Assessing sleep quality using self-report and actigraphy in PTSD
Assessing sleep quality using self-report and actigraphy in PTSD
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DOI：
10.1111/jsr.12632
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发表时间：
2018-06-01
影响因子：
4.4
通讯作者：
Roth, Walton T.
中科院分区：
文献类型：
--
作者：
Slightam, Cindie;Petrowski, Katja;Roth, Walton T.
睡眠障碍通常由创伤后应激障碍的参与者报告，但缺乏客观证据证明睡眠质量差。在这里，我们比较了创伤后应激障碍和对照组退伍军人的自我报告和睡眠活动评估。参与者回顾了他们在录制前一个月和录制后一个月的睡眠情况。在录音之夜，他们戴着Actiwatch-64，并被指示在上床时、每次醒来时和最后醒来时按下标记按钮。根据匹兹堡睡眠质量指数，创伤后应激障碍组在前一个月的睡眠质量比对照组差得多，在录制当晚的睡眠质量也略差。然而，在记录的夜晚，无论是日记还是活动测量的醒来次数，在床上的总时间，以及睡眠开始后醒着的时间，在有和没有创伤后应激障碍的参与者之间都没有差异。日记记录的觉醒次数少于活动记录的觉醒次数。这些结果表明，记忆倾向于在录制前的晚上记住更糟糕的睡眠。
Sleep disturbance is commonly reported by participants with post-traumatic stress disorder, but objective evidence of poor sleep is often absent. Here we compared self-report and actigraphic evaluations of sleep between veterans with post-traumatic stress disorder and controls. Participants reported their sleep retrospectively for the month before the recording night and on the recording night. On the recording night, they wore an Actiwatch-64 and were instructed to press the marker button upon getting into bed, each time they awoke, and at their final awakening. The post-traumatic stress disorder group reported much worse sleep than controls on the Pittsburgh Sleep Quality Index for the previous month and somewhat poorer sleep on the recording night. However, on the recording night, neither diary nor actigraphic measures of number of awakenings, total time in bed, nor time lying awake after sleep onset differed between participants with and without post-traumatic stress disorder. Diary-reported number of awakenings was fewer than actigraphically captured awakenings. These results suggest a memory bias towards remembering worse sleep on the nights before the recording night.