精神病患者的噩梦：与睡眠、精神病性、情感及认知症状的关系
Nightmares in Patients With Psychosis: The Relation With Sleep, Psychotic, Affective, and Cognitive Symptoms.
作者信息
Sheaves Bryony, Onwumere Juliana, Keen Nadine, Stahl Daniel, Kuipers Elizabeth
机构信息
Research Clinical Psychologist, Sleep and Circadian Neuroscience Institute, Department of Psychiatry, University of Oxford, Oxford, England.
Lecturer in Clinical Psychology, Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, England; Consultant Clinical Psychologist, National Psychosis Unit, South London and Maudsley National Health Service Foundation Trust, England.
出版信息
Can J Psychiatry. 2015 Aug;60(8):354-61. doi: 10.1177/070674371506000804.
OBJECTIVE
To examine the prevalence of nightmares in people with psychosis and to describe the link between nightmares and sleep quality, psychotic, affective, and cognitive symptoms.
METHODS
Forty participants with psychotic symptoms completed an assessment of nightmares, sleep quality, positive symptoms of psychosis, affect, posttraumatic stress, social functioning, and working memory.
RESULTS
Among the patients, 55% reported weekly distressing nightmares. Experience of more frequent nightmares was related to poorer sleep quality and sleep efficiency. More distressing nightmares were positively associated with greater delusional severity, depression, anxiety, stress, and difficulties with working memory.
CONCLUSIONS
Nightmares might be common in those with psychosis and are associated with increased day- and nighttime impairment. Future research should investigate treatments for nightmares, for people presenting with psychotic symptoms.
目的
研究精神病患者中噩梦的发生率，并描述噩梦与睡眠质量、精神病性症状、情感症状及认知症状之间的联系。
方法
40名有精神病性症状的参与者完成了关于噩梦、睡眠质量、精神病性阳性症状、情感、创伤后应激、社会功能及工作记忆的评估。
结果
在这些患者中，55%报告每周有令人痛苦的噩梦。更频繁经历噩梦与较差的睡眠质量和睡眠效率有关。更令人痛苦的噩梦与更严重的妄想、抑郁、焦虑、压力及工作记忆困难呈正相关。
结论
噩梦在精神病患者中可能很常见，且与日间和夜间功能损害增加有关。未来研究应调查针对有精神病性症状者的噩梦治疗方法。
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