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[创伤后应激障碍中的睡眠障碍及其治疗]

[Sleep disorders and their treatment in post-traumatic stress disorder].

作者信息

Mascarel Pauline, Poirot Isabelle, Lardinois Marine, Debien Christophe, Vaiva Guillaume

机构信息

CHU de Lille, secteur des urgences psychiatriques, pôle de l'urgence, 59037 Lille, France.

CHU de Lille, service de psychiatrie adulte, médecine légale et médecine en milieu pénitentiaire, pôle de psychiatrie, 59037 Lille, France.

出版信息

Presse Med. 2019 Oct;48(10):1051-1058. doi: 10.1016/j.lpm.2019.08.002. Epub 2019 Aug 28.

Abstract

Subjects suffering from post-traumatic stress disorder present sleeping disorders like a chronic insomnia, traumatic nightmares, but also less expected, sleep breathing disorders. Sleep problems are a factor of development and maintenance of PTSD, but also a factor of resistance to treatment. After a therapy focused on PTSD, they represent frequent residual symptoms. It is necessary to couple, with the usual management of PTSD, targeted approaches for sleep problems. These targeted approaches allow an improvement of the nocturnal properties but also diurnal specific symptoms of PTSD. Stakes around primary, secondary and tertiary prevention of PTSD emerge around these sleep disorders.

摘要

患有创伤后应激障碍的患者存在睡眠障碍,如慢性失眠、创伤性噩梦,还有较少见的睡眠呼吸障碍。睡眠问题是创伤后应激障碍发展和维持的一个因素,也是治疗抵抗的一个因素。在针对创伤后应激障碍的治疗之后,睡眠问题是常见的残留症状。有必要在创伤后应激障碍的常规治疗基础上,结合针对睡眠问题的靶向治疗方法。这些靶向治疗方法不仅能改善夜间症状,还能改善创伤后应激障碍的日间特定症状。围绕这些睡眠障碍出现了创伤后应激障碍一级、二级和三级预防的相关问题。

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