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理解与治疗噩梦:成人及儿童心理社会策略的全面综述

Understanding and Treating Nightmares: A Comprehensive Review of Psychosocial Strategies for Adults and Children.

作者信息

Sahu Namita, Patil Pradeep S, - Asmita, Longkumer Imyarila

机构信息

Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 23;16(9):e70044. doi: 10.7759/cureus.70044. eCollection 2024 Sep.

Abstract

Nightmares are distressing dreams that evoke strong negative emotions, such as fear or anxiety, often leading to waking from sleep and subsequent sleep disruption. They are prevalent across various age groups, with significant psychological and physiological health implications. This review explores the nature of nightmares, distinguishing them from other sleep disturbances like night terrors and sleep paralysis. It examines the prevalence of nightmares in children and adults, highlighting their impact on mental health and daily functioning. The review also emphasizes the importance of addressing nightmares through effective treatment strategies. While pharmacological options are available, psychosocial interventions offer promising non-pharmacological solutions. Cognitive behavioral therapy (CBT), imagery rehearsal therapy (IRT), and mindfulness-based therapies are discussed as key approaches for managing nightmares. These strategies focus on altering maladaptive thought patterns and emotional responses, reducing nightmares' frequency and intensity, and improving overall sleep quality. Psychosocial interventions provide a comprehensive approach to treating nightmares by addressing the underlying cognitive and emotional factors, benefitting individuals across different age groups. This review aims to highlight the efficacy of these strategies and their role in enhancing the quality of life for those affected by persistent nightmares.

摘要

噩梦是令人痛苦的梦境,会引发强烈的负面情绪,如恐惧或焦虑,常常导致从睡眠中惊醒并随后出现睡眠中断。它们在各个年龄组中都很普遍,对心理和生理健康有重大影响。这篇综述探讨了噩梦的本质,将它们与夜惊和睡眠瘫痪等其他睡眠障碍区分开来。它研究了儿童和成人中噩梦的患病率,强调了它们对心理健康和日常功能的影响。该综述还强调了通过有效的治疗策略来解决噩梦问题的重要性。虽然有药物治疗选择,但心理社会干预提供了有前景的非药物解决方案。认知行为疗法(CBT)、意象演练疗法(IRT)和基于正念的疗法被作为管理噩梦的关键方法进行了讨论。这些策略侧重于改变适应不良的思维模式和情绪反应,降低噩梦的频率和强度,并改善整体睡眠质量。心理社会干预通过解决潜在的认知和情感因素,为治疗噩梦提供了一种全面的方法,使不同年龄组的个体都受益。这篇综述旨在强调这些策略的有效性及其在提高受持续性噩梦影响者生活质量方面的作用。

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