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Sleep in posttraumatic stress disorder.

Ravi Kumar Singareddy1, Richard Balon

  • 1Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan, USA. rsingare@med.wayne.edu

Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists
|February 15, 2003
PubMed
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Posttraumatic stress disorder (PTSD) is linked to sleep issues like insomnia and nightmares. Treatments including certain antidepressants and therapy show promise for managing PTSD-related sleep disturbances.

Area of Science:

  • Psychiatry
  • Sleep Medicine
  • Neuroscience

Background:

  • Posttraumatic stress disorder (PTSD) frequently co-occurs with sleep disturbances.
  • Subjective reports often include insomnia and nightmares.
  • Objective sleep studies, particularly polysomnography, suggest abnormalities in rapid eye movement (REM) sleep.

Purpose of the Study:

  • To review the literature on subjective and objective sleep findings in patients with PTSD.
  • To examine the consistency of findings regarding REM sleep abnormalities in PTSD.
  • To identify effective treatments for sleep disturbances in PTSD.

Main Methods:

  • Literature review of published studies on sleep in PTSD.
  • Analysis of subjective sleep complaints (insomnia, nightmares).

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  • Review of polysomnographic findings, focusing on REM sleep.

    • Main Results:

    • Insomnia and nightmares are common subjective sleep disturbances in PTSD.
    • Polysomnography often reveals REM sleep abnormalities, though findings are inconsistent regarding the specific nature of the dysfunction.
    • Pharmacological treatments (nefazodone, trazodone, fluvoxamine) and imagery rehearsal therapy show benefit for PTSD sleep issues.

    Conclusions:

    • Sleep disturbances are a significant feature of PTSD.
    • While REM sleep abnormalities are frequently noted, further research is needed to clarify their specific role.
    • Antidepressants and psychotherapy are effective in managing sleep disturbances and core PTSD symptoms.