Nadorff Michael R, Lambdin Karen K, Germain Anne
Department of Psychology, Mississippi State University , Starkville, Mississippi.
Int Rev Psychiatry. 2014 Apr;26(2):225-36. doi: 10.3109/09540261.2014.888989.
Interest in the treatment of nightmares has greatly increased over the last several years as research has demonstrated the clinical significance of nightmare disorder. This paper provides an overview of nightmare disorder, its clinical relevance, and the leading treatments that are available. In particular, the paper defines nightmare disorder and then summarize the recent literature examining the clinical relevance of nightmare disorder, including its relation to post-traumatic stress disorder and other psychiatric conditions. The relation between nightmares and suicidality is also discussed. Recent findings on the treatment of nightmare with imagery rehearsal therapy and prazosin are then summarized. Lastly, the paper comments on potential future uses of nightmare treatment including using imagery rehearsal therapy or prazosin as a first-line intervention for post-traumatic stress disorder and using these treatments as an adjunctive therapy to reduce suicide risk in those at risk of suicide with nightmares.
在过去几年中，随着研究表明噩梦障碍的临床意义，人们对噩梦治疗的兴趣大幅增加。本文概述了噩梦障碍、其临床相关性以及现有的主要治疗方法。特别是，本文定义了噩梦障碍，然后总结了近期研究噩梦障碍临床相关性的文献，包括其与创伤后应激障碍和其他精神疾病的关系。还讨论了噩梦与自杀倾向之间的关系。然后总结了关于意象排练疗法和哌唑嗪治疗噩梦的最新研究结果。最后，本文评论了噩梦治疗未来可能的用途，包括将意象排练疗法或哌唑嗪用作创伤后应激障碍的一线干预措施，以及将这些治疗方法用作辅助疗法以降低有噩梦自杀风险者的自杀风险。
