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记忆长期童年创伤的成年人睡眠和唤醒
Albe Sin-Ying Ng1, Wai Sze Chan2
1Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR.
概括
没有PTSD的童年创伤幸存者报告主观睡眠更差,兴奋度更高. 客观的睡眠测量结果显示没有差异,这表明寄交感神经系统的失调可能导致睡眠障碍.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
背景情况:
- 童年创伤与睡眠障碍有关,但客观证据和与唤醒的联系,特别是在没有PTSD的人中,很少.
- 了解这些关联对于为创伤幸存者开发有针对性的干预措施至关重要.
研究的目的:
- 调查具有慢性童年创伤史但没有PTSD的成年人的主观和客观睡眠和唤醒.
- 在这个人群中探索兴奋,自主神经系统活动和睡眠障碍之间的关系.
主要方法:
- 将50名患有童年创伤 (没有PTSD) 的成年人与50名匹配的对照人进行了比较.
- 评估了主观睡眠质量,睡眠日记 (睡眠开始的延迟,睡眠开始后的清醒 - - WASO),多睡眠学 (客观睡眠),睡眠前唤醒和心率变化 (HRV) 在休息和痛苦期间.
- 对心理困扰进行控制.
主要成果:
- 童年创伤组报告了较差的主观睡眠质量和更长的日记评估睡眠开始延迟和WASO.
- 通过多睡眠学观察到的客观睡眠参数在两组之间没有显著差异.
- 创伤组表现出更高的睡眠前唤醒和更低的高频HRV (HF-HRV),特别是在痛苦的情况下. 痛苦HF-HRV与主观睡眠和客观WASO相关.
结论:
- 患有童年创伤 (没有PTSD) 的成年人的主观睡眠障碍并不能单靠客观睡眠变化或心理痛苦来解释.
- 这些发现表明,在这个群体体体验的主观睡眠障碍中,寄友神经系统调节失调的潜在作用.
- 对自主活动的进一步研究是有必要的,以了解和治疗童年创伤幸存者的睡眠问题.
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