长新冠患者的创伤后应激和睡眠障碍：患者管理和治疗。
Post traumatic stress and sleep disorders in long COVID: Patient management and treatment.
机构信息
Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Department of Internal Medicine, University of Washington, Seattle, WA, USA.
出版信息
Life Sci. 2024 Nov 15;357:123081. doi: 10.1016/j.lfs.2024.123081. Epub 2024 Sep 26.
Post traumatic stress disorder (PTSD) and sleep disorders are prevalent among patients with long COVID. The intersection of PTSD and/or sleep disorders with long COVID is complex. Thus, use of a biopsychosocial lens for assessment and treatment along with a trauma-informed approach to clinical care is recommended. This review provides an overview of the literature on PTSD and sleep disorders among patients with long COVID, including prevalence rates, risk factors, and potential pathophysiology. Pharmacological and non-pharmacological treatment options are reviewed. Also, we provide actionable steps clinicians can integrate into their practice to help effectively assess and treat PTSD and sleep disorders, including validated symptom assessments, recommended referrals, and specific components of non-pharmacological interventions.
创伤后应激障碍（PTSD）和睡眠障碍在长新冠患者中较为常见。PTSD 和/或睡眠障碍与长新冠的交集较为复杂。因此，建议使用生物心理社会视角进行评估和治疗，并采用以创伤为中心的临床护理方法。本综述概述了长新冠患者 PTSD 和睡眠障碍的文献，包括患病率、风险因素和潜在病理生理学。本文还综述了药物和非药物治疗选择。此外，我们还为临床医生提供了可付诸实践的步骤，以帮助他们有效评估和治疗 PTSD 和睡眠障碍，包括有效的症状评估、推荐的转诊以及非药物干预的具体内容。
Zotero 插件