Jevtović Sasa, Gregurek Rudolf, Kalenić Barbara, Brajković Lovorka, Bras Marijana, Loncar Mladen, Germain Anne
University of Zagreb, School of Medicine, Clinic for Psychological Medicine, Zagreb, Croatia.
Coll Antropol. 2011 Jan;35 Suppl 1:175-81.
The aim of the study was to examine the relationships between global sleep quality and its specific components and Posttraumatic Stress Disorder (PTSD) symptom severity questionnaire. We also researched whether sleep quality and sleep disturbances differed among groups of PTSD based on symptom severity categories. This study was conducted on the sample of 120 Croatian war veterans with PTSD. The following self-report instruments were used: Pittsburgh Sleep Quality Index, the Pittsburgh Sleep Quality Index Addendum for PTSD, the Mississippi Scale for Combat-Related PTSD, the Spielberger State and Trait Anxiety Inventory and the Beck Depression Inventory. There were statistically significant differences between the three PTSD severity groups on general nervousness (PSQI-A variable), where patients with extremely severe PTSD have more symptoms of general nervousness than groups with severe or moderate PTSD. Differences were found between PTSD severity groups in episodes of terror and acting-out dreams, where patients with extremely severe PTSD have more symptoms of episodes of terror and acting-out dreams than groups with severe or moderate PTSD. Sleep quality was significantly correlated with state anxiety, trait anxiety, and depression, indicating that with decrease of anxiety and depression, sleep quality improves. Sleep latency was positively correlated with both state and trait anxiety. There wasn't any significant correlation between sleep latency and depression. Study suggests that sleep disturbances are equally severe across groups of veterans based on PTSD severity and that the severity of sleep disturbances is significantly related to severity of anxiety and depression symptoms.
本研究的目的是检验整体睡眠质量及其特定组成部分与创伤后应激障碍（PTSD）症状严重程度问卷之间的关系。我们还研究了基于症状严重程度分类的PTSD患者组之间的睡眠质量和睡眠障碍是否存在差异。本研究以120名患有PTSD的克罗地亚退伍军人为样本进行。使用了以下自我报告工具：匹兹堡睡眠质量指数、PTSD的匹兹堡睡眠质量指数附录、与战斗相关的PTSD密西西比量表、斯皮尔伯格状态与特质焦虑量表以及贝克抑郁量表。在一般神经质方面（PSQI - A变量），三个PTSD严重程度组之间存在统计学上的显著差异，其中极重度PTSD患者的一般神经质症状比重度或中度PTSD患者组更多。在恐怖发作和梦境行为方面，PTSD严重程度组之间存在差异，极重度PTSD患者的恐怖发作和梦境行为症状比重度或中度PTSD患者组更多。睡眠质量与状态焦虑、特质焦虑和抑郁显著相关，表明随着焦虑和抑郁程度的降低，睡眠质量会改善。睡眠潜伏期与状态焦虑和特质焦虑均呈正相关。睡眠潜伏期与抑郁之间没有显著相关性。研究表明，基于PTSD严重程度的退伍军人组中，睡眠障碍的严重程度相同，且睡眠障碍的严重程度与焦虑和抑郁症状的严重程度显著相关。
