Temporal relations between sleep problems and both traumatic event exposure and PTSD: a critical review of the empirical literature.

Temporal relations between sleep problems and both traumatic event exposure and PTSD: a critical review of the empirical literature.
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DOI:
10.1016/j.janxdis.2009.08.002
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发表时间:
2010-01
影响因子:
10.3
通讯作者:
Feldner, Matthew T.
Feldner, Matthew T.
中科院分区:
医学2区
文献类型:
--
作者:
Babson, Kimberly A.;Feldner, Matthew T.

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创伤性事件暴露、创伤后应激障碍(PTSD)和睡眠问题之间的相互关系越来越受到关注。大量的研究已经研究了这些因素之间的关联,并且有一个新兴的文献关注睡眠问题如何与创伤性事件暴露和创伤后应激障碍相关。目前的审查提供了一个详细的分析研究有关的时间模式的睡眠问题和创伤性事件相关的因素(例如,创伤性事件暴露,PTSD),并得出结论,关于目前的状态,这方面的文献。研究表明:(1)暴露于创伤性事件会干扰睡眠;(2)创伤后应激障碍与自我报告的睡眠问题有关,但关于睡眠的客观指标的证据不太清楚;(3)有限的证据表明睡眠问题可能会干扰从创伤后应激水平升高中恢复。未来的研究现在需要集中在了解这些模式中涉及的机制,以告知共病睡眠问题和PTSD的预防和治疗。
There has been growing interest in the interrelations among traumatic event exposure, posttraumatic stress disorder (PTSD), and sleep problems. A wealth of research has examined the associations among these factors and there is an emerging literature focused on how sleep problems relate to both traumatic event exposure and PTSD across time. The current review provides a detailed analysis of studies pertaining to the temporal patterning of sleep problems and traumatic event-related factors (e.g., traumatic event exposure, PTSD) and draws conclusions regarding the current state of this literature. Research coalesces to suggest (1) exposure to a traumatic event can interfere with sleep, (2) PTSD is related to the development of self-reported sleep problems, but evidence is less clear regarding objective indices of sleep, and (3) limited evidence suggests sleep problems may interfere with recovery from elevated posttraumatic stress levels. Future research now needs to focus on understanding mechanisms involved in these patterns to inform the prevention and treatment of comorbid sleep problems and PTSD.
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