The effects of cognitive processing therapy + hypnosis on objective sleep quality in women with posttraumatic stress disorder.
The effects of cognitive processing therapy + hypnosis on objective sleep quality in women with posttraumatic stress disorder.
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认知加工疗法+催眠对创伤后应激障碍女性客观睡眠质量的影响。
DOI：
10.1037/tra0000970
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Galovski TE
中科院分区：
文献类型：
--
作者：
Arditte Hall KA;Werner KB;Griffin MG;Galovski TE
失眠，其特征是难以入睡和保持睡眠，是创伤后应激障碍（PTSD）的一种常见和衰弱的症状，对一线创伤治疗有抵抗力。先前的研究发现，睡眠指导催眠可以改善PTSD女性的主观睡眠质量，特别是睡眠潜伏期。然而，不能假设主观睡眠报告的改善与客观测量的睡眠改善相对应，因为研究表明这些措施缺乏一致性。本研究探讨了睡眠定向催眠+认知加工疗法对用体动记录仪测量的睡眠质量客观指标的影响。45名PTSD患者随机接受睡眠指导催眠+认知加工治疗（hypCPT）或睡眠和精神症状监测+ CPT（ssmCPT）。在治疗前后，参与者完成了为期一周的每日活动记录评估，包括夜间睡眠开始潜伏期、睡眠开始后的清醒时间和总睡眠时间。未观察到客观睡眠指数的总体改善。尽管如此，在治疗后，接受hypCPT的治疗完成者入睡时间明显少于接受ssmCPT的女性。需要更多的研究来了解和减少PTSD中主观和客观评估的睡眠障碍之间的差异。尽管如此，研究结果表明，在创伤治疗中加入睡眠导向催眠可能对PTSD相关失眠患者有一定的帮助。
Insomnia, characterized by difficulty falling and staying asleep, is a common and debilitating symptom of posttraumatic stress disorder (PTSD) that is resistant to first-line, trauma-focused therapies. Previous research has found that sleep-directed hypnosis improves subjective sleep quality, particularly sleep onset latency, in women with PTSD. However, it cannot be assumed that improvements in subjective sleep reports correspond with objectively measured sleep improvements, as research has indicated lack of agreement across these measures. The current study examined the effects of sleep-directed hypnosis + cognitive processing therapy on objective indices of sleep quality measured with actigraphy. Forty-five women with PTSD were randomized to receive sleep-directed hypnosis + cognitive processing therapy (hypCPT) or sleep and psychiatric symptom monitoring + CPT (ssmCPT). Pre- and post-treatment, participants completed one week of daily actigraphy assessments of nocturnal sleep onset latency, waking after sleep onset, and total sleep time. Overall improvement in objective sleep indices was not observed. Despite this, at post-treatment, treatment completers receiving hypCPT took significantly less time to fall asleep than women receiving ssmCPT. More research is needed to understand and reduce the discrepancy between subjectively and objectively assessed sleep impairments in PTSD. Nevertheless, results indicate that adding sleep-directed hypnosis to trauma-focused therapy may be of some use for individuals with PTSD-related insomnia.
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