Kobayashi Ihori, Howell Mary Katherine
Department of Psychiatry and Behavioral Sciences, Howard University, 530 College Street Northwest, Washington, DC 20060, USA.
Department of Psychology, Howard University, 2041 Georgia Avenue Northwest, 4-West, Washington, DC 20060, USA.
Sleep Med Clin. 2018 Sep;13(3):419-431. doi: 10.1016/j.jsmc.2018.04.009. Epub 2018 Jun 28.
After exposure to traumatic stress, women are at greater risk than men for developing symptoms of some psychiatric disorders, including insomnia and nightmares. Sleep disturbance is one of the most refractory symptoms of posttraumatic stress disorder. Women were included in a few studies that examined efficacy of psychological or pharmacologic interventions for trauma-related sleep disturbances. Studies demonstrated preliminary evidence for efficacy of cognitive behavioral therapy for insomnia, imagery rehearsal therapy, and combinations of these techniques in treating insomnia and nightmares in trauma-exposed women. Prazosin as an adjunct to ongoing treatment is a potentially efficacious strategy for treating trauma-related nightmares in women.
在遭受创伤性应激后，女性比男性更易出现某些精神障碍症状，包括失眠和噩梦。睡眠障碍是创伤后应激障碍最难治疗的症状之一。在一些研究中纳入了女性，这些研究考察了心理或药物干预对创伤相关睡眠障碍的疗效。研究表明，认知行为疗法治疗失眠、意象重练疗法以及这些技术的组合在治疗遭受创伤女性的失眠和噩梦方面有初步疗效证据。哌唑嗪作为正在进行的治疗的辅助药物是治疗女性创伤相关噩梦的一种潜在有效策略。
