Walter Reed Army Institute of Research (WRAIR), 503 Robert Grant Avenue, Silver Spring, MD, 20910, USA.
Walter Reed National Military Medical Center, Sleep Disorders Center, 8901 Rockville Pike, Bethesda, MD, 20889, USA.
Curr Psychiatry Rep. 2015 Oct;17(10):85. doi: 10.1007/s11920-015-0622-9.
Insomnia is one of the most common complaints of US armed service members. Diagnosis and treatment of insomnia in active duty and veteran populations are often complicated by comorbid disorders experienced by military personnel, such as post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI). Cognitive behavioral therapy for insomnia (CBTi), pharmacologic interventions, and alternative therapies are discussed as relevant to their applications within military populations. Future directions in research are suggested.
失眠是美国武装部队成员最常见的抱怨之一。现役和退伍军人人群中失眠的诊断和治疗常常因军人所经历的合并症而变得复杂,例如创伤后应激障碍(PTSD)和创伤性脑损伤(TBI)。本文讨论了失眠的认知行为疗法(CBTi)、药物干预和替代疗法,以及它们在军人中的应用。还提出了未来的研究方向。