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외상후 스트레스 장애의 수면

Sleep of PTSD

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참고문헌

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초록

Sleep disturbance is a very common complaint among patients with posttraumatic stress disorder (PTSD). Recent studies suggest that sleep disturbances such as nightmare and insomnia are important in predicting later development of PTSD as well as diagnosing PTSD. Despite of its clinical significance and importance, consistent characterization of the neurophysiology underlying sleep symptoms in PTSD has been elusive. However, hyperarousal by increased noradrenergic activity in symphathetic nervous system and/or dysregulation and fragmentation of REM sleep seem to have a significant role in mediating sleep disturbances of this disorder. In this article, the authors reviewed various literatures on sleep of PTSD and emphasized the importance of evaluating sleep disturbances in PTSD.

Abstract

Sleep disturbance is a very common complaint among patients with posttraumatic stress disorder (PTSD). Recent studies suggest that sleep disturbances such as nightmare and insomnia are important in predicting later development of PTSD as well as diagnosing PTSD. Despite of its clinical significance and importance, consistent characterization of the neurophysiology underlying sleep symptoms in PTSD has been elusive. However, hyperarousal by increased noradrenergic activity in symphathetic nervous system and/or dysregulation and fragmentation of REM sleep seem to have a significant role in mediating sleep disturbances of this disorder. In this article, the authors reviewed various literatures on sleep of PTSD and emphasized the importance of evaluating sleep disturbances in PTSD.

참고문헌 (41)

  1. "Diagnostic and Statistical manualof mental disorders. 4th ed (Korean translation version). Seoul, Hanamedical publishing", pp.553~559 (1995)
  2. "Sleep disturbance as the hallmarkof posttraumatic stress disorder", 146, pp.697~707 (1989)
  3. "Sleep disturbances in the Vietnam generarion:findings froma nationally representative sample of male Vietnam veterans", 155, pp.929~933 (1998)
  4. "Sleep disturbances and psychiatric disordersassociated with posttraumatic stress disorder in the general population", 41, pp.469~478 (2000)
  5. "Nocturnal panic and trauma", 9, pp.141~145 (1999), Depression and Anxiety
  6. "Sleep complaints as early predictorsof posttraumatic stress disorder:a 1-year prospective study of injuredsurvivors of motor vehicle accidents", 159, pp.855~857 (2002)
  7. "Impact of imaginary rehersal treatment ondistressing dreams,psychological distress,and sleep parameters innightmare patients", 1, pp.140~154 (2003)
  8. "Long-term effects of traumaticwar-related events on sleep", 136, pp.175~178 (1979)
  9. "Long-term effects of extreme situationalstress on sleep and dreaming", 144, pp.344~347 (1987)
  10. "et al.Motor dysfunction during sleep in posttraumatic stress disorder", 17, pp.723~731 (1994)
  11. "Sleep events amongveterans with combat-related posttraumatic stress disorder", 152, pp.110~115
  12. "Apolysomnographic comparison of veterans with combat-related PTSD,depressed man,and non-ill controls", 20, pp.46~51 (1997)
  13. "Nocturnal", daytime urine noradrenergic measures and sleep in combat-relatedPTSD, 1995, pp.38, 174~179
  14. "Polysomnographicsleep is not clinically impaired in Vietnam combat veteranswith chronic posttraumatic stress disorder", 44, pp.1066~1073 (1998)
  15. "Rapid eye movement sleep disturbance in posttraumatic stress disorder", 35, pp.195~202 (1994)
  16. "Sleep complaints are not corroborated by objective sleep measures in posttraumatic stress disorder:a 1-year prospective study in survivors of motor vehicle crashes", 12, pp.35~41 (2003)
  17. "Effects of comorbiddiagnosis on sleep disturbances in PTSD", 36, pp.449~452 (2002)
  18. "Frequency of symptoms and concurrentpsychiatric disorder in Vietnam veterans with chronic PTSD", 42, pp.293~296 (1991)
  19. "Recurrent nightmaresin posttraumatic stress disorder:association with sleep paralysis,hypnopompic hallucinations,and REM sleep", 179, pp.572~573 (1991)
  20. "Sleep pathophysiology in posttraumatic stressdisorder and idiopathic nightmare sufferers", 54, pp.1092~1098 (2003)
  21. "Symptoms andcomorbidity patterns in World War II and Vietnam veterans withposttraumatic stress disorder", 31, pp.162~170 (1990)
  22. "Risk factorsfor PTSD and other diagnoses in a general sample of Vietnam veterans", 147, pp.729~733 (1990)
  23. "Principles and practices of sleep medicine", pp.871~898 (1994)
  24. "Sleep impairments in healthy seniors:Role of stress,cortisol,and IL-beta", 17, pp.391~404 (2000)
  25. "Chronic insomnia is associated with nyctohemeralactivation of the hypothalamic-pituitary-adrenal axis:clinical implications", 86, pp.3787~3794 (2001)
  26. "Comprehensive textbookof Psychiatry^8th ed^Philadelphia", pp.1739~1741 (2005), Lippincott Williams & Wilkins
  27. "Cortisol regulation in posttraumatic stress disorder and major depression:a chronobiological analysis", 40, pp.79~88 (1996)
  28. "Role of norepinephrine in the pathophysiology andtreatment of posttraumatic stress disorder", 46, pp.1192~1204 (1999)
  29. "Reduction of nightmares and other PTSD symptoms incombat veterans by prazosin: A placebo-controlled study", 160, pp.371~373 (2003)
  30. "A meta-analytic examination of basalcardiovascular activity in posttraumatic stress disorder", 63, pp.585~594 (2001)
  31. "Laboratorysleep correlates of nightmare complaint in PTSD inpatients", 48, pp.1081~1087 (2000)
  32. "Sleepin a community sample of elderly war veterans with and withoutposttraumatic stress disorder", 47, pp.520~525 (2000)
  33. "Sleep and dreams in Vietnam PTSDand depression", 39, pp.42~50 (1996)
  34. "Sleep and depression incombat-related PTSD inpatients.Biol", 39, pp.182~192 (1996)
  35. "Sleep in lifetime posttraumatic stress disorder", 61, pp.508~516 (2004)
  36. "REMSleep and the early development of posttraumatic stress disorder", 159, pp.1695~1701 (2002)
  37. "Heart ratevariability during sleep and the early development of posttraumaticstress disorder", 55, pp.953~956 (2004)
  38. "Sleep in posttraumatic stressdisorder and panic:convergence and divergence", 18, pp.187~197 (2003), Depression and
  39. "New evidence for a locus coeruleusnorepinephrineconnection with anxiety", 25, pp.2149~2162 (1979)
  40. "REM sleep behavior disorder:potential relationship to posttraumatic stress disorder", 18, pp.148~157 (2001)
  41. "Disorders of the reticular activating system", 49, pp.379~387 (1997)

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