中年妇女的创伤史和持续的客观和主观睡眠质量差
Karen Jakubowski1, Carly A Riedmann2, Yuefang Chang3
1From the Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA.
概括
童年创伤会影响持续不良的睡眠连续性,而成人创伤会影响中年妇女的主观睡眠质量. 这些关联随着时间的推移而持续存在,而不考虑其他风险因素.
科学领域:
- 睡眠医学 睡眠医学
- 创伤研究 创伤研究
- 妇女健康 妇女健康
背景情况:
- 现有的研究将创伤暴露与主观睡眠质量不佳联系在一起.
- 以前的研究经常使用有限的创伤测量和一次性时间点睡眠评估.
- 童年与成人创伤对睡眠的长期影响仍然不清楚.
研究的目的:
- 调查童年或成人创伤与持续睡眠不足之间的关联.
- 根据创伤暴露的时间 (童年与成年期) 检查睡眠质量的差异.
- 评估创伤暴露与客观测量的睡眠参数之间的关系.
主要方法:
- 167名中年女性 (40-60岁) 在基线和5年后进行了评估.
- 参与者填写了关于童年和成人创伤以及主观睡眠质量 (匹兹堡睡眠质量指数) 的问卷.
- 在两个时间点使用3天的动图 (总睡眠时间[TST],睡眠开始后醒来[WASO]) 测量了客观睡眠.
主要成果:
- 儿童创伤暴露与持续高WASO (客观睡眠连续性差) 有显著的关联.
- 成人创伤暴露与持续的主观睡眠质量差有显著的关联.
- 在创伤暴露和持续短时间的TST (总睡眠时间) 之间没有发现显著的关联.
结论:
- 童年创伤与中年女性客观睡眠连续性的持续困难有关.
- 成人创伤与这一群体持续的主观睡眠质量低下有关.
- 这些创伤与睡眠的关联是独立于常见的混风险因素.
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