创伤后应激障碍中的梦想实现行为
Cresta Asah1,2, Hinuga Sandahl2,3, Lone Baandrup2,4
1Department of Clinical Neurophysiology, Danish Center for Sleep Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
European journal of psychotraumatology
|January 8, 2025
概括
在创伤后应激障碍 (PTSD) 中,梦想演示行为 (DEB) 是常见的,并且与较差的睡眠质量结果有关. 这表明DEB影响PTSD治疗疗效,需要进一步调查.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 创伤研究 创伤研究
背景情况:
- 睡眠障碍在创伤后应激障碍 (PTSD) 中很普遍.
- 梦想实现行为 (DEB) 虽然长期与PTSD相关,但最近因其高患病率而受到关注.
- 对于DEB对PTSD治疗结果的影响尚不清楚.
研究的目的:
- 检查DEB对PTSD患者功能障碍,症状严重程度和主观睡眠障碍的影响.
- 评估DEB与PTSD治疗反应之间的关系.
- 探索DEB和创伤相关睡眠障碍 (TASD) 之间的联系.
主要方法:
- 分析了一项随机对照试验的数据,该试验涉及丹麦的患有PTSD的难民.
- 参与者在基线和随访时完成了功能障碍,症状严重程度和睡眠障碍 (RBDSQ,PSQI,TDQ) 的自我报告问卷.
- 使用千平方,曼-惠特尼U测试和回归,对具有DEB和没有DEB的组进行统计比较.
主要成果:
- 71%的受访者 (N=176) 满足了DEB (N=125) 的标准.
- DEB显著与睡眠质量较差的治疗反应相关 (PSQI,N=122,p=.035),独立于治疗类型.
- 两组之间没有发现功能障碍或症状严重程度的显著差异.
结论:
- DEB是PTSD的关键睡眠特征,可能会降低治疗的有效性.
- 目前的创伤相关睡眠障碍 (TASD) 概念并不完全涵盖PTSD中所有DEB实例.
- 为了临床实用性,需要进一步开发TASD概念.
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