The relationship of sleep quality and posttraumatic stress to potential sleep disorders in sexual assault survivors with nightmares, insomnia, and PTSD

Barry Krakow, Anne Germain, Teddy D. Warner, Ron Schrader, Mary Koss, Michael Hollifield, Dan Tandberg, Dominic Melendrez, Lisa Johnston

Research output: Contribution to journalArticle

67 Scopus citations

Abstract

Sleep quality and posttraumatic stress disorder (PTSD) were examined in 151 sexual assault survivors, 77% of whom had previously reported symptoms of sleep-disordered breathing (SDB) or sleep movement disorders (SMD) or both. Participants completed the Pittsburgh Sleep Quality Index (PSQI) and the Posttraumatic Stress Scale (PSS). High PSQI scores reflected extremely poor sleep quality and correlated with PSS scores. PSQI scores were greater in participants with potential SDB or SMD or both. PSQI or PSS scores coupled with body-mass index and use of antidepressants or anxiolytics predicted potential sleep disorders. The relationship between sleep and posttraumatic stress appears to be more complex than can be explained by the current PTSD paradigm; and, sleep breathing and sleep movement disorders may be associated with this complexity.

Original languageEnglish (US)
Pages (from-to)647-665
Number of pages19
JournalJournal of Traumatic Stress
Volume14
Issue number4
DOIs
StatePublished - Dec 1 2001

Keywords

  • Insomnia
  • Nightmares
  • PTSD
  • Periodic limb movements
  • Restless legs
  • Sleep-disordered breathing

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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