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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Residual Sleep Disturbances Following PTSD Treatment in Active Duty Military Personnel
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Residual Sleep Disturbances Following PTSD Treatment in Active Duty Military Personnel

机译：现役军人PTSD治疗后的残余睡眠障碍

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Objective: Sleep disturbances, including nightmares and insomnia, are frequently reported symptoms of posttraumatic stress disorder (PTSD). Insomnia is one of the most common symptoms to persist after evidence-based PTSD treatment. The purpose of this study was to examine the prevalence of sleep disturbances in a sample of active duty military personnel before and after receiving therapy for PTSD in a clinical trial and to explore the associations of insomnia and nightmares with PTSD diagnosis after treatment. Method: Sleep parameters were evaluated with the PTSD Checklist in 108 active duty U.S. Army soldiers who had completed at least one deployment in support of the wars in Iraq and Afghanistan and who participated in a randomized clinical trial comparing Group Cognitive Processing Therapy-Cognitive Only Version with Group Present-Centered Therapy. Results: Insomnia was the most frequently reported symptom before and after treatment, with 92% reporting insomnia at baseline and 74%-80% reporting insomnia at follow-up. Nightmares were reported by 69% at baseline and by 49%-55% at follow-up. Among participants who no longer met criteria for PTSD following treatment, 57% continued to report insomnia, but only 13% continued to report nightmares. At baseline, 54% were taking sleep medications, but sleep medication use did not affect the overall results. Conclusions: Insomnia was found to be one of the most prevalent and persistent problems among service members receiving PTSD treatment. Nightmares were relatively more positively responsive to treatment. For some service members with PTSD, the addition of specific treatments targeting insomnia and/or nightmares may be indicated.
机译：目的：睡眠障碍，包括噩梦和失眠，是创伤后应激障碍（PTSD）的经常报道的症状。失眠是循证PTSD治疗后持续存在的最常见症状之一。这项研究的目的是在一项临床试验中，对现役军人在接受PTSD治疗前后的睡眠障碍患病率进行调查，并探讨失眠和噩梦与PTSD诊断后的关联。方法：使用PTSD清单对108名现役美军士兵的睡眠参数进行评估，这些士兵已完成至少一次部署以支持伊拉克和阿富汗战争，并参加了比较仅基于认知疗法和认知疗法的版本的随机临床试验以小组目前为中心的疗法。结果：失眠是治疗前后最常报告的症状，基线时有92％报告失眠，随访时有74％-80％报告失眠。据报道，噩梦在基线时为69％，在随访时为49％-55％。在治疗后不再符合PTSD标准的参与者中，有57％继续报告失眠，但只有13％继续报告噩梦。基线时，有54％的人正在服用安眠药，但是安眠药的使用并没有影响总体结果。结论：失眠是接受PTSD治疗的服务成员中最普遍和持久的问题之一。噩梦对治疗的反应相对更积极。对于某些患有PTSD的服务成员，可能需要增加针对失眠和/或噩梦的特定治疗方法。

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