Sleep disturbances and nightmares in victims of sexual abuse with post-traumatic stress disorder: an analysis of abuse-related characteristics.

Abstract:

:Background: Sexual abuse victims often experience symptoms of post-traumatic stress disorder (PTSD), including sleep disturbances. Objective: To investigate whether or not characteristics of sexual abuse are associated with sleep disturbance, and to explore whether correlates of sleep disturbance are distinguishable from those of PTSD symptom severity. Method: Forty-four adult sexual abuse victims seeking treatment for PTSD and sleep disturbances completed validated self-report questionnaires assessing sleep, nightmares, and PTSD symptoms. Results: Age at time of sexual abuse contributed to the severity of distress associated with nightmares, whereas the number of perpetrators contributed to the frequency of nightmares. Sleep disturbances had different correlates compared to those of overall PTSD symptoms. Conclusions: The present study highlighted that age at time of abuse and number of offenders may account for variability in sleep disturbances. Exploration of characteristics of sexual abuse could help clinicians to quickly identify who could benefit the most from targeting nightmares and other sleep disturbances in treatment. :Antecedentes: Las víctimas de abuso sexual a menudo experimentan síntomas de trastorno de estrés postraumático (TEPT), incluidos los trastornos del sueño.Objetivo: Investigar si las características del abuso sexual están o no asociadas con trastornos del sueño y explorar si los correlatos de los trastornos del sueño se distinguen de los de la gravedad de los síntomas del TEPT.Método: Cuarenta y cuatro adultos víctimas de abuso sexual que buscan tratamiento para el TEPT y trastornos del sueño completaron cuestionarios de autoinforme validados que evalúan el sueño, las pesadillas y los síntomas del TEPT.Resultados: La edad en el momento del abuso sexual contribuyó a la severidad de la angustia asociada con las pesadillas, mientras que el número de perpetradores contribuyó a la frecuencia de las pesadillas. Las alteraciones del sueño tenían correlaciones diferentes en comparación con las de los síntomas generales de TEPT.Conclusiones: El presente estudio destacó que la edad en el momento del abuso y la cantidad de perpetradores pueden explicar la variabilidad en los trastornos del sueño. La exploración de las características del abuso sexual podría ayudar a los médicos a identificar rápidamente quién podría beneficiarse al máximo al focalizarse en pesadillas y otros trastornos del sueño durante el tratamiento. :背景:性虐待受害者经常出现创伤后应激障碍(PTSD)的症状,包括睡眠障碍。目的:本研究调查性虐待的特征是否与睡眠障碍有关,并探讨睡眠障碍与PTSD症状严重程度的相关变量是否不同。方法:四十四名寻求治疗PTSD和睡眠障碍的成年性虐待受害者完成了经过验证的自评问卷,评估了睡眠、噩梦和PTSD症状。结果:性虐待时的年龄影响了与噩梦相关的痛苦的严重程度,而肇事者的数量影响了恶梦的频率。与总体PTSD症状相比,睡眠障碍具有不同的相关变量。结论:本研究强调,经历性虐待时的年龄和罪犯的数量可能是睡眠障碍的影响因素。探索性虐待的特征可以帮助临床医生快速确定谁可以从治疗的噩梦和其他睡眠障碍中获益最多。.

journal_name

Eur J Psychotraumatol

authors

Belleville G,Dubé-Frenette M,Rousseau A

doi

10.1080/20008198.2019.1581019

subject

Has Abstract

pub_date

2019-03-21 00:00:00

pages

1581019

issue

1

issn

2000-8066

pii

1581019

journal_volume

10

pub_type

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