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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.

DOI:10.1007/s00406-024-01891-z
PMID:39249540
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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本文引用的文献

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The relationships between insomnia, nightmares, and dreams: A systematic review.失眠、噩梦和梦境之间的关系:系统评价。
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Factor Analysis and Validation of the Disturbing Dream and Nightmare Severity Index in an Inpatient Sample.在住院患者样本中进行困扰性梦境和梦魇严重程度指数的因子分析和验证。
Behav Sleep Med. 2024 Jul-Aug;22(4):540-552. doi: 10.1080/15402002.2024.2319835. Epub 2024 Feb 25.
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Difficulties in emotion regulation moderates the relationship between mood symptoms and nightmares in an inpatient psychiatric sample.
情绪调节困难在住院精神病患者样本中调节了心境症状与噩梦之间的关系。
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Associations between frequent nightmares, nightmare distress and depressive symptoms in adolescent psychiatric patients.青少年精神病患者频繁噩梦、噩梦困扰与抑郁症状之间的关联。
Sleep Med. 2023 Jun;106:17-24. doi: 10.1016/j.sleep.2023.03.026. Epub 2023 Mar 28.
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Cognitive Behavioural Therapy for Nightmares for Patients with Persecutory Delusions (Nites): An Assessor-Blind, Pilot Randomized Controlled Trial.针对被害妄想患者噩梦的认知行为疗法(Nites):一项评估者盲、试点随机对照试验。
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Schizophr Bull. 2019 Mar 7;45(2):287-295. doi: 10.1093/schbul/sby129.
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Nightmares and suicide risk in psychiatric patients: The roles of hopelessness and male depressive symptoms.精神病患者的噩梦和自杀风险:绝望和男性抑郁症状的作用。
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