Abstract:In his letter to the editor, Gupta alluded that the prolonged rapid eye movement (REM) sleep latency seen in our nightmare disorder (NDO) cohort could be an early marker for underlying psychiatric comorbidities, such as posttraumatic stress disorder (PTSD). 1,2 We concur that REM sleep abnormalities in patients with nightmares and trauma related nightmares are likely significant. REM fragmentation has been described following traumatic events, with increased REM density seen in patients with PTSD. 3 However, M… Show more
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