Longitudinal relationships of insomnia, nightmares, and PTSD severity in recent combat veterans

Pigeon, Wilfred R.; Campbell, Clare; Possemato, Kyle; Ouimette, Paige

doi:10.1016/j.jpsychores.2013.09.004

Cited by 144 publications

(82 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is important to identify and address risk factors for worse sleep in veterans, given evidence that in addition to being a commonly reported symptom, 8 sleep has been shown to predict future psychopathology. 14,15 Thus, targeting sleep in veterans can improve current symptomatology (for those who have it), in addition to helping prevent the development of future psychiatric disorders. Additional research into risk and protective factors for sleep in OEF/OIF/OND veterans is warranted to better treat this population.…”

Section: Discussionmentioning

confidence: 99%

“…13 Further, recent evidence suggests that sleep disturbances may influence the development and course of subsequent psychopathology (e.g., depression, PTSD). 14,15 Fragmentation in rapid eye movement sleep specifically is predictive of PTSD. [16][17][18] Numerous studies have been conducted to identify correlates of sleep disturbance in veteran samples, 5,7 yet few have incorporated a three-group design that separates "true" controls from trauma-exposed controls and individuals with PTSD.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sleep Disturbances in OEF/OIF/OND Veterans: Associations with PTSD, Personality, and Coping

Lind

Brown

Farrell-Carnahan

et al. 2017

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Study Objectives: Sleep disturbances are well documented in relation to trauma exposure and posttraumatic stress disorder (PTSD), but correlates of such disturbances remain understudied in veteran populations. We conducted a preliminary study of sleep disturbances in Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn veterans (n = 133; mean [standard deviation] age = 29.8 [4.7] y). Methods: Veterans were assigned to one of three groups based on responses to the Clinician Administered PTSD Scale: control (no trauma-exposure [TE] or PTSD), TE, and PTSD. Sleep disturbance was assessed using the Pittsburgh Sleep Quality Index (PSQI). Measures of resilience, trauma load, personality, coping, alcohol use, and mild traumatic brain injury were also assessed via self-report. Results: The PTSD group had significantly more disturbed sleep (PSQI global score mean = 8.94, standard deviation = 3.12) than control (mean = 5.27, standard deviation = 3.23) and TE (mean = 5.34, standard deviation = 3.17) groups, but there were no differences between TE and control. The same pattern emerged across most PSQI subscales. Results of linear regression analyses indicated that current smoking, Army (versus other military branches), neuroticism, and using substances to cope were all significant correlates of higher sleep disturbance, whereas post-deployment social support was associated with less sleep disturbance. However, when combined together into a model with PTSD status, only neuroticism and substance use coping remained significant as predictors of more disturbed sleep. Conclusions: These initial findings suggest that TE itself may not be an independent risk factor for disturbed sleep in veterans, and that neurotic personality and a tendency to cope by using substances may partially explain sleep disturbance, above and beyond a diagnosis of PTSD.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sleep Disturbances in OEF/OIF/OND Veterans: Associations with PTSD, Personality, and Coping

Lind

Brown

Farrell-Carnahan

et al. 2017

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

show abstract

“…These medications have been shown to improve most PTSD symptoms and in particular, irritability [4&5]. However, they have little effect on insomnia [4&5] which is serious problem in PTSD patients [6]. Military veterans tend to have little or no response to antidepressant medications [7][8][9][10].…”

Section: Descriptionmentioning

confidence: 99%

Is There a Role for Second Generation Antipsychotics in the Treatment of PTSD?

Villarreal¹

2017

J Trauma Treat

View full text Add to dashboard Cite

“…Also, sleep disturbance may initiate or exacerbate PTSD. Several recent self-report studies suggested that insomnia increases the likelihood of PTSD development following trauma [60,61]. Subjective difficulty falling and staying asleep prior to deployment predicts later development of PTSD following combat exposure [12].…”

Section: Rdoc Framework-based Correlates Of Trauma and Sleepmentioning

confidence: 99%

Understanding Recent Insights in Sleep and Posttraumatic Stress Disorder from a Research Domain Criteria (RDoC) Framework

Kelly

Killgore

Haynes

2016

Curr Sleep Medicine Rep

View full text Add to dashboard Cite

Posttraumatic stress disorder (PTSD) is associated with sleep disturbances, including insomnia, nightmares, sleep-disordered breathing, and REM abnormalities. Recent studies have expanded our knowledge of the neurobiology of trauma and sleep. In addition, intervention research has provided valuable information about how sleep treatments affect PTSD symptoms and how PTSD treatments affect sleep symptoms. This review of recent literature aims to move away from the categorical approach that currently dominates our conceptualization of trauma response and sleep disorders. Possible mechanisms of both trauma and sleep disturbance are posed within the framework put forth by the National Institute of Mental Health's (NIMH) Research Domain Criteria (RDoC) project. By examining domains of dysfunction that cut across disorders, RDoC may guide future research and treatment of the maladaptive neurobiological and behavioral correlates of both trauma and sleep disturbances.

show abstract

Longitudinal relationships of insomnia, nightmares, and PTSD severity in recent combat veterans

Cited by 144 publications

References 38 publications

Sleep Disturbances in OEF/OIF/OND Veterans: Associations with PTSD, Personality, and Coping

Sleep Disturbances in OEF/OIF/OND Veterans: Associations with PTSD, Personality, and Coping

Is There a Role for Second Generation Antipsychotics in the Treatment of PTSD?

Understanding Recent Insights in Sleep and Posttraumatic Stress Disorder from a Research Domain Criteria (RDoC) Framework

Contact Info

Product

Resources

About