睡眠时间和创伤后应激障碍症状之间潜在的双向关系 在怀疑急性冠状动脉综合征后
Talea Cornelius1, Donald Edmondson, Marwah Abdalla
1From the Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center (Cornelius, Edmondson, Abdalla, Scott, Fernandez Sedano, Hiti, Sullivan, Schwartz, Kronish, Shechter); Department of Psychiatry and Behavioral Health, Renaissance School of Medicine (Schwartz), Stony Brook; and Center of Excellence for Sleep & Circadian Research, Columbia University Irving Medical Center (Shechter), New York, New York.
Psychosomatic medicine
|May 9, 2024
概括
睡眠时间短暂和创伤后应激障碍 (PTSD) 症状在急性冠状动脉综合征 (ACS) 后的一年内相互恶化. 解决睡眠问题可能有助于管理ACS后的PTSD.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
背景情况:
- 睡眠障碍是创伤后应激障碍 (PTSD) 的一个关键症状.
- 创伤后睡眠不足可以预测PTSD的发展.
- 在急性冠状动脉综合征 (ACS) 后,睡眠时间和PTSD之间的联系不太清楚.
研究的目的:
- 为了检查睡眠时间和PTSD症状之间的双向关系.
- 为了研究这种关系在医院评估ACS后的第一年.
主要方法:
- 招募了1145名被评估为ACS的参与者.
- 睡眠时间和PTSD症状在出院后的1,6个月和12个月被评估.
- 交叉滞后路径分析模拟了睡眠和PTSD的相互影响,控制共变量.
主要成果:
- 平均睡眠时间为6.1小时.
- 在随后的时间点,较高的PTSD症状预测睡眠时间较短 (p < .001).
- 较短的睡眠时间在随后的时间点预测了更高的PTSD症状 (p = .04).
结论:
- 睡眠时间和PTSD症状在ACS后的一年内相互加强.
- 针对睡眠的干预措施可能有利于在后ACS患者中管理PTSD.
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