IF 3.8 2区 医学 Q1 CLINICAL NEUROLOGY
Courtney B Worley, Sarah Meshberg-Cohen, Ian C Fischer, Robert H Pietrzak
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引用次数: 0

摘要

研究目的受过创伤的退伍军人做噩梦的风险可能会增加。然而,迄今为止,还没有一项研究对具有全国代表性的退伍军人样本中噩梦的发生率、风险因素和合并症进行过研究:方法: 4069 名具有全国代表性的美国退伍军人样本完成了一项调查,该调查评估了与创伤相关的噩梦、健康史和功能。多变量分析研究了创伤相关噩梦与社会人口学、军事和创伤特征以及精神和功能测量之间的关联:15.0%的样本表示终生都会做与创伤有关的噩梦,其中6.4%的样本表示在过去一个月中做过噩梦。社会人口因素、童年遭遇的不良事件、部署次数和指数创伤类型都与创伤相关噩梦有关。此外,噩梦还与精神状况、健康和心理社会功能恶化、自杀意念和未来自杀意图的几率升高有关。即使在控制了社会人口特征、创伤暴露以及精神和医疗状况之后,噩梦的严重程度与自杀意念之间仍存在 "剂量-反应 "关系:近六分之一的退伍军人在一生中都会经历与创伤相关的噩梦,这与不良的心理健康、功能障碍和自杀风险增加有关。研究结果强调了对这一人群进行跨诊断评估、监测和治疗创伤相关噩梦的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trauma-related nightmares among U.S. veterans: Findings from a nationally representative study.

Study objectives: Trauma-exposed veterans may be at an increased risk for nightmares. To date, however, no known study has examined the prevalence, risk factors, and comorbidities of nightmares in a nationally representative sample of veterans.

Methods: A nationally representative sample of 4069 US military veterans completed a survey that assessed trauma-related nightmares, health histories, and functioning. Multivariable analyses examined the association between trauma-related nightmares, and sociodemographic, military, and trauma characteristics, and psychiatric and functioning measures.

Results: Lifetime trauma-related nightmares were endorsed by 15.0 % of the sample, with 6.4 % endorsing nightmares in the past month. Sociodemographic factors, exposure to adverse childhood events, number of deployments, and index trauma type were all associated with trauma-related nightmares. In addition, nightmares were associated with elevated odds of psychiatric conditions, worse health and psychosocial functioning, and suicidal ideation and future suicidal intent. A "dose-response" association was observed between nightmare severity and suicidal ideation, even after controlling for sociodemographic characteristics, trauma exposure, and psychiatric and medical conditions.

Conclusions: Nearly 1-in-6 veterans experience trauma-related nightmares in their lifetime, which is associated with adverse mental health, functional difficulties, and increased suicide risk. Results underscore the importance of transdiagnostic assessment, monitoring, and treatment of trauma-related nightmares in this population.

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来源期刊
Sleep medicine
Sleep medicine 医学-临床神经学
CiteScore
8.40
自引率
6.20%
发文量
1060
审稿时长
49 days
期刊介绍: Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.
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