Nightmare frequency in sexual assault survivors with PTSD

Nightmare frequency in sexual assault survivors with PTSD
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DOI:
10.1016/s0887-6185(02)00093-2
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发表时间:
2002-01-01
影响因子:
10.3
通讯作者:
Cheng, DT
Cheng, DT
中科院分区:
医学2区
文献类型:
--
作者:
Krakow, B;Schrader, R;Cheng, DT

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对患有创伤后应激障碍(PTSD)的性侵犯幸存者进行了噩梦频率评估。回顾性地测量噩梦频率问卷(NFQ)和前瞻性地测量噩梦日志(NFQ)。回顾频率极高,平均每隔一晚发生一次,估计每周做噩梦的次数超过5次。NFQ的重测信度数据显示,夜间和噩梦的加权Kappa系数分别为85(95%CI,.74-.95)和.90(95%CI,.83-.97)。回顾性和前瞻性噩梦频率之间的相关性范围为夜间0.53(P = .001)和噩梦0.63(P = .001)。频率和痛苦措施(焦虑,抑郁,创伤后应激)之间的相关性产生的系数范围为(r = 0.28 -53)。与侵入性的,繁琐和耗时的前瞻性测量相比,NFQ似乎可靠,方便,在评估一组性侵犯幸存者的噩梦频率方面同样有用。噩梦的频率,患病率,痛苦和损害进行了讨论。(C)2002年爱思唯尔科技有限公司All rights reserved.
Sexual assault survivors with post-traumatic stress disorder (PTSD) were assessed for frequency of nightmares. measured retrospectively on the Nightmare Frequency Questionnaire (NFQ) and prospectively on nightmare dream logs (NLOG). Retrospective frequency was extremely high, averaging occurrences every other night and an estimated number of nightmares greater than five per week. Test-retest reliability data on the NFQ yielded weighted kappa coefficients of 85 (95% CI, .74-.95) for nights and .90 (95% CI, .83-.97) for nightmares, Correlations between retrospective and prospective nightmare frequencies ranged between .53 (P = .001) for nights and .63 (P = .001) for nightmares. Correlations between frequency and distress measures (anxiety, depression, post-traumatic stress) yielded coefficients ranging from (r = .28-53). Compared with intrusive, cumbersome and time-consuming prospective measurements, the NFQ appears reliable, convenient, and equally useful in assessing nightmare frequency in a group of sexual assault survivors. Nightmare frequency, prevalence, distress and impairment are discussed. (C) 2002 Elsevier Science Inc. All rights reserved.