有创伤史的成年人的重复性消极思维、失眠症状和睡眠质量之间的关系。

IF 2.3 3区 心理学 Q2 PSYCHIATRY
Anxiety Stress and Coping Pub Date : 2024-05-01 Epub Date: 2024-02-29 DOI:10.1080/10615806.2024.2324266
Kimberly A Arditte Hall, Christopher M McGrory, Alana M Snelson, Suzanne L Pineles
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引用次数: 0

摘要

背景:创伤后应激障碍(PTSD)和睡眠障碍是高度并发症,而重复性消极思维(RNT)与睡眠障碍和创伤后应激障碍都有关联。然而,很少有研究探讨了创伤后应激障碍患者和非创伤后应激障碍患者的重复性消极思维与睡眠障碍之间的关系:方法:研究人员在遭受创伤的 MTurk(N = 342)样本中调查了特质水平和创伤相关 RNT、失眠和睡眠质量之间的关系。此外,还测试了创伤后应激障碍症状严重程度对RNT与失眠和睡眠质量之间关系的调节作用:无论创伤后应激障碍的严重程度如何,特质水平的 RNT 都预示着较差的睡眠质量和较严重的失眠。创伤相关 RNT 也与失眠加重有关,但这种影响会受到创伤后应激障碍严重程度的调节,因此对患有低度和中度创伤后应激障碍的参与者有显著影响,而对患有重度创伤后应激障碍的参与者则没有显著影响。与特质和创伤相关的RNT都与睡眠质量的几个特定方面有关,包括:睡眠障碍、日间功能障碍、睡眠药物的使用、睡眠开始潜伏期和主观睡眠质量:本研究表明,RNT 与受创伤者的失眠和睡眠障碍有重要关联。在临床上,研究结果表明,在对受创伤影响的失眠患者进行睡眠干预时,同时针对一般和创伤相关的 RNT 可能会有所帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The associations between repetitive negative thinking, insomnia symptoms, and sleep quality in adults with a history of trauma.

Background: Posttraumatic stress disorder (PTSD) and sleep disturbance are highly comorbid and repetitive negative thinking (RNT) is associated with both sleep disturbance and PTSD. However, few studies have examined the association between RNT and sleep disturbance in individuals exposed to trauma, with and without PTSD.

Method: Associations between trait-level and trauma-related RNT, insomnia, and sleep quality were investigated in a trauma-exposed MTurk (N = 342) sample. Additionally, PTSD symptom severity was tested as a moderator of the associations between RNT and insomnia and sleep quality.

Results: Trait-level RNT predicted poorer sleep quality and greater insomnia, regardless of PTSD severity. Trauma-related RNT was also associated with greater insomnia, though the effect was moderated by PTSD severity such that it was significant for participants with low and moderate, but not severe, PTSD. Both trait- and trauma-related RNT were associated with several specific aspects of sleep quality, including: sleep disturbances, daytime dysfunction, use of sleep medications, sleep onset latency, and subjective sleep quality.

Conclusions: This study demonstrates significant associations linking RNT with insomnia and sleep disturbance in trauma-exposed individuals. Clinically, results suggest that it may be helpful to target both general and trauma-related RNT in sleep interventions for trauma-exposed individuals with insomnia.

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来源期刊
CiteScore
7.20
自引率
0.00%
发文量
41
期刊介绍: This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.
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