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Journal ArticleDOI

Relationships between REM sleep findings and PTSD symptoms during the early aftermath of trauma.

TLDR
Findings suggest a link between subjective symptoms and REM sleep phenomena acutely following trauma, which correlated negatively with initial PTSD and insomnia severity, which also correlated with total sleep time.
Abstract
Laboratory sleep findings in posttraumatic stress disorder (PTSD) have been characterized as incongruent with subjective complaints. Most findings relate to rapid eye movement (REM) sleep. Chronicity confounds relationships between objective sleep and PTSD. The authors report relationships between PTSD symptoms and objective sleep measures from the early aftermath of trauma. Thirty-five patients received polsomnography and PTSD assessment within a month of traumatic injury. Posttraumatic stress disorder status was established at 2 months. The REM segment duration correlated negatively with initial PTSD and insomnia severity, which also correlated with total sleep time. Relative beta frequency during REM sleep from a subset of cases correlated negatively with PTSD and nightmare severity. These findings suggest a link between subjective symptoms and REM sleep phenomena acutely following trauma.

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Citations
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Journal ArticleDOI

Sleep Disturbances as the Hallmark of PTSD: Where Are We Now?

TL;DR: Overall, the literature suggests that disturbed REM or non-REM sleep can contribute to maladaptive stress and trauma responses and may constitute a modifiable risk factor for poor psychiatric outcomes.
Journal ArticleDOI

A systematic review of sleep disturbance in anxiety and related disorders.

TL;DR: The findings suggest that sleep disturbance exacerbates symptom severity in the majority of anxiety and related disorders, however, the nature of sleep disturbance often varies as a function of objective versus subjective assessment.
Journal ArticleDOI

Temporal relations between sleep problems and both traumatic event exposure and PTSD: a critical review of the empirical literature.

TL;DR: Analysis of studies pertaining to the temporal patterning of sleep problems and traumatic event-related factors suggests exposure to a traumatic event can interfere with sleep and limited evidence suggests sleep problems may interfere with recovery from elevated posttraumatic stress levels.
Journal ArticleDOI

Sleep Promotes Generalization of Extinction of Conditioned Fear

TL;DR: Clinically, adequate sleep may promote generalization of extinction memory from specific stimuli treated during exposure therapy to similar stimuli later encountered in vivo.
Journal ArticleDOI

A Multi-Component Cognitive-Behavioral Intervention for Sleep Disturbance in Veterans with PTSD: A Pilot Study

TL;DR: Findings demonstrate that an intervention targeting trauma-specific sleep disturbance produces large short-term effects, including substantial reductions in PTSD symptoms and insomnia severity.
References
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Journal ArticleDOI

The development of a Clinician-Administered PTSD Scale.

TL;DR: The Clinician-Administered PTSD Scale (CAPS-1) is a structured interview for assessing core and associated symptoms of PTSD and is intended for use by experienced clinicians, and also can be administered by appropriately trained paraprofessionals.
Journal ArticleDOI

Sleep, learning, and dreams: off-line memory reprocessing

TL;DR: Evidence supports a role for sleep in the consolidation of an array of learning and memory tasks and new methodologies allow the experimental manipulation of dream content at sleep onset, permitting an objective and scientific study of this dream formation and a renewed search for the possible functions of dreaming and the biological processes subserving it.
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