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首页> 外文期刊>Journal of sleep research >A phenomenological inquiry into the experience of sleep: Perspectives of US military veterans with insomnia and serious mental illness
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A phenomenological inquiry into the experience of sleep: Perspectives of US military veterans with insomnia and serious mental illness

机译：睡眠经验的现象学探讨：美国军事退伍军人的观点，具有失眠和严重的精神疾病

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Abstract The majority of people with serious mental illness experience insomnia, and insomnia is one of the most frequent reasons for mental health referrals in the Veterans Health Administration. Insomnia also represents a critical obstacle to mental health recovery. Little is known about how military veterans with mental health problems conceptualize their sleep and sleep problems; such information may uncover new avenues for research and treatment. Therefore, the purpose of this study was to explore how veterans with serious mental illness and insomnia experience and understand their sleep, towards the aim of identifying these new avenues. Participants included 20 veterans with insomnia and serious mental illness (i.e. schizophrenia spectrum, bipolar or major depressive disorders, with serious functional impairments). Data were collected via an inductive phenomenological approach using semi‐structured interviews. We identified five themes: Sleep to Recharge; Sleep as a Fight; Sleep as Safety or Escape; Sleep as Dangerous; and Military Influence. Participants' relationship with sleep was complex; many associated it with intrusive and troubling hallucinations, paranoia and military experiences, yet at the same time desired sleep for its potential to liberate them from distress. Military mindsets both helped and hindered sleep. These results extend existing models of insomnia development and maintenance, and illuminate phenomena previously unidentified in this underserved veteran population. Clinical and theoretical implications are discussed, as well as new research directions for enhancing therapeutic efficacy.
机译：摘要大多数具有严重精神疾病的人失眠，失眠是退伍军人健康管理局心理健康委员会最常见的原因之一。失眠也代表了心理健康恢复的关键障碍。众所周知，军事退伍军人如何具有心理健康问题，概念概念化他们的睡眠和睡眠问题;这些信息可能会发现新的途径进行研究和治疗。因此，本研究的目的是探讨退伍军人如何具有严重的精神疾病和失眠经验，并了解他们的睡眠，以确定这些新的途径。参与者包括20名退伍军人，具有失眠症和严重的精神疾病（即精神分裂症谱，双相或主要抑郁症，具有严重功能障碍）。通过使用半结构化访谈的归纳现象学方法收集数据。我们确定了五个主题：睡眠补给;睡觉时;睡觉为安全或逃生;睡眠危险;和军事影响力。与会者与睡眠的关系很复杂;许多与侵入性和令人不安的幻觉，偏执狂和军事经历相关联，同时睡眠睡眠，因为它可能会从痛苦中解放它们。军事心态都有助于和阻碍睡眠。这些结果延长了现有的失眠发展和维护模型，并在这种欠缺的退伍军人人口中揭示了先前未识别的现象。讨论了临床和理论影响，以及用于提高治疗效果的新研究方向。

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