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创伤后噩梦的管理:2010 年以来药物和非药物治疗的回顾。

Management of post-traumatic nightmares: a review of pharmacologic and nonpharmacologic treatments since 2010.

机构信息

Trauma, Risk, and Resiliency Postdoctoral Fellowship Warrior Resiliency Program, San Antonio Military Medical Center, U.S. Army Southern Regional Medical Command, 7800 IH-10 West Suite 300, San Antonio, TX 78230, USA.

出版信息

Curr Psychiatry Rep. 2012 Oct;14(5):529-35. doi: 10.1007/s11920-012-0306-7.

Abstract

Nightmares are a universal and timeless phenomenon. They occur in most healthy adults as well as a significant portion of clinical populations, especially those exposed to trauma. Considerable advances in the pharmacological and psychological treatment of post-traumatic nightmares have occurred over the last decade with continuing advances in psychological interventions over the last few years. Pharmacologically, the medication prazosin is showing robust clinical effects with minimal side effects. Psychologically, imagery rehearsal therapy commands the greater portion of the nightmare literature due to its established efficacy. These issues are reviewed in the following paper along with recommendations for future studies.

摘要

梦魇是一种普遍而永恒的现象。它们发生在大多数健康成年人以及相当一部分临床人群中,尤其是那些接触过创伤的人群。在过去十年中,创伤后梦魇的药理学和心理治疗取得了相当大的进展,而在过去几年中,心理干预也取得了持续的进展。在药理学方面,普萘洛尔显示出强大的临床效果,副作用极小。在心理学方面,意象排练疗法因其疗效已确立而占据了大部分梦魇文献。本文回顾了这些问题,并为未来的研究提出了建议。

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