Álvarez-García Horacio Balam, Jiménez-Correa Ulises
Research Division, Medicine Faculty, Sleep Disorder Clinic, National Autonomous University of Mexico UNAM, Ciudad de Mexico, Mexico.
Master's and Doctoral Program in Medical, Dental and Health Sciences, Faculty of Medicine, National Autonomous University of Mexico UNAM, Ciudad de Mexico, Mexico.
Sleep Sci. 2024 Jan 24;17(2):e216-e220. doi: 10.1055/s-0043-1777707. eCollection 2024 Jun.
In adults, nightmare disorder is related to sleep deprivation, drug consumption or abuse, or other comorbid sleep disorders such as insomnia or insufficient sleep syndrome. Behavioral treatment has solid scientific evidence in disorders such as insomnia and, more recently, parasomnias. The aim of the present study was to investigate the clinical effectiveness of a Brief Behavioral Telemedicine Therapy in Nightmare Disorder in a 23-year-old female patient. The procedure consisted of the case study, with pre and posttreatment measures as well as follow-up after 1 month; and the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, Paris Arousal Disorders Severity Scale, and a sleep diary were applied. In parallel with changes recorded in the sleep diary, a decrease in nightmares, sleepiness, and insomnia symptoms was observed when the intervention was finished. The behavioral intervention was clinically effective; therefore, the present case report provides information on behavioral treatments for nightmare disorder.
在成年人中，梦魇障碍与睡眠剥夺、药物使用或滥用，或其他共病的睡眠障碍如失眠或睡眠不足综合征有关。行为治疗在失眠等疾病以及最近的异态睡眠中有确凿的科学证据。本研究的目的是调查简短行为远程医疗疗法对一名23岁女性梦魇障碍患者的临床疗效。该程序包括案例研究，采用治疗前和治疗后的测量以及1个月后的随访；并应用了爱泼华嗜睡量表、匹兹堡睡眠质量指数、巴黎觉醒障碍严重程度量表和睡眠日记。与睡眠日记中记录的变化同时，干预结束时观察到梦魇、嗜睡和失眠症状有所减轻。行为干预在临床上是有效的；因此，本病例报告提供了有关梦魇障碍行为治疗的信息。
