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Published on: October 10, 2012
Sleep Disturbances Associated With Posttraumatic Stress Disorder
Christine J So1, Katherine E Miller1, Philip R Gehrman1
1Mental Illness Research, Education and Clinical Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania (CJS, PRG), the Minneapolis VA Health Care System, Minneapolis, Minnesota (KEM), and the Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (PRG).
Sleep disturbances like insomnia and nightmares are common after trauma and linked to posttraumatic stress disorder (PTSD). Treatments for these sleep issues in PTSD patients are discussed, highlighting the need for further research.
Area of Science:
- Psychology
- Neuroscience
- Sleep Medicine
Background:
- Sleep disturbances, including insomnia and nightmares, are prevalent following trauma exposure.
- These sleep issues are considered hallmark symptoms of posttraumatic stress disorder (PTSD).
- Other sleep disorders frequently co-occur with PTSD.
Purpose of the Study:
- To examine the most common sleep problems in PTSD, including their prevalence and clinical characteristics.
- To discuss evidence for psychological and pharmacological interventions for insomnia and nightmares in PTSD.
- To highlight the need for further research into mechanisms linking trauma and sleep in PTSD.
Main Methods:
- Review of existing research on sleep disturbances in PTSD.
- Examination of prevalence and clinical characteristics of common sleep problems.
- Discussion of current evidence for psychological and pharmacological interventions.
Main Results:
- Sleep disturbances are ubiquitous following trauma and are key features of PTSD.
- Sleep problems in PTSD are often resistant to trauma-focused treatments.
- Evidence for psychological and pharmacological interventions for insomnia and nightmares in PTSD is limited.
Conclusions:
- Sleep disturbances are a significant and often persistent issue for individuals with PTSD.
- Current treatments for sleep problems in PTSD show mixed results, necessitating further investigation.
- More research is required to understand the mechanisms linking trauma exposure to sleep disturbances and to develop effective targeted interventions.
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