Clinical sleep disorder profiles in a large sample of trauma survivors: An interdisciplinary view of posttraumatic sleep disturbance

Barry Krakow, Patricia L. Haynes, Teddy D. Warner, Dominic Melendrez, Brandy N. Sisley, Lisa Johnston, Michael Hollifield, Samuel Lee

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Study Objectives: To examine the relationship between psychiatric symptoms and self-reported sleep, sleepiness, and nightmare complaints in a convenience sample of 437 trauma survivors. Method: Based on symptom severity reports, individuals were classified as having psychophysiological insomnia (PPI), chronic nightmare disorder (CND), and sleep-disordered breathing (SDB) profiles. Individuals with each symptom profile were compared to individuals without the respective profile on sleep indices, sleepiness-related impairment, and psychiatric distress (anxiety, depression, posttraumatic stress symptoms). Results: Individuals with PPI (76%), CND (79%), SDB (68%), or all three profiles (46%) had significantly worse sleep onset latency, sleep efficiency, total sleep time, sleep-related functional impairment, and psychiatric distress compared to those without each disorder profile. Conclusions: The majority of trauma survivors in this sample suffered from sleep complaints sufficiently severe to warrant independent clinical attention by sleep medicine specialists. Longitudinal studies are necessary to determine whether these disturbances are caused exclusively by PTSD or another sleep disorder comorbid with PTSD.

Original languageEnglish (US)
Pages (from-to)6-15
Number of pages10
JournalSleep and Hypnosis
Volume9
Issue number1
StatePublished - Sep 13 2007

    Fingerprint

Keywords

  • Insomia
  • Nightmares
  • PTSD
  • Sleep-disordered breathing

ASJC Scopus subject areas

  • Clinical Psychology
  • Complementary and alternative medicine

Cite this

Krakow, B., Haynes, P. L., Warner, T. D., Melendrez, D., Sisley, B. N., Johnston, L., Hollifield, M., & Lee, S. (2007). Clinical sleep disorder profiles in a large sample of trauma survivors: An interdisciplinary view of posttraumatic sleep disturbance. Sleep and Hypnosis, 9(1), 6-15.