Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
J Trauma Stress. 2009 Dec;22(6):639-42. doi: 10.1002/jts.20468.
Insomnia and nightmares are hallmarks of posttraumatic stress disorder (PTSD). Sleep disturbances in PTSD negatively impact clinical course and functioning. In this open clinical trial, the preliminary effects of a combined treatment for insomnia and nightmares in combat veterans with PTSD were assessed. Ten combat veterans participated in a 10-session group treatment combining cognitive-behavioral therapy for insomnia with exposure, rescripting, and relaxation therapy. Participants maintained daily sleep and dream diaries and completed self-report measures of sleep quality and PTSD symptoms pre- and posttreatment. Participants reported improvements in sleep and nightmares following treatment. Future research using controlled designs to evaluate this treatment is warranted.
失眠和噩梦是创伤后应激障碍（PTSD）的标志。PTSD 中的睡眠障碍会对临床病程和功能产生负面影响。在这项开放临床试验中，评估了针对 PTSD 退伍军人的失眠和噩梦的联合治疗的初步效果。十名参战退伍军人参加了一个 10 次的小组治疗，将失眠的认知行为疗法与暴露、改写和放松疗法相结合。参与者在治疗前后每天记录睡眠和梦境日记，并完成睡眠质量和 PTSD 症状的自我报告量表。参与者报告治疗后睡眠和噩梦有所改善。未来需要使用对照设计来评估这种治疗方法的研究。
