Mental Illness Research, Education, and Clinical Center, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, USA.
Department of Psychology, College of Health and Behavioral Sciences at Delaware State University, Dover, DE, USA.
Curr Opin Psychol. 2020 Aug;34:12-17. doi: 10.1016/j.copsyc.2019.08.017. Epub 2019 Aug 23.
The high incidence of sleep disturbance associated with trauma exposure and posttraumatic stress disorder (PTSD) points to the need for effective sleep interventions for trauma survivors. The present review focuses on recent psychotherapeutic, pharmacological, and sleep medicine treatment approaches for sleep disturbances in PTSD. Findings highlight that targeted sleep interventions can ameliorate sleep symptoms and mitigate daytime PTSD symptoms. Attention has turned to the role of multidisciplinary and integrative approaches, as comprehensive treatment for sleep disturbances in PTSD is likely to require innovative assessment modalities and multiple interventions. A method for compressing these components into a treatment plan acceptable to most PTSD-diagnosed patients remains to be developed.
创伤暴露和创伤后应激障碍（PTSD）相关的睡眠障碍发生率较高，这表明创伤幸存者需要有效的睡眠干预措施。本综述重点介绍了 PTSD 睡眠障碍的近期心理治疗、药物治疗和睡眠医学治疗方法。研究结果表明，有针对性的睡眠干预措施可以改善睡眠症状，并减轻白天的 PTSD 症状。人们开始关注多学科和综合方法的作用，因为 PTSD 患者的睡眠障碍综合治疗可能需要创新的评估模式和多种干预措施。将这些组成部分压缩成大多数 PTSD 诊断患者都能接受的治疗计划的方法尚待开发。
