Jones Melissa B, Agrawal Ritwick, Sharafkhaneh Amir, Kunik Mark E, Jorge Ricardo E, Marsh Laura
Michael E. DeBakey VA Medical Center, Houston (Jones, Agrawal, Sharafkhaneh, Kunik, Jorge, Marsh); Menninger Department of Psychiatry and Behavioral Sciences, Beth K. and Stuart C. Yudofsky Division of Neuropsychiatry, Baylor College of Medicine, Houston (Jones, Kunik, Jorge, Marsh); and Department of Pulmonary, Critical Medicine and Sleep Medicine, Baylor College of Medicine, Houston (Agrawal, Sharafkhaneh).
J Neuropsychiatry Clin Neurosci. 2022 Spring;34(2):124-131. doi: 10.1176/appi.neuropsych.21050115. Epub 2021 Nov 12.
The investigators aimed to draw attention to current debates surrounding the etiologies of dream enactment behaviors in patients with posttraumatic stress disorder (PTSD). The phenomenological overlap between PTSD-related nocturnal symptoms, rapid eye movement sleep behavior disorder (RBD), and trauma-associated sleep disorder (TASD) is discussed. Strategies used to diagnose and manage dream enactment behaviors, whether due to RBD or another confounding sleep disorder, are considered. Finally, the need for further research on the pathophysiological overlap and integrated treatment of PTSD, RBD, and, possibly, TASD is highlighted.
研究人员旨在引起人们对当前围绕创伤后应激障碍（PTSD）患者梦呓行为病因的争论的关注。文中讨论了与PTSD相关的夜间症状、快速眼动睡眠行为障碍（RBD）和创伤相关睡眠障碍（TASD）之间的现象学重叠。还考虑了用于诊断和管理梦呓行为的策略，无论其是由RBD还是其他混杂的睡眠障碍引起。最后，强调了对PTSD、RBD以及可能的TASD的病理生理重叠和综合治疗进行进一步研究的必要性。
