和失眠的同时发生.
结论:
- 与创伤相关的反应和唤醒症状区分了PTSD和失眠的退伍军人与仅仅患有PTSD的人.
- 对PTSD症状表现的细微模型对于退伍军人的评估和治疗计划至关重要.
- 这项研究强调了退伍军人患有并发性PTSD和失眠的独特临床特征.
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