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本文引用的文献

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Patient reported preferences for sleep interventions among women receiving buprenorphine for opioid use disorder.接受丁丙诺啡治疗阿片类物质使用障碍的女性患者报告的睡眠干预偏好。
Front Psychiatry. 2023 Sep 14;14:1244156. doi: 10.3389/fpsyt.2023.1244156. eCollection 2023.
2
Opioid Use Disorder, Sleep Deficiency, and Ventilatory Control: Bidirectional Mechanisms and Therapeutic Targets.阿片类药物使用障碍、睡眠不足与通气控制:双向机制与治疗靶点。
Am J Respir Crit Care Med. 2022 Oct 15;206(8):937-949. doi: 10.1164/rccm.202108-2014CI.
3
Bidirectional associations between daily PTSD symptoms and sleep disturbances: A systematic review.每日创伤后应激障碍症状与睡眠障碍的双向关联:系统综述。
Sleep Med Rev. 2022 Jun;63:101623. doi: 10.1016/j.smrv.2022.101623. Epub 2022 Mar 12.
4
Interpersonal Trauma Among Women and Men Receiving Buprenorphine in Outpatient Treatment for Opioid Use Disorder.女性和男性在接受门诊阿片类药物使用障碍治疗时的人际创伤。
Violence Against Women. 2022 Aug;28(10):2448-2465. doi: 10.1177/10778012211032715. Epub 2021 Dec 13.
5
A review of sleep disturbance in adults prescribed medications for opioid use disorder: potential treatment targets for a highly prevalent, chronic problem.成人阿片类药物使用障碍药物治疗中睡眠障碍的综述:一个普遍存在的慢性问题的潜在治疗靶点。
Sleep Med. 2021 Aug;84:142-153. doi: 10.1016/j.sleep.2021.05.021. Epub 2021 May 27.
6
Sleep disturbance as a therapeutic target to improve opioid use disorder treatment.以睡眠障碍为靶点改善阿片类药物使用障碍的治疗。
Exp Clin Psychopharmacol. 2022 Dec;30(6):1024-1035. doi: 10.1037/pha0000477. Epub 2021 Jun 10.
7
Comparative Effectiveness of Different Treatment Pathways for Opioid Use Disorder.不同阿片类药物使用障碍治疗途径的疗效比较。
JAMA Netw Open. 2020 Feb 5;3(2):e1920622. doi: 10.1001/jamanetworkopen.2019.20622.
8
Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality: A Cohort Study.非致死性阿片类药物过量后治疗阿片类药物使用障碍的药物与死亡率的关系:一项队列研究。
Ann Intern Med. 2018 Aug 7;169(3):137-145. doi: 10.7326/M17-3107. Epub 2018 Jun 19.
9
National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria.使用 DSM-IV 和 DSM-5 标准对创伤后应激障碍进行全国性的暴露和患病率估计。
J Trauma Stress. 2013 Oct;26(5):537-47. doi: 10.1002/jts.21848.
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The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response.失眠严重指数量表:用于诊断失眠病例和评估治疗反应的心理计量学指标。
Sleep. 2011 May 1;34(5):601-8. doi: 10.1093/sleep/34.5.601.

在接受丁丙诺啡治疗阿片类物质使用障碍的女性中,创伤后应激障碍症状与失眠有关。

Post-traumatic stress disorder symptomatology is associated with insomnia among women engaged in opioid use disorder treatment with buprenorphine.

作者信息

Stadtler Hannah, Turkson Susie, Eglovitch Michelle, Svikis Dace S, Neigh Gretchen, Martin Caitlin E

机构信息

Department of Anatomy and Neurobiology, Virginia Commonwealth University, Richmond, VA, USA.

Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.

出版信息

Arch Womens Ment Health. 2025 Jun;28(3):633-637. doi: 10.1007/s00737-024-01487-5. Epub 2024 Aug 1.

DOI:10.1007/s00737-024-01487-5
PMID:39085616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11785814/
Abstract

This study aimed to explore the association between the degree of PTSD symptomatology and severity of insomnia symptoms in a clinical sample of women receiving buprenorphine for OUD. PTSD symptomatology was assessed via the PCL-5, and insomnia symptoms were determined via the Insomnia Severity Index. Analyses indicated that more participants experiencing clinically significant PTSD symptomatology also reported insomnia symptoms than their counterparts. Future work should investigate how holistic care (e.g., trauma-informed approaches) that addresses the overlap between trauma and sleep disturbance could inform gender-specific OUD treatment strategies in the overdose crisis.

摘要

本研究旨在探讨在接受丁丙诺啡治疗阿片类物质使用障碍的女性临床样本中,创伤后应激障碍(PTSD)症状的严重程度与失眠症状的严重程度之间的关联。通过创伤后应激障碍检查表(PCL-5)评估PTSD症状,通过失眠严重程度指数确定失眠症状。分析表明,与没有临床显著PTSD症状的参与者相比,更多有临床显著PTSD症状的参与者也报告有失眠症状。未来的工作应研究解决创伤与睡眠障碍之间重叠问题的整体护理(如创伤知情方法)如何为过量用药危机中针对性别差异的阿片类物质使用障碍治疗策略提供信息。