Subjectively and Objectively Measured Sleep With and Without Posttraumatic Stress Disorder and Trauma Exposure

Kobayashi, Ihori; Huntley, Edward D.; Lavela, Joseph; Mellman, Thomas A.

doi:10.5665/sleep.1960

Cited by 39 publications

(49 citation statements)

References 27 publications

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“…45–49 The most consistent findings suggest disruption of sleep. This includes diminished total sleep time, which has been reported in 5 studies, while an elevation in the time spent awake after initially falling asleep (WASO) has been noted in 3 reports.…”

Section: The Sleep Of Patients With Psychiatric Disordersmentioning

confidence: 96%

Psychiatric Disorders and Sleep

2012

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SYNOPSIS Psychiatric disorders and sleep are related in important ways. In contrast to the longstanding view of this relationship which viewed sleep problems as symptoms of psychiatric disorders, there is growing experimental evidence that the relationship between psychiatric disorders and sleep is complex and includes bi-directional causation. In this article we provide the evidence that supports this point of view, reviewing the data on the sleep disturbances seen in patients with psychiatric disorders but also reviewing the data on the impact of sleep disturbances on psychiatric conditions. Although much has been learned about the psychiatric disorders-sleep relationship, additional research is needed to better understand these relationships. This work promises to improve our ability to understand both of these phenomena and to allow us to better treat the many patients with sleep disorders and with psychiatric disorders.

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Section: The Sleep Of Patients With Psychiatric Disordersmentioning

confidence: 96%

Psychiatric Disorders and Sleep

2012

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“…Prior work has been unable to demonstrate a relationship between sleep discrepancies and PTSD status (Kobayashi, Huntley, Lavela, & Mellman, 2012), which is thought to reflect sleep misperceptions in PTSD (Dagan et al, 1997; Klein, Koren, Arnon, & Lavie, 2003; Kobayashi et al, 2012). Indeed, “paradoxical insomnia”-a relatively new diagnosis that first appeared in the International Classification of Sleep Disorders - 3rd Edition (ICSD-3; American Academy of Sleep Medicine, 2014)- is characterized by quantifiable discrepancies between objective and subjective sleep measurements.…”

Section: Sleep Disturbances and Ptsdmentioning

confidence: 99%

Sleep disturbances, TBI and PTSD: Implications for treatment and recovery

Gilbert

Kark

Gehrman

et al. 2015

Clinical Psychology Review

116

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Post-Traumatic Stress Disorder (PTSD), traumatic brain injury (TBI), and sleep problems significantly affect recovery and functional status in military personnel and Veterans returning from combat. Despite recent attention, sleep is understudied in the Veteran population. Few treatments and rehabilitation protocols target sleep, although poor sleep remains at clinical levels and continues to adversely impact functioning even after the resolution of PTSD or mild TBI symptoms. Recent developments in non-pharmacologic sleep treatments have proven efficacious as stand-alone interventions and have potential to improve treatment outcomes by augmenting traditional behavioral and cognitive therapies. This review discusses the extensive scope of work in the area of sleep as it relates to TBI and PTSD, including pathophysiology and neurobiology of sleep; existing and emerging treatment options; as well as methodological issues in sleep measurements for TBI and PTSD. Understanding sleep problems and their role in the development and maintenance of PTSD and TBI symptoms may lead to improvement in overall treatment outcomes while offering a non-stigmatizing entry in mental health services and make current treatments more comprehensive by helping to address a broader spectrum of difficulties.

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“…Discrepancy occurs in primary insomnia and also in patient groups where insomnia is comorbid with other health or psychiatric conditions [31,32,33,34,35,36]. There is evidence that discrepancy increases with advancing age and may play a role in the higher rates of self-reported insomnia in later life [29].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Nightly Subjective-Objective Sleep Discrepancy in Poor Sleepers over a Seven-Day Period

et al. 2017

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This study sought to examine predictors of subjective/objective sleep discrepancy in poor sleepers. Forty-two individuals with insomnia symptoms (mean age = 36.2 years, 81% female) were recruited to take part in a prospective study which combined seven days of actigraphy with daily assessment of sleep perceptions, self-reported arousal, sleep effort, and mood upon awakening. A high level of intra-individual variability in measures of sleep discrepancy was observed. Multilevel modelling revealed that higher levels of pre-sleep cognitive activity and lower mood upon awakening were significantly and independently predictive of the underestimation of total sleep time. Greater levels of sleep effort predicted overestimation of sleep onset latency. These results indicate that psychophysiological variables are related to subjective/objective sleep discrepancy and may be important therapeutic targets in the management of insomnia.

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Subjectively and Objectively Measured Sleep With and Without Posttraumatic Stress Disorder and Trauma Exposure

Abstract: Discrepancies between subjectively and objectively measured sleep parameters were not associated with trauma exposure or PTSD. This challenges prior assertions that individuals with PTSD overreport their sleep disturbances.

Cited by 39 publications

References 27 publications

Psychiatric Disorders and Sleep

Psychiatric Disorders and Sleep

Sleep disturbances, TBI and PTSD: Implications for treatment and recovery

Predictors of Nightly Subjective-Objective Sleep Discrepancy in Poor Sleepers over a Seven-Day Period

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