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Relationships of Posttraumatic Stress Disorder and Sleep Patterns With Neurocognitive Performance and Quality of Life in Young Adult African Americans.

机译:创伤后应激障碍和睡眠方式与年轻成人非裔美国人的神经认知表现和生活质量的关系。

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摘要

Difficulty initiating or maintaining sleep is an essential feature of posttraumatic stress disorder (PTSD) that may lead to deficits in neurocognitive performance. In the literature, PTSD has been associated with cognitive deficits to include verbal memory, attention, and executive function. Likewise inadequate sleep has been linked to an impaired sustained attention and working memory. The deleterious effects of sleep loss and PTSD can have an impact on quality of life (QOL) and everyday functioning. To better understand the underlying mechanisms associated with PTSD, sleep, and cognitive performance, the present study examined the direct and interactive effects of PTSD symptoms and the quantity and continuity of sleep and rapid eye movment (REM) sleep (which appears to have special significance to PTSD) on cognitive performance. In addition, this study examined the relationship between PTSD, sleep, cognition, and QOL. Fifty-three males and females between the ages of 18-35 residing in a mid-Atlantic region of the United States completed objective measures of PTSD, sleep, and cognition, and subjective measures of sleep and QOL. Results showed that individuals with current PTSD (CPTSD) reported poorer environmental and overall QOL compared to individuals without PTSD. Results also indicated that the direct effect of CPTSD symptoms significantly predicted omission errors (R2 = .14, p = .011). Results further showed that the interaction of CPTSD symptoms and sleep duration (R 2 = .27, p = .029), the interaction of CPTSD symptoms and REM latency (R2 = .28, p = .045), and the interaction of CPTSD symptoms and REM % (R2 = .25, p = .029) significantly predicted omission errors on a sustained attention test. These data suggest three distinct aspects of sleep that partially explains the relationship between PTSD symptoms and sustained attention. The present study provides evidence that sleep may play an important role in how PTSD symptoms affect cognitive performance.
机译:难以启动或维持睡眠是创伤后应激障碍(PTSD)的一项重要特征,它可能导致神经认知能力下降。在文献中,PTSD与认知缺陷有关,包括言语记忆,注意力和执行功能。同样,睡眠不足也与持续的注意力和工作记忆受损有关。睡眠不足和PTSD的有害影响可能会影响生活质量(QOL)和日常功能。为了更好地了解与PTSD,睡眠和认知表现有关的潜在机制,本研究检查了PTSD症状的直接和交互作用以及睡眠和快速眼动(REM)睡眠的数量和连续性(这似乎具有特殊意义)。到PTSD)。此外,这项研究检查了PTSD,睡眠,认知和生活质量之间的关系。居住在美国大西洋中部地区的18-35岁之间的53位男性和女性完成了PTSD,睡眠和认知的客观测量,以及睡眠和QOL的主观测量。结果表明,与没有PTSD的人相比,当前PTSD(CPTSD)的人报告的环境和总体生活质量较差。结果还表明,CPTSD症状的直接影响可显着预测遗漏错误(R 2 = .14, p = .011)。结果进一步表明,CPTSD症状与睡眠时间的相互作用(R 2 = .27, p = .029),CPTSD症状与REM潜伏期的相互作用(R < super> 2 = .28, p = .045),以及CPTSD症状与REM%的相互作用(R 2 = .25, p = .029)在持续注意力测试中可显着预测遗漏错误。这些数据表明了睡眠的三个不同方面,部分解释了PTSD症状与持续注意之间的关系。本研究提供了证据,表明睡眠可能在PTSD症状如何影响认知能力中起重要作用。

著录项

  • 作者

    Brownlow, Janeese A. R.;

  • 作者单位

    Howard University.;

  • 授予单位 Howard University.;
  • 学科 Psychology Psychobiology.;Psychology Cognitive.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 88 p.
  • 总页数 88
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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