Nightmares, insomnia, and sleep-disordered breathing in fire evacuees seeking treatment for posttraumatic sleep disturbance

Journal of Traumatic Stress
Barry KrakowLaura Shafer

Abstract

Eight months after the Cerro Grande Fire, 78 evacuees seeking treatment for posttraumatic sleep disturbances were assessed for chronic nightmares, psychophysiological insomnia, and sleep-disordered breathing symptoms. Within this sample, 50% of participants were tested objectively for sleep-disordered breathing; 95% of those tested screened positive for sleep-disordered breathing. Multiple regression analyses demonstrated that these three sleep disorders accounted for 37% of the variance in posttraumatic stress symptoms, and each sleep disorder was significantly and independently associated with posttraumatic stress symptoms severity. The only systematic variable associated with posttraumatic stress symptoms of avoidance was sleep-disordered breathing. The findings suggest that three common sleep disorders relate to posttraumatic stress symptoms in a more complex manner than explained by the prevailing psychiatric paradigm, which conceptualizes sleep disturbances in PTSD merely as secondary symptoms of psychiatric distress.

References

Nov 1, 1995·The American Journal of Psychiatry·T A MellmanB Nolan
Apr 1, 1995·Annals of Internal Medicine·C GuilleminaultA Clerk
Aug 1, 1994·American Journal of Respiratory and Critical Care Medicine·F SérièsI Marc
Oct 1, 1995·Journal of Traumatic Stress·E B FoaL Cashman
Feb 1, 1996·Biological Psychiatry·S H WoodwardD L Bliwise
Jan 30, 1997·The New England Journal of Medicine·D J Kupfer, C F Reynolds
Jun 21, 1997·Annals of the New York Academy of Sciences·T A Mellman
Sep 18, 1997·Journal of the American Academy of Child and Adolescent Psychiatry·B Lask
May 29, 1998·American Journal of Respiratory and Critical Care Medicine·J J HosseletD M Rapoport
Oct 17, 1998·The Psychiatric Clinics of North America·M Reite
Aug 10, 2000·American Journal of Respiratory and Critical Care Medicine·J E BlackO Carrillo
Jan 4, 2001·The American Journal of Psychiatry·G O Gabbard
Aug 14, 2001·JAMA : the Journal of the American Medical Association·J R Davidson
Jul 20, 2002·Journal of Psychosomatic Research·Christian GuilleminaultSusmita Chowdhuri
Jul 27, 2002·The Journal of Nervous and Mental Disease·Barry KrakowRon Schrader
Aug 27, 2002·Journal of Anxiety Disorders·Barry KrakowDiana T Cheng
Aug 29, 2002·The Journal of Clinical Psychiatry·Barry J KrakowSamuel A Lee
Jan 14, 2003·Sleep & Breathing = Schlaf & Atmung·Barry KrakowMichael Hollifield
Jan 18, 2003·Sleep Medicine Reviews·Giora PillarPeretz Lavie

❮ Previous
Next ❯

Citations

Aug 9, 2012·Current Psychiatry Reports·Wei-Chen Lin, John W Winkelman
Jan 1, 2011·European Journal of Psychotraumatology·Saskia van LiemptEric Vermetten
Oct 11, 2012·European Journal of Psychotraumatology·Saskia van Liempt
Dec 18, 2012·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Jacob F CollenMonica Hoffman
May 16, 2013·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Ben KovachyVictor Carrion
Jul 18, 2014·Current Psychiatry Reports·Michael R DolsenAllison G Harvey
Jan 9, 2016·Journal of Anxiety Disorders·Rebecca C Cox, Bunmi O Olatunji
May 24, 2011·Sleep Medicine Reviews·Alexandros N Vgontzas, Julio Fernandez-Mendoza
Dec 25, 2015·SpringerPlus·Maria Francisca RegoRui Nunes
Apr 17, 2007·Journal of Anxiety Disorders·Lisa A DukeMatthew Bommaritto
Aug 25, 2007·Journal of Sleep Research·Klaus BaderJürg Schwander
Apr 22, 2008·Sleep Medicine Reviews·Victor I Spoormaker, Paul Montgomery
Sep 8, 2015·Journal of Psychiatric Research·Georgios NikolakarosTarja Saaresranta
Apr 22, 2015·Current Psychiatry Reports·Janeese A BrownlowRichard J Ross
Dec 24, 2014·Annals of the American Thoracic Society·Philippe JaoudeAli A El-Solh
Apr 23, 2014·Sleep & Breathing = Schlaf & Atmung·Scott G WilliamsChristopher J Lettieri
Jan 14, 2017·International Journal of Psychiatry in Clinical Practice·Constantin PsarrosJoanna-Despoina Bergiannaki
Feb 10, 2018·Military Medicine·Dale C CapenerVincent Mysliwiec
Jun 15, 2006·The Journal of Nervous and Mental Disease·Barry KrakowMichael Hollifield
Apr 5, 2013·European Journal of Psychotraumatology·Stefan RoepkeHeidi Danker-Hopfe
Nov 1, 2015·ANS. Advances in Nursing Science·Lauren Forbus, Ursula A Kelly
Aug 17, 2019·The Journal of Analytical Psychology·Aida Alayarian
Feb 9, 2021·Current Treatment Options in Psychiatry·Janeese A BrownlowPhilip R Gehrman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.