Dagher Dina, Malaeb Diana, Dabbous Mariam, Sakr Fouad, El Khatib Sami, Hallit Rabih, Fekih-Romdhane Feten, Obeid Sahar, Hallit Souheil
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon.
College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.
Int J Environ Health Res. 2025 Apr;35(4):878-889. doi: 10.1080/09603123.2024.2373997. Epub 2024 Jun 30.
The interplay between insomnia and PTSD symptoms remains misunderstood, and seems to be influenced by other factors like individual resilience. Our study examined the moderating role of resilience in the relationship between insomnia and PTSD symptoms among a sample of Lebanese adolescents, in the aftermath of the 2023 earthquake. This cross sectional study, conducted in April, 2 months after the earthquake, enrolled 546 Lebanese adolescents. We used the Sleep Self Report, the Resilience Scale for Adolescents and the 13-item Children's Impact of Event Scale. The interaction insomnia severity by resilience was significantly associated with PTSD scores. At low, moderate and high resilience levels, higher insomnia severity was significantly associated with lower PTSD. Resilience moderated the relationship between insomnia and PTSD, mitigating the detrimental impact of disrupted sleep on PTSD symptoms. This data can guide healthcare administrators and psychiatric caregivers in classifying risk factors and implementing interventions to predict PTSD development.
失眠与创伤后应激障碍（PTSD）症状之间的相互作用仍未得到充分理解，而且似乎受到个体复原力等其他因素的影响。我们的研究考察了在2023年地震后黎巴嫩青少年样本中，复原力在失眠与PTSD症状关系中的调节作用。这项横断面研究于地震发生2个月后的4月进行，招募了546名黎巴嫩青少年。我们使用了睡眠自我报告、青少年复原力量表和13项儿童事件影响量表。失眠严重程度与复原力的交互作用与PTSD得分显著相关。在低、中、高复原力水平下，较高的失眠严重程度与较低的PTSD显著相关。复原力调节了失眠与PTSD之间的关系，减轻了睡眠中断对PTSD症状的有害影响。这些数据可以指导医疗保健管理人员和精神科护理人员对风险因素进行分类，并实施干预措施以预测PTSD的发展。
