功能神经障碍患者经常有梦和失眠
C Schede1, S Popkirov2, A Hartmann1
1Department of Psychosomatic Medicine and Psychotherapy, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Journal of psychosomatic research
|August 3, 2025
概括
功能神经障碍 (FND) 患者的失眠和梦率很高,与心理健康和分离有关. 这些睡眠障碍具有临床意义,强调了清醒生活和睡眠体验之间的连续性.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 功能神经障碍 (FND) 经常与创伤和分离有关.
- 关于FND患者睡眠障碍和梦频率的数据有限.
研究的目的:
- 为了调查FND患者的睡眠障碍,梦频率和痛苦.
- 为了将这些睡眠参数与精神病 (PSM) 和中风后 (STR) 患者组进行比较.
- 在FND中探索睡眠问题,创伤,分离和心理健康之间的关联.
主要方法:
- 将87名FND患者与97名PSM和92名STR患者进行了比较.
- 评估主观睡眠行为,梦频率和痛苦.
- 使用顺序回归来分析与健康,创伤和分离的关联.
- 将梦频率与一般人口样本进行比较.
主要成果:
- 超过70%的FND和PSM患者报告失眠;睡眠恢复价值低.
- 30%的FND和PSM患者每周都会有梦,而STR患者的这一比例为10%,一般人群的这一比例为2%.
- 梦频率与精神健康,分离和儿童创伤相关,跨群体,特别是在FND中.
结论:
- 患有FND的患者表现出不眠症和梦的高患病率,这表明临床相关性.
- 这些发现支持连续性假设,将清醒心理病理 (心理健康,分离) 与睡眠和梦境障碍联系起来.
- 解决睡眠障碍对于管理FND至关重要.
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