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惊恐障碍门诊患者的孤立性睡眠瘫痪和伴有恐惧的孤立性睡眠瘫痪。

Isolated sleep paralysis and fearful isolated sleep paralysis in outpatients with panic attacks.

机构信息

Pennsylvania State University, University Park, 16802, USA.

出版信息

J Clin Psychol. 2010 Dec;66(12):1292-306. doi: 10.1002/jclp.20724. Epub 2010 Aug 16.

Abstract

Isolated sleep paralysis (ISP) has received scant attention in clinical populations, and there has been little empirical consideration of the role of fear in ISP episodes. To facilitate research and clinical work in this area, the authors developed a reliable semistructured interview (the Fearful Isolated Sleep Paralysis Interview) to assess ISP and their proposed fearful ISP (FISP) episode criteria in 133 patients presenting for panic disorder treatment. Of these, 29.3% met lifetime ISP episode criteria, 20.3% met the authors' lifetime FISP episode criteria, and 12.8% met their recurrent FISP criteria. Both ISP and FISP were associated with minority status and comorbidity. However, only FISP was significantly associated with posttraumatic stress disorder, body mass, anxiety sensitivity, and mood and anxiety disorder symptomatology.

摘要

孤立性睡眠瘫痪(ISP)在临床人群中受到的关注甚少,对恐惧在 ISP 发作中的作用也很少有实证研究。为了促进该领域的研究和临床工作,作者开发了一种可靠的半结构化访谈(恐惧性孤立性睡眠瘫痪访谈),以评估 133 名前来接受惊恐障碍治疗的患者的 ISP 及其提出的恐惧性 ISP(FISP)发作标准。其中,29.3%符合终身 ISP 发作标准,20.3%符合作者提出的终身 FISP 发作标准,12.8%符合复发性 FISP 标准。ISP 和 FISP 均与少数族裔地位和合并症有关。然而,只有 FISP 与创伤后应激障碍、体重、焦虑敏感性以及情绪和焦虑障碍症状显著相关。

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