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精神科住院患者的噩梦频率与噩梦困扰

Nightmare frequency and nightmare distress in psychiatric inpatients.

作者信息

Schredl Michael, Anzenberger Elisabeth, Schilling Claudia

机构信息

Sleep laboratory, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.

Schlaflabor, Zentralinstitut für Seelische Gesundheit, J5, 68159, Mannheim, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2024 Sep 9. doi: 10.1007/s00406-024-01891-z.

Abstract

Previous research indicated that the prevalence of frequent nightmares and/or the presence of a nightmare disorder is quite high in patients with mental disorders. In the present study, 75 randomly selected psychiatric inpatients were interviewed and completed questionnaires regarding nightmares, sleep, and psychopathology. The percentage of patients with nightmares once per week or more often was 61.54% in the group with PTSD diagnosis (N = 13) and 40.32% in the patients without PTSD diagnosis (N = 62). Moreover, depression scores and having PTSD were related to heightened nightmare distress. Based on the high prevalence rates of frequent nightmares, future research should aim at understanding better the interplay between psychopathology and nightmares and test whether nightmare interventions like Imagery Rehearsal Therapy might be beneficial for patients with mental disorders.

摘要

先前的研究表明,精神障碍患者中频繁出现噩梦和/或患有噩梦障碍的比例相当高。在本研究中,对75名随机选取的精神科住院患者进行了访谈,并完成了有关噩梦、睡眠和精神病理学的问卷调查。在诊断为创伤后应激障碍(PTSD)的组(N = 13)中,每周出现一次或更频繁噩梦的患者比例为61.54%,在未诊断为PTSD的患者(N = 62)中为40.32%。此外,抑郁评分和患有PTSD与噩梦困扰加剧有关。基于频繁噩梦的高患病率,未来的研究应旨在更好地理解精神病理学与噩梦之间的相互作用,并测试像意象演练疗法这样的噩梦干预措施是否对精神障碍患者有益。

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