Sleep Disturbance, Disability, and Posttraumatic Stress Disorder in Utility Workers

Giosan, Cezar; Malta, Loretta S.; Wyka, Katarzyna; Jayasinghe, Nimali; Evans, Slayton A.; Difede, JoAnn; Avram, Eugen

doi:10.1002/jclp.22116

Cited by 35 publications

(22 citation statements)

References 58 publications

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“…PTSD-diagnosed individuals frequently self-report sleep disruption (see, e.g., Giosan et al, 2015 ; Werner et al, 2016 ). However, among studies using objective measures (e.g., polysomnography), there are relatively few, and inconsistent, reports of PTSD-related sleep disruption (see, e.g., Engdahl et al, 2000 ; Calhoun et al, 2007 ; Yetkin et al, 2010 ).…”

Section: Discussionmentioning

confidence: 99%

“…Since the contemporary conception of PTSD was introduced to the psychiatric nomenclature a little more than three decades ago, numerous empirical studies have documented the presence of subjective sleep difficulties in individuals who meet formal diagnostic criteria (Kinzie et al, 1984 ; Mellman et al, 1995a ; Giosan et al, 2015 ; Werner et al, 2016 ). For instance, Giosan et al ( 2015 ) interviewed more than 2,000 men ~29 months after their deployment to the World Trade Center in the days following the 9/11 attacks. They found that those diagnosed with PTSD as a consequence of their deployment experiences reported, relative to those without PTSD, more insomnia and nightmares, more instances of waking feeling unrefreshed, as well as more difficulties with sleep maintenance and snoring.…”

Section: Introductionmentioning

confidence: 99%

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Better Sleep in a Strange Bed? Sleep Quality in South African Women with Posttraumatic Stress Disorder

Lipinska

Thomas

2017

Front. Psychol.

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Although individuals diagnosed with posttraumatic stress disorder (PTSD) regularly report subjective sleep disruption, many studies using objective measures (e.g., polysomnography) report no PTSD-related sleep disruption. To account for these inconsistencies, some authors hypothesize that PTSD-diagnosed individuals have sleep-state misperception; that is, they self-report experiencing poor sleep quality, but objectively sleep relatively normally. We tested this sleep-state misperception hypothesis, collecting data on subjectively-reported sleep quality (in the home, and in the laboratory) and on objectively-measured, laboratory-based, sleep quality in PTSD-diagnosed participants from low socioeconomic status South African communities. Women with PTSD (n = 21), with trauma exposure but no PTSD (TE; n = 19), and healthy controls (HC; n = 20) completed questionnaires on their average sleep quality in the past 30 days, and on their sleep quality after a night (8 h) of polysomnographic-monitored sleep in the laboratory. PTSD-diagnosed individuals reported poorer everyday subjective sleep quality than TE and HC individuals. In the laboratory, however, there were no between-group differences in subjective sleep quality, and few between-group differences in objective sleep quality (PTSD-diagnosed individuals only had decreased sleep depth). Furthermore, whereas measures of laboratory-based objective and subjective sleep quality correlated significantly, especially in PTSD-diagnosed individuals, there were few significant associations between objective sleep measures and everyday subjective sleep quality. Taken together, these findings suggest that PTSD-diagnosed individuals likely experienced better sleep quality in the laboratory than at home. Descriptive observations corroborated this interpretation, with almost half the sample rating their laboratory sleep (which they described as “safe” and “quiet”) as better than their home sleep (which was experienced in an atmosphere marked by high levels of violence and nighttime noise). These findings disconfirm the sleep-state misperception hypothesis as related to PTSD, and suggest that the laboratory environment may influence sleep quality positively in these individuals. Many investigations of sleep in PTSD do not consider the influence of the laboratory environment. Our findings suggest that future studies in this field should consider that sleep-state misperception may be an artifact of the laboratory setting, especially when samples are drawn from communities where violence and crime are an everyday reality.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Better Sleep in a Strange Bed? Sleep Quality in South African Women with Posttraumatic Stress Disorder

Lipinska

Thomas

2017

Front. Psychol.

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“…1 Sleep disturbances exponentially increase distress and dysfunction for these patients. 2 Patients with PTSD and self-reported sleep disturbances are more likely to report functional disability than those without sleep disturbances 2 and comorbid sleep problems may exacerbate existing PTSD symptoms and complicate recovery. 3 …”

Section: Prevalence and Impact Of Self-reported Sleep Disturbances Inmentioning

confidence: 99%

Sleep Disturbances in Posttraumatic Stress Disorder: Updated Review and Implications for Treatment

Koffel¹,

Khawaja²,

Germain³

2016

Psychiatric Annals

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Sleep disturbances are common in adults with PTSD and range from insomnia and nightmares to periodic leg movements and disruptive nocturnal behaviors. Together these findings suggest profound disturbances in rapid eye movement (REM) and non-REM (NREM) sleep, although there is a lack of consensus regarding a distinct profile of objective sleep disturbances associated with PTSD. Prospective, longitudinal studies have established that sleep disturbances represent a risk factor for the development and course of PTSD, suggesting that sleep is an important neurobiological mechanism in the etiology and maintenance of this disorder. This research highlights the importance of early identification and treatment of sleep disturbances in at-risk and trauma exposed populations. A number of psychological and pharmacological treatments are effective at treating sleep disturbances in PTSD. Additional research is needed to further develop clinical guidelines informing when and how to integrate sleep-specific treatment with PTSD focused clinical care.

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“…Associations between circadian preferences, sleep quality, dissociation, post-traumatic cognitions, and post-traumatic stress disorder (PTSD) among incarcerated offenders (Germain, Buysse, Shear, Fayyad, & Austin, 2004;Germain, Hall, Krakow, Katherine Shear, & Buysse, 2005;Krakow et al, 2004;Krakow et al, 2001;Krakow et al, 2006;Williams, Collen, Orr, Holley, & Lettieri, 2015). Sleep disturbances contribute to manifestation of a more complicated clinical expression of symptoms in PTSD, such as comorbid depression (Krakow et al, 2000), psychiatric distress (Krakow et al, 2007), heightened suicidality and self-injurious behavior (Betts, Williams, Najman, & Alati, 2013;Malik et al, 2014;Pigeon, Pinquart, & Conner, 2012;Short, Ennis, et al, 2015), greater anxiety sensitivity (Babson, Boden, Woodward, Alvarez, & Bonn-Miller, 2013), increased alcohol and drug use (Nishith, Resick, & Mueser, 2001;Saladin, Brady, Dansky, & Kilpatrick, 1995;Short, Babson, Boden, & Bonn-Miller, 2015), and decreased quality of life and functioning (Clum, Nishith, & Resick, 2001;Giosan et al, 2015;Krakow, Melendrez, Johnston, et al, 2002;Short, Allan, & Schmidt, 2017). Poor sleep can significantly contribute to next day affective deterioration, such as increased PTSD symptoms and negative affect (Short et al, 2017;Short et al, 2016).…”

Section: Original Articlementioning

confidence: 99%

Associations between circadian preferences, sleep quality, dissociation, post-traumatic cognitions, and post-traumatic stress disorder (PTSD) among incarcerated offenders

Acar¹,

Öğülmüş²,

Boysan³

2018

Sleep Hypn

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The aim of this study was to explore whether DSM-5 posttraumatic stress disorder (PTSD) dissociative subtype could be differentiated from non-dissociative PTSD caseness in sleep disturbances, circadian preferences, and posttraumatic cognitions. We also investigated associations of dissociation, sleep quality, insomnia, circadian preferences, and traumarelated negative cognitions with DSM-5 PTSD caseness among prisoners. Data from 399 volunteers (mean age: 34.54±9.93 years) were collected. Using the symptoms clusters measured by the PTSD Checklist for DSM-5 (PCL-5) and Dissociative Experiences Scale (DES), the participants were classified into four subgroups: no dissociation or PTSD, pure dissociative, pure PTSD, and dissociative PTSD. Differences in scale scores across four groups were evaluated using one-way analysis of variance. Logistic regression analysis was utilized to determine predictors of DSM-5 PTSD caseness. Participants with dissociative PTSD reported significantly greater posttraumatic stress reactions in terms of PTSD and dissociative symptomatology, greater number of prior trauma exposure, greater scores on posttraumatic negative cognitions, and a tendency to have eveningness diurnal preferences in comparison to those prisoners classified into other three subgroups (no dissociation or PTSD, pure dissociative, and pure PTSD). However, sleep disturbances in terms of insomnia and poor sleep quality were found to be pronounced among prisoners with PTSD irrespective of levels of dissociation. Dissociative symptomatology, insomnia and poor sleep quality significantly contributed to probable PTSD caseness. Dissociation and sleep disturbances appear to be hallmark for PTSD among prisoners.

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Sleep Disturbance, Disability, and Posttraumatic Stress Disorder in Utility Workers

Abstract: Sleep disturbance is associated with occupational, social functioning, and PTSD severity, suggesting that ameliorating sleep may lead to increased occupational and social functioning, as well as better treatment responses in PTSD.

Cited by 35 publications

References 58 publications

Better Sleep in a Strange Bed? Sleep Quality in South African Women with Posttraumatic Stress Disorder

Better Sleep in a Strange Bed? Sleep Quality in South African Women with Posttraumatic Stress Disorder

Sleep Disturbances in Posttraumatic Stress Disorder: Updated Review and Implications for Treatment

Associations between circadian preferences, sleep quality, dissociation, post-traumatic cognitions, and post-traumatic stress disorder (PTSD) among incarcerated offenders

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