Germain Anne, Shear Katherine, Monk Timothy H, Houck Patricia R, Reynolds Charles F, Frank Ellen, Buysse Daniel J
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Behav Sleep Med. 2006;4(3):152-63. doi: 10.1207/s15402010bsm0403_2.
Complicated grief (CG) is characterized by recurrent distressing emotions and intrusive thoughts related to the loss of a loved one and avoidance of reminders of the deceased. Poor sleep quality characterizes CG. Cognitive-behavioral therapy and interpersonal psychotherapy reduce CG symptom severity. The effect of these treatments on sleep quality is not known, however. We investigated whether complicated grief treatments (CGTs) improve sleep quality, as assessed by the Pittsburgh Sleep Quality Index. Data collected from 95 adults who participated in a randomized controlled trial were reviewed. Poor sleep quality persisted despite clinically significant improvements in CG severity posttreatment. Given that sleep disturbance is a risk factor for poor health outcomes, adjunctive sleep interventions may be necessary to enhance CGT outcomes.
复杂性哀伤（CG）的特征是反复出现与失去所爱之人相关的痛苦情绪和侵入性想法，以及回避与逝者有关的事物。睡眠质量差是复杂性哀伤的特征之一。认知行为疗法和人际心理疗法可降低复杂性哀伤症状的严重程度。然而，这些治疗方法对睡眠质量的影响尚不清楚。我们通过匹兹堡睡眠质量指数评估，研究了复杂性哀伤治疗（CGT）是否能改善睡眠质量。我们回顾了从95名参与随机对照试验的成年人收集的数据。尽管治疗后复杂性哀伤严重程度有显著临床改善，但睡眠质量差的情况仍然存在。鉴于睡眠障碍是健康状况不佳的一个风险因素，可能需要辅助睡眠干预措施来提高复杂性哀伤治疗的效果。
