ejcrEurasian Journal of Current Research in Psychology and PedagogyEurasian Journal of Current Research in Psychology and Pedagogy2959-39992959-4006Университет «Туран»10.46914/2959-3999-2026-1-1-14-24ejcr-286Research ArticleКлиническая и специальная психологияClinical and Special PsychologyРоль нарушений сна в поддержании симптомов ПТСР: обзор литературыThe role of sleep disturbances in the maintenance of PTSD symptoms: a literature reviewhttps://orcid.org/0000-0003-4908-5132СланбековаГ. K.SlanbekovaG. K.

PhD, ассоциированный профессор

Караганда

PhD, associate professor

Karaganda

gulnaraslanbekova1@gmail.comКарагандинский национальный исследовательский университет им. Е.А. БукетоваКазахстанAcademician Ye.A. Buketov Karaganda National Research UniversityKazakhstan202613022026011424Copyright © Сланбекова Г.K., 20262026Сланбекова Г.K.Slanbekova G.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ejcrpp.turan-edu.kz/jour/article/view/286

Посттравматическое стрессовое расстройство (ПТСР) является одним из наиболее тяжелых психических заболеваний. Посттравматическое стрессовое расстройство сопровождается стойкими симптомами повторного переживания травмы, избегания, негативных когнитивно-аффективных изменений и гипервозбуждения. Нарушения сна, включая бессонницу и травма-связанные кошмары, наблюдаются у 70–90% лиц с ПТСР и рассматриваются как значимый клинический фактор. В данном обзоре анализируется двунаправленная взаимосвязь между нарушениями сна и симптоматикой ПТСР с акцентом на терапевтический потенциал целенаправленного лечения сна. Обзор эмпирических исследований, метаанализов и клинических испытаний, опубликованных в 2010–2025 гг., показывает, что нарушения сна выступают не только симптомами, но и поддерживающими механизмами ПТСР, способствуя нарушению эмоциональной регуляции, консолидации памяти и повышенной чувствительности к угрозам. Интервенции, направленные на сон, включая когнитивноповеденческую терапию бессонницы, терапию репетиции образов и фармакологические методы, эффективны в снижении как нарушений сна, так и ключевых симптомов ПТСР. Делается вывод о целесообразности интегрированных подходов в лечении ПТСР.

Post-traumatic stress disorder (PTSD) represents one of the most debilitating psychiatric conditions. Posttraumatic stress disorder is frequently accompanied by sleep disturbances, including insomnia and trauma-related nightmares, affecting up to 90% of individuals with this condition. This literature review examines the bidirectional relationship between sleep disturbances and PTSD symptoms, focusing on the role of sleep as both a symptom and a maintaining factor of the disorder. A review of empirical studies, meta-analyses, and clinical trials published between 2010 and 2025 indicates that disrupted sleep architecture contributes to impaired emotional regulation, deficits in memory consolidation, and heightened threat sensitivity, thereby exacerbating daytime PTSD symptoms. Evidence demonstrates that sleep-focused interventions, such as cognitive-behavioral therapy for insomnia (CBT-I), imagery rehearsal therapy (IRT), and pharmacological treatments, effectively reduce sleep problems and lead to improvements in core PTSD symptoms. The findings suggest that early and integrated treatment of sleep disturbances may enhance overall PTSD recovery and improve the outcomes of trauma-focused therapies.

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The authors declare that there are no conflicts of interest present.