Sleep and dreams in Vietnam PTSD and depression
Sleep and dreams in Vietnam PTSD and depression
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DOI：
10.1016/0006-3223(95)00103-4
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发表时间：
1996-01-01
影响因子：
10.6
通讯作者：
Gillin, JC
中科院分区：
文献类型：
--
作者：
Dow, BM;Kelsoe, JR;Gillin, JC
本研究比较了三组被试的睡眠和梦：1)有创伤后应激障碍（PTSD）和严重抑郁症的越战退伍军人，2)有抑郁症的退伍军人，3)没有创伤后应激障碍和抑郁症的退伍军人（即正常对照组），睡眠记录显示创伤后应激障碍/抑郁组和单独抑郁组之间只有一个显著差异：与对照组相比，单独抑郁患者的睡眠潜伏期延长。两组患者与对照组的差异存在于已报道的抑郁症患者的方式（快速眼动潜伏期减少，快速眼动密度增加，总睡眠时间减少，睡眠效率降低），其中一些差异仅在趋势水平上显著。梦是从快速眼动睡眠中获得的。两组之间的梦境回忆次数和报告长度没有差异，三组的平均梦境焦虑水平均小于1（轻度），重度抑郁症患者的得分明显高于对照组。与其他两组相比，PTSD/抑郁症患者的梦发生在当下的可能性要小得多。
The present study compares the sleep and dreams of three groups of subjects: I) Vietnam veterans with posttraumatic stress disorder (PTSD) and major depression, 2) veterans with depression alone, and 3) veterans with neither PTSD nor depression (i.e., normal controls), Sleep recordings indicate only one significant difference between the PTSD/depressed and depressed alone groups: sleep latency was prolonged in the depressed alone patients compared with the other two groups, The two patient groups differed from controls in the manner already reported for depressed patients (decreased REM latency, increased REM density, reduced total sleep time, reduced sleep efficiency), with some of the differences significant only at the trend level. Dreams were obtained from REM awakenings. Dream recall rare and report length did not differ between groups, Mean anxiety level in dreams was less than 1 (mild) for all three groups, with major depression patients scoring significantly higher than controls. Dreams of PTSD/depressed patients were significantly less likely to be set in the present than dreams of the other two groups.