Post traumatic stress symptom variation associated with sleep characteristics

Biggs, Quinn M.; Ursano, Robert J.; Wang, Jing; Wynn, Gary H.; Carr, Russell B.; Fullerton, Carol S.

doi:10.1186/s12888-020-02550-y

Cited by 25 publications

(28 citation statements)

References 50 publications

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“…However, those with PTSD reported significantly more frequent difficulty staying asleep (32% of nights versus 16% of nights among those without PTSD). Prior research has shown that difficulty staying asleep was the strongest predictor of next day's post traumatic stress symptoms [10]. These data therefore suggest that better understanding the greater frequency of difficulty staying asleep, rather than its temporal pattern may aid in understanding its relationship to next day's post traumatic stress symptoms.…”

Section: Discussionmentioning

confidence: 74%

“…Sleep quality varied across the 7 days of the week and was better on weekends than weekdays, but only among those with PTSD. Sleep quality is closely related to the other sleep characteristics [10]. The specific weekday versus weekend difference among those with PTSD may therefore suggest that PTSD-related stressors (such as threat cues) may be more common during weekdays or, alternatively, protective factors such as social support may be more present on weekends.…”

Section: Discussionmentioning

confidence: 99%

“…This study was part of a larger data collection project examining post traumatic stress in U.S. military personnel. Methods common to the larger project have been reported in prior publications [10,15] and are included in Supplement 1. The research was approved by the Institutional Review Board of Walter Reed National Military Medical Center and the Uniformed Services University of the Health Sciences in Bethesda, Maryland.…”

Section: Participantsmentioning

confidence: 99%

“…Participants also completed the 20-item PTSD Checklist for the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5; DSM-5) [16]. The PCL-5 assessed DSM-5 PTSD clusters B (intrusion: items 1-5), C (avoidance: items 6-7), D (negative cognitions/ mood: items [8][9][10][11][12][13][14], and E (hyperarousal: items [15][16][17][18][19][20]. Two of the 20 items are related to sleep disturbance ("Repeated, disturbing dreams of the stressful experience" and "Trouble falling or staying asleep").…”

Section: Assessment Of Ptsdmentioning

confidence: 99%

“…Several studies have examined the relationship between sleep disturbances and next day PTSD symptoms in populations with PTSD [10][11][12]. Sleep duration, sleep quality, trouble falling asleep, and difficulty staying asleep were generally associated with next day PTSD symptoms [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Daily variation in sleep characteristics in individuals with and without post traumatic stress disorder

et al. 2021

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Background Sleep disturbances are common in individuals with post traumatic stress disorder (PTSD). However, little is known about how daily variation in sleep characteristics is related to PTSD. This study examined the night-to-night and weekday versus weekend variation in sleep duration, sleep quality, trouble falling asleep, and difficulty staying asleep in individuals with and without PTSD. Methods Participants (N = 157; 80 with PTSD, 77 without PTSD) completed daily self-reports of their nighttime sleep characteristics for 15 consecutive days. Linear mixed models were used to examine the associations between the 7 days of the week and weekday versus weekend variation in sleep characteristics and PTSD. Results Individuals with PTSD reported shorter sleep duration, lower sleep quality, more trouble falling asleep, and more difficulty staying asleep than individuals without PTSD. The pattern of change across the week and between weekdays and weekends was different between those with and without PTSD for sleep quality and trouble falling asleep. Among those with PTSD, sleep duration, sleep quality, and trouble falling asleep differed across the 7 days of the week and showed differences between weekdays and weekends. For those without PTSD, only sleep duration differed across the 7 days of the week and showed differences between weekdays and weekends. Neither group showed 7 days of the week nor weekday versus weekend differences in difficulty staying asleep. Conclusions On average those with PTSD had shorter sleep duration, poorer sleep quality, and greater trouble falling and staying asleep. In particular, the day of week variation in sleep quality and trouble falling asleep specifically distinguishes those with PTSD from those without PTSD. Our findings suggest that clinical care might be improved by assessments of sleep patterns and disturbances across at least a week, including weekdays and weekends. Future studies should explore the mechanisms related to the patterns of sleep disturbance among those with PTSD.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Assessment Of Ptsdmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Daily variation in sleep characteristics in individuals with and without post traumatic stress disorder

et al. 2021

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Does Sleep Reduce Intrusive Memories After Analogue Trauma? Recent Findings of Experimental Sleep Manipulations Using the Trauma Film Paradigm

Ogden,

Jobson,

Drummond

2024

Curr Sleep Medicine Rep

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Purpose of Review Intrusive memories are common in the aftermath of trauma, and these can develop into a pervasive, distressing symptom of posttraumatic stress disorder (PTSD). Sleep disturbances have been shown to contribute to later development and maintenance of overall PTSD symptoms, including intrusive memories of trauma. This paper summarises recent research examining the role of sleep in the development of trauma-related intrusive memories. Recent Findings There have been initial conflicting results across a small number of studies, namely, whether sleep following experimental analogue trauma results in increased or decreased frequency of later intrusive memories. However, the results of three recent meta-analyses suggest a beneficial effect of sleep early after analogue trauma exposure. Summary The relationship between sleep following analogue trauma and reduction in intrusive memory frequency may be due to the role of sleep in the consolidation and integration of traumatic memories into existing autobiographical knowledge. More research is needed to investigate the mechanism of action for this relationship.

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