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睡眠障碍对创伤后应激障碍症状及自我感知健康的影响。

Impact of sleep disturbances on PTSD symptoms and perceived health.

作者信息

Belleville Geneviève, Guay Stéphane, Marchand André

机构信息

Département de Psychologie, Université du Québec à Montréal, Montréal, Québec, Canada.

出版信息

J Nerv Ment Dis. 2009 Feb;197(2):126-32. doi: 10.1097/NMD.0b013e3181961d8e.

Abstract

More than two-thirds of individuals with PTSD report significant sleep difficulties that correlate positively with PTSD symptom severity. The aim of the study was to assess the impact of sleep disturbances on PTSD symptom severity and perceived health. Ninety-two volunteer treatment-seeking adults with PTSD were administered a Structured Clinical Interview for DSM-IV (SCID; First, Spitzer, Gibbon and William, 1996), and a series of questionnaires assessing PTSD symptom severity, perceived health, sleep, and alcohol use. Results from regression analyses revealed that sleep quality has an impact on PTSD symptom severity and perceived mental health, even when the effect of other potential confounding variables (sociodemographic data, trauma-related characteristics, psychiatric comorbidities, alcohol, and psychotropic medication use) is controlled for. The present study highlights the important influence sleep has on the severity of PTSD symptoms. Future studies could explore whether the addition of interventions focusing on sleep help optimize PTSD treatment.

摘要

超过三分之二的创伤后应激障碍患者报告有严重的睡眠困难,且睡眠困难程度与创伤后应激障碍症状的严重程度呈正相关。本研究的目的是评估睡眠障碍对创伤后应激障碍症状严重程度和感知健康的影响。对92名寻求治疗的创伤后应激障碍成年志愿者进行了《精神疾病诊断与统计手册》第四版(DSM-IV)的结构化临床访谈(SCID;First、Spitzer、Gibbon和William,1996年),以及一系列评估创伤后应激障碍症状严重程度、感知健康、睡眠和酒精使用情况的问卷。回归分析结果显示,即使在控制了其他潜在混杂变量(社会人口统计学数据、创伤相关特征、精神共病、酒精和精神药物使用)的影响后,睡眠质量仍对创伤后应激障碍症状严重程度和感知心理健康有影响。本研究强调了睡眠对创伤后应激障碍症状严重程度的重要影响。未来的研究可以探讨增加针对睡眠的干预措施是否有助于优化创伤后应激障碍的治疗。

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