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首页> 外文期刊>The Journal of neuropsychiatry and clinical neurosciences >Clinical Correlates of Dream Enactment Behaviors in Previously Deployed OEF/OIF/OND Veterans: An Exploratory Analysis.
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Clinical Correlates of Dream Enactment Behaviors in Previously Deployed OEF/OIF/OND Veterans: An Exploratory Analysis.

机译：梦想制定行为在以前部署的OEF / OIF / OND退伍军人中的临床关联：探索性分析。

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Veterans with posttraumatic stress disorder (PTSD) frequently report dream enactment behavior (DEB). Although DEBs are associated with PTSD symptoms, their relationship with other sleep disorders, including REM behavior disorder, warrants reexamination of their clinical correlates. The investigators used a cross-sectional, exploratory analysis to compare demographic and clinical characteristics of veterans endorsing regularly occurring DEB compared with those endorsing no or infrequent DEB. The participants comprised a convenience sample of servicemembers who were previously deployed to Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) and enrolled in an ongoing cohort study. Of the 78 eligible participants, 19 (24.4%) endorsed DEBs occurring at least once per week in the past month. Compared with participants who reported no or infrequent DEBs, participants with regularly occurring DEBs had poorer sleep quality, greater PTSD severity, a higher number of reported mild traumatic brain injuries (mTBI) with loss of consciousness, and a higher likelihood of being diagnosed with sleep disorders. After adjustment for global sleep quality, a significant association persisted between DEBs and the number of mTBI with loss of consciousness but not between DEBs and the severity of PTSD symptoms. These results suggest that mTBI may disrupt neural circuits regulating sleep among OIF/OEF/OND veterans. Prospective, polysomnographic assessment of muscle tone and behavioral events during REM sleep is needed to characterize the physiology of DEBs in this population.
机译：Veterans患有创伤性应激障碍（PTSD）经常报告梦想制定行为（DEB）。虽然白垩与应激障碍症状有关，但它们与其他睡眠障碍的关系，包括REM行为障碍，保证重新审查其临床关联。研究人员使用了横截面，探索性分析来比较资深人口的人口和临床特征，与最高的NO或不频繁的DEB相比，将经常发生的DEB认可。参与者包括一款以前部署到持久自由/操作伊拉克自由/运营新黎明（OEF / OIF / OND）的操作的便利样本，并在持续的队列研究中注册。在78个符合条件的参与者中，19名（24.4％）在过去一个月内每周至少发生一次贝斯。与报告没有或不常见的参与者的参与者相比，与经常发生的贝斯的参与者具有较差的睡眠质量，更高的可轻度严重程度，较高的令人轻度创伤性脑损伤（MTBI）丧失意识，以及睡眠诊断的可能性更高的可能性更高的可能性障碍。在调整全球睡眠质量后，在白垩和损失意识中持续存在的重要关联，但不在白垩之间和应激障碍症状的严重程度之间。这些结果表明，MTBI可能会破坏OIF / OEF / OND退伍军人之间的神经电路调节睡眠。需要预期的肌肉间调和行为事件的前瞻性，需要在睡眠期间表征该人群中白垩的生理学。

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