心理干预
临床心理学
心情
心理学
唤醒
随机对照试验
失眠症
苦恼
睡眠障碍
焦虑
创伤应激
系统回顾
精神科
医学
梅德林
外科
神经科学
法学
政治学
作者
Alicia Ruelaz Maher,Eric Apaydin,Lara Hilton,Christine Chen,Wendy Troxel,Owen Hall,Gulrez Shah Azhar,Jody Larkin,Aneesa Motala,Susanne Hempel
出处
期刊:RAND Corporation eBooks
[RAND Corporation]
日期:2021-01-01
摘要
Posttraumatic stress disorder (PTSD) is a condition that can emerge after exposure to a traumatic event. It involves several symptoms, including distressing memories or dreams and/or dissociative reactions; psychological distress at exposure to trauma cues; physiologic reactions to cues; avoidance of stimuli associated with the event; negative alterations in cognitions and mood associated with the trauma; and alterations in arousal and reactivity, including sleep disturbance. The purpose of this systematic review is to synthesize the evidence from randomized controlled trials on the effects that interventions for adults with PTSD have on sleep outcomes. The authors searched research databases and bibliographies of existing systematic reviews to identify pertinent trials published in English; literature was identified by the searches using predetermined eligibility criteria. The primary outcome domain included sleep quality, insomnia, and nightmares. Secondary outcomes were PTSD symptoms and adverse events. Risk of bias and the quality of evidence were assessed for each outcome. The identified interventions addressed pharmacological, psychological, behavioral, complementary, and integrative medicine treatments aimed at improving sleep or lessening other PTSD symptoms. Interventions in general showed an effect on sleep. Interventions explicitly targeting sleep-particularly psychotherapy targeting sleep-showed larger effects on sleep than did interventions not targeting sleep. Heterogeneity was considerable, but sleep effect estimates were not systematically affected by trauma type, setting, or modality. Comparative effectiveness studies are needed to support the findings.
科研通智能强力驱动
Strongly Powered by AbleSci AI