Evaluation of sleep and therapeutic education needs of military with PTSD

IF 1.2 4区 医学 Q4 NEUROSCIENCES
M. Remadi , S. Dinis , L. Bernard , D. Defontaine , M. Boussaud , M. Chennaoui , E. Saguin
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引用次数: 0

Abstract

Sleep disorders in post-traumatic stress disorder (PTSD) are both diagnostic (nocturnal reliving) and prognostic. Poor sleep worsens the daytime symptomatology of PTSD and makes it resistant to treatment. However, no specific treatment is codified in France to treat these sleep disorders although sleep therapies (cognitive behavioural therapy for insomnia, psychoeducation and relaxation) have proven for years to be effective in treating insomnia. Therapeutic sessions can be part of a therapeutic patient education program, which is a model for the management of chronic pathologies. It allows for an improvement in a patient's quality of life and enhanced medication compliance. We therefore carried out an inventory of sleep disorders of patients with PTSD. First, we collected data by means of sleep diaries concerning the population's sleep disorders at home. Then we assessed the population's expectations and needs regarding its management of sleep, thanks to a semi-qualitative interview. The data from sleep diaries, which was consistent with the literature, showed that our patients suffered from severe sleep disorders that strongly impact their daily lives, with 87% of patients having an increased sleep onset latency, and 88% having nightmares. We observed a strong demand from patients for specific support for these symptoms, 91% expressing an interest in a TPE program targeting sleep disorders. Thanks to the data collected, the emerging themes for a future therapeutic patient education program targeting sleep disorders of soldiers with PTSD are: sleep hygiene; management of nocturnal awakenings, including nightmares; and psychotropic drugs.

评估患有创伤后应激障碍的军人的睡眠和治疗教育需求
创伤后应激障碍(PTSD)中的睡眠障碍既是诊断性疾病(夜间重现),也是预后性疾病。睡眠不足会加重创伤后应激障碍的日间症状,并使其对治疗产生抗药性。然而,尽管多年来睡眠疗法(失眠认知行为疗法、心理教育和放松疗法)被证明对治疗失眠有效,但法国并没有专门针对这些睡眠障碍的治疗方法。治疗课程可以是患者治疗教育计划的一部分,这是一种慢性病管理模式。它可以改善患者的生活质量,提高服药依从性。因此,我们对创伤后应激障碍患者的睡眠障碍进行了调查。首先,我们通过睡眠日记收集了患者在家睡眠障碍的相关数据。然后,我们通过半定性访谈评估了患者对睡眠管理的期望和需求。睡眠日记的数据与文献一致,显示我们的患者患有严重的睡眠障碍,这对他们的日常生活造成了严重影响,87%的患者睡眠开始潜伏期延长,88%的患者做噩梦。我们观察到,患者强烈要求针对这些症状提供特殊支持,91% 的患者表示对针对睡眠障碍的 TPE 项目感兴趣。根据收集到的数据,未来针对创伤后应激障碍士兵睡眠障碍的治疗性患者教育计划的新主题是:睡眠卫生;夜间觉醒管理,包括噩梦;精神药物。
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来源期刊
CiteScore
4.60
自引率
7.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.
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