Guerrero J, Crocq M A
University of Sevilla, Spain.
J Psychosom Res. 1994;38 Suppl 1:141-50. doi: 10.1016/0022-3999(94)90144-9.
We report on two studies of sleep in the elderly. (1) One hundred and ninety-eight Spanish outpatients aged over 65 who met ICD-10 criteria for either a depressive episode, a recurrent, or a persistent mood disorder were compared with a matched population of depressives aged under 55. Factorial analysis and multiple regression showed that sleep complaints in the older group correlated less with severity of depression and had a less stable response to pharmacological treatment. (2) Post-traumatic stress disorder (PTSD) symptoms and sleep complaints were studied in 817 World War II veterans from Alsace-Lorraine who had been forcibly drafted into the Wehrmacht and subsequently detained as prisoners of war in Russia. The diagnosis of PTSD was associated with more severe wartime stressors and long internment. Eighty percent of respondants still report recurrent distressing dreams of wartime or captivity events after over 45 years. We analyzed sleep complaints in two elderly populations. Part one describes a Spanish study which compared the nosological significance and treatment response of sleep complaints in depressives aged over 65 or under 55. In part two, we study sleep complaints in former Alsatian prisoners of war (POWs) and analyze the influence of previous stressors and the aging process.
我们报告了两项关于老年人睡眠的研究。（1）198名年龄在65岁以上、符合ICD - 10中抑郁发作、复发性或持续性心境障碍标准的西班牙门诊患者与55岁以下相匹配的抑郁症患者群体进行了比较。因子分析和多元回归表明，老年组的睡眠问题与抑郁严重程度的相关性较低，对药物治疗的反应也较不稳定。（2）对817名来自阿尔萨斯 - 洛林的第二次世界大战退伍军人进行了创伤后应激障碍（PTSD）症状和睡眠问题的研究，这些人曾被强行征召入德国国防军，随后在俄罗斯被拘押为战俘。PTSD的诊断与更严重的战时应激源和长期拘押有关。超过45年后，80%的受访者仍报告反复出现关于战时或囚禁事件的痛苦梦境。我们分析了两个老年人群体的睡眠问题。第一部分描述了一项西班牙研究，该研究比较了65岁以上或55岁以下抑郁症患者睡眠问题的疾病分类学意义和治疗反应。在第二部分中，我们研究了前阿尔萨斯战俘的睡眠问题，并分析了既往应激源和衰老过程的影响。
