寻求创伤后应激障碍治疗的平民中与失眠相关的因素：一项探索性研究。

Factors associated with insomnia among civilians seeking treatment for PTSD: an exploratory study.

作者信息

DeViva Jason C, Zayfert Claudia, Mellman Thomas A

机构信息

Department of Psychiatry, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756-0001, USA.

出版信息

Behav Sleep Med. 2004;2(3):162-76. doi: 10.1207/s15402010bsm0203_5.

DOI:10.1207/s15402010bsm0203_5

PMID:15600231

Abstract

This study explored relationships between insomnia (as measured by Item 13 of the Clinician-Administered PTSD [Posttraumatic Stress Disorder] Scale) and other PTSD symptoms, comorbidity, and measures of depression, worry, and panic in a mixed-trauma sample of 143 treatment-seeking civilians with PTSD (median age 39.4 years, 83% female, 96% White). Regression analyses showed that, adjusting for sleep medication use, severity of nightmares and diminished interest in pleasurable activities accounted for unique variance in insomnia severity level. Severity of nightmares and depression accounted for unique variance in the presence of severe insomnia. Findings support a role for conditioning related to nightmares in the etiology of PTSD-related insomnia.

摘要

本研究在143名寻求治疗的创伤后应激障碍（PTSD）平民混合创伤样本（年龄中位数为39.4岁，83%为女性，96%为白人）中，探讨了失眠（通过临床医生管理的创伤后应激障碍量表第13项测量）与其他PTSD症状、共病以及抑郁、担忧和惊恐测量指标之间的关系。回归分析表明，在调整了睡眠药物使用情况后，噩梦的严重程度和对愉悦活动兴趣的降低在失眠严重程度水平上解释了独特的方差。噩梦的严重程度和抑郁在严重失眠的存在方面解释了独特的方差。研究结果支持了与噩梦相关的条件作用在PTSD相关失眠病因中的作用。