PTSD-related paradoxical insomnia: an actigraphic study among veterans with chronic PTSD.
PTSD-related paradoxical insomnia: an actigraphic study among veterans with chronic PTSD.
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与PTSD相关的悖论失眠症：具有慢性PTSD的退伍军人的行为研究。
DOI：
10.5249/jivr.v7i2.607
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发表时间：
2015-07
影响因子：
--
通讯作者：
Khazaie H
中科院分区：
文献类型：
--
作者：
Ghadami MR;Khaledi-Paveh B;Nasouri M;Khazaie H
睡眠障碍是 PTSD 患者自我报告的常见症状。然而，记录这些患者睡眠中断的客观指标存在争议。本研究的目的是通过主观和客观评估来评估患有慢性创伤后应激障碍的退伍军人的睡眠障碍。使用临床医生管理的 PTSD 量表版本 1 (CAPS) 对 32 名主诉失眠的 PTSD 患者进行评估，并完成匹兹堡睡眠质量指数 (PSQI) 以对其睡眠进行主观评估。为了进行客观评估，参与者连续两次进行过夜活动记录评估。测量了所有参与者的总睡眠时间（TST）、睡眠潜伏期（SL）、睡眠效率（SE）和觉醒次数（NWAK）。与活动记录评估和高估的 SL（p 小于 0.0001）相比，参与者在问卷中低估了 TST（p 小于 0.0001）、SE（p 小于 0.0001）以及 NASO（0.03）。 客观睡眠参数不会对患有慢性创伤后应激障碍的退伍军人产生不利影响。这些患者自我报告的睡眠障碍并不可靠，需要进行客观的睡眠评估。
Sleep disturbance is a common self-reported complaint by PTSD patients. However, there are controversies in documenting objective indices of disrupted sleep in these patients. The aim of the present study was to assess sleep disturbances in veterans with chronic PTSD, using both subjective and objective assessments. Thirty two PTSD patients with complaints of insomnia were evaluated using the Clinician Administrated PTSD Scale version 1 (CAPS) and completed the Pittsburg Sleep Quality Index (PSQI) for subjective evaluation of their sleep. For objective evaluation, participants underwent two consecutive overnight actigraphic assessments. Total Sleep Time (TST), Sleep Latency (SL), Sleep Efficiency (SE) and Number of Awakening (NWAK) were measured in all participants. Participants underestimated TST (p less than 0.0001), SE (p less than 0.0001) as well as NASO (0.03) in the questionnaire compared to the actigraphic assessment and overestimated SL (p less than 0.0001). Objective sleep parameters do not adversely affect veterans with chronic PTSD. Self-reported sleep disturbance in these patients is not reliable and objective sleep assessments are necessary.