喘息,但不是呼吸不稳定,在大学生中随着创伤后压力症状而变化
Eugenia Janice Tjondrorahardja1, Teng Teng Sophia Poon1, Joanne Avraam1
1Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia.
Journal of applied physiology (Bethesda, Md. : 1985)
|October 17, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 在创伤后应激障碍 (PTSD) 中很常见. 这项研究发现PTSD症状增加了主观的喘息,但不是客观的呼吸不稳定,这表明其他因素导致PTSD中的OSA风险.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在患有创伤后应激障碍 (PTSD) 的个体中非常普遍.
- 这种并发症的根本原因尚不清楚.
- 呼吸不稳定是OSA的关键因素,并假设在PTSD中发生变化.
研究的目的:
- 调查PTSD患者的呼吸不稳定性是否发生变化.
- 确定改变的呼吸不稳定是否有助于PTSD中OSA的高患病率.
主要方法:
- 在线问卷评估了312名健康参与者的PTSD症状,睡眠障碍和呼吸困难.
- 一组30名参与者接受了实验室内呼吸不稳定性评估,包括屏息任务.
- 统计分析检查了PTSD严重程度和呼吸测量之间的关系.
主要成果:
- 创伤后应激障碍的严重程度与主观呼吸困难正相关 (P < 0.001).
- 没有发现PTSD严重程度和呼吸不稳定性的客观测量 (20秒呼吸后的通风,P = 0.93;最大呼吸持久时间,P = 0.41) 之间有显著的关联.
结论:
- 呼吸不稳定似乎不是PTSD患者OSA的主要驱动因素.
- 其他因素,如过度警,焦虑,低兴奋值或失眠,可能会导致PTSD中的OSA.
- 在PTSD中的主观呼吸困难可能受到心理因素的影响,而不是客观的呼吸不稳定.
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