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睡眠干预对实验性创伤后侵入性记忆的影响:一项荟萃分析综述。

Effect of sleep manipulations on intrusive memories after exposure to an experimental analogue trauma: A meta-analytic review.

机构信息

Department of Psychology, University of Pennsylvania, PA, USA.

Department of Psychology, University of Pennsylvania, PA, USA.

出版信息

Sleep Med Rev. 2023 Jun;69:101768. doi: 10.1016/j.smrv.2023.101768. Epub 2023 Feb 27.

Abstract

Sleep plays an important role in memory processing and is disrupted in individuals with post-traumatic stress disorder (PTSD). A growing body of research has experimentally investigated how sleep - or lack thereof - in the early aftermath of a traumatic experience contributes to intrusive memory formation. The aim of this meta-analytic review was to examine the effects of various experimental sleep manipulations (e.g., sleep deprivation, daytime naps) on intrusive memories following exposure to an experimentally induced analogue traumatic event. Eight eligible studies were systematically identified through PsycInfo and PubMed and provided sufficient data to contribute to a meta-analysis of the effects of sleep versus wakefulness on intrusive memory frequency. Sleep was found to reduce intrusive memory frequency when compared to wakefulness at a small but significant effect size (Hedge's g = 0.29). There was no evidence of publication bias and heterogeneity of effect sizes across studies was moderate. Results suggest that sleep plays a protective role in the aftermath of exposure to a traumatic event with implications for early post-trauma intervention efforts.

摘要

睡眠在记忆处理中起着重要作用,而创伤后应激障碍(PTSD)患者的睡眠则会受到干扰。越来越多的研究从实验的角度探讨了创伤经历后早期的睡眠(或缺乏睡眠)如何导致侵入性记忆的形成。本元分析综述的目的是检查各种实验性睡眠干预(例如,剥夺睡眠、白天小睡)对实验诱导的模拟创伤事件后侵入性记忆的影响。通过 PsycInfo 和 PubMed 系统地确定了 8 项符合条件的研究,并提供了足够的数据,可用于对睡眠与清醒状态对侵入性记忆频率影响的元分析。与清醒状态相比,睡眠可使侵入性记忆频率降低,其效果虽小但具有统计学意义( Hedge's g=0.29)。没有证据表明存在出版偏倚,而且各研究之间的效应大小异质性适中。结果表明,睡眠在创伤事件发生后具有保护作用,这对创伤后早期干预措施具有重要意义。

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