Brownlow Janeese A, Harb Gerlinde C, Ross Richard J
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA,
Curr Psychiatry Rep. 2015 Jun;17(6):41. doi: 10.1007/s11920-015-0587-8.
Sleep disturbances are among the most commonly endorsed symptoms of post-traumatic stress disorder (PTSD). Treatment modalities that are effective for the waking symptoms of PTSD may have limited efficacy for post-traumatic sleep problems. The aim of this review is to summarize the evidence for empirically supported and/or utilized psychotherapeutic and pharmacological treatments for post-traumatic nightmares and insomnia. While there are few controlled studies of the applicability of general sleep-focused interventions to the management of the sleep disturbances in PTSD, evidence is growing to support several psychotherapeutic and pharmacological treatments. Future investigations should include trials that combine treatments focused on sleep with treatments effective in managing the waking symptoms of PTSD.
睡眠障碍是创伤后应激障碍（PTSD）最常出现的症状之一。对PTSD清醒时症状有效的治疗方式，对创伤后睡眠问题的疗效可能有限。本综述的目的是总结经实证支持和/或应用于创伤后噩梦及失眠的心理治疗和药物治疗的证据。虽然针对一般睡眠干预措施在PTSD睡眠障碍管理中的适用性的对照研究较少，但支持几种心理治疗和药物治疗的证据正在增加。未来的研究应包括将专注于睡眠的治疗与有效管理PTSD清醒时症状的治疗相结合的试验。
