长期COVID中创伤后压力和睡眠障碍:患者管理和治疗
Tracy E Herring1, Anita Chopra2, Janna L Friedly1
1Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Life sciences
|September 27, 2024
概括
长期的COVID通常涉及创伤后应激障碍 (PTSD) 和睡眠障碍. 基于生物心理和创伤的方法对于评估和治疗这些复杂的,相互关联的病症至关重要.
科学领域:
- 综合医学是一个整体的医学.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 长期的COVID带来了重大挑战,高患有创伤后应激障碍 (PTSD) 和睡眠障碍.
- 长期COVID,PTSD和睡眠障碍之间的相互作用是复杂的,需要多方面的理解.
- 现有的临床实践可能无法充分解决这些疾病的生物心理社会和创伤相关方面.
研究的目的:
- 对长期COVID患者中PTSD和睡眠障碍的患病率,风险因素和病理生理学的当前文献进行审查.
- 探索可用的药理和非药理治疗策略来治疗这些同时出现的疾病.
- 为临床医生提供实用,可行的步骤,在长期COVID背景下评估和管理PTSD和睡眠障碍.
主要方法:
- 对专注于长期COVID,PTSD和睡眠障碍的研究的综合文献综述.
- 分析流行率,确定风险因素和建议的病理生理机制.
- 关于药理和非药理干预的证据综合.
主要成果:
- 在长期COVID中,PTSD和睡眠障碍很常见,这表明有很大的重叠.
- 生物心理社会框架和创伤知情护理对于有效管理至关重要.
- 提供可操作的临床指导,包括评估工具和治疗组件.
结论:
- 整合生物心理社会和创伤信息的方法对于管理长期COVID患者的PTSD和睡眠障碍至关重要.
- 临床医生应该利用经过验证的评估和基于证据的干预措施来提供全面的护理.
- 对这种患者群体的具体机制和量身定制的治疗方法进行进一步的研究是有必要的.
相关概念视频
Post-traumatic Stress Disorder
30
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
30
Insomnia
79
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...
79
Nightmares and Night Terrors
79
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
79
Management of Insomnia
235
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...
235
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
Insufficient Sleep and Sleep Deprivation
134
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...
134


