创伤的急性后果中的梦和失眠有望预测自杀念头
Anthony N Reffi1,2,3, David A Kalmbach1,2, Philip Cheng1,2
1Sleep Disorders & Research Center, Henry Ford Health, Detroit, MI.
概括
梦与失眠相结合,显著增加创伤患者的自杀风险. 针对两种睡眠障碍的早期干预对于减少创伤后自杀念头至关重要.
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:
- 经历过急性创伤的幸存者面临着更高的自杀风险.
- 梦和失眠是创伤后常见的应激反应.
- 这些睡眠障碍可能会相互作用,加剧自杀风险.
研究的目的:
- 为了调查梦和创伤后失眠之间的潜在关系.
- 确定它们对未来自杀念头 (SI) 的综合影响.
主要方法:
- 住院创伤患者 (N=88在T1) 在创伤后一周,一个月 (T2) 和两个月 (T3) 完成了调查.
- 评估了梦,失眠症状和自杀念头.
- 统计分析检查了预测关系和相互作用效应.
主要成果:
- 一个月后患有梦和失眠的患者在两个月后报告了最高的SI率 (42.9%).
- 失眠预测SI增加,但只有当梦也存在时.
- 夜间觉醒和总觉醒时间预测SI,由梦调节.
结论:
- 临床上显著的梦使创伤患者的失眠和自杀倾向之间的联系变得更强大.
- 几乎一半的创伤患者有梦和失眠经历SI创伤后两个月.
- 早期针对梦和失眠可能会减少自杀念头.
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