scholarly journals Associations between Pittsburgh Sleep Quality Index factors and health outcomes in women with posttraumatic stress disorder

2012 ◽  
Vol 13 (6) ◽  
pp. 752-758 ◽  
Author(s):  
Melynda D. Casement ◽  
Kelly M. Harrington ◽  
Mark W. Miller ◽  
Patricia A. Resick
2013 ◽  
Vol 4 (1) ◽  
pp. 19298 ◽  
Author(s):  
Malik Ait-Aoudia ◽  
Pierre P. Levy ◽  
Eric Bui ◽  
Salvatore Insana ◽  
Capucine de Fouchier ◽  
...  

2005 ◽  
Author(s):  
Anne Germain ◽  
Martica Hall ◽  
Barry Krakow ◽  
M. Katherine Shear ◽  
Daniel J. Buysse

2005 ◽  
Vol 19 (2) ◽  
pp. 233-244 ◽  
Author(s):  
Anne Germain ◽  
Martica Hall ◽  
Barry Krakow ◽  
M. Katherine Shear ◽  
Daniel J. Buysse

2013 ◽  
Author(s):  
Malik Ait-Aoudia ◽  
Pierre P. Levy ◽  
Eric Bui ◽  
Salvatore Insana ◽  
Capucine de Fouchier ◽  
...  

2012 ◽  
Vol 4 (2) ◽  
pp. 59-65 ◽  
Author(s):  
Monica Blanaru ◽  
Boaz Bloch ◽  
Limor Vadas ◽  
Zahi Arnon ◽  
Naomi Ziv ◽  
...  

Posttraumatic stress disorder (PTSD), an anxiety disorder with lifetime prevalence of 7.8%, is characterized by symptoms that develop following exposure to traumatic life events and that cause an immediate experience of intense fear, helplessness or horror. PTSD is marked by recurrent nightmares typified by the recall of intrusive experiences and by extended disturbance throughout sleep. Individuals with PTSD respond poorly to drug treatments for insomnia. The disadvantages of drug treatment for insomnia underline the importance of non-pharmacological alternatives. Thus, the present study had three aims: first, to compare the efficiency of two relaxation techniques (muscular relaxation and progressive music relaxation) in alleviating insomnia among individuals with PTSD using both objective and subjective measures of sleep quality; second, to examine whether these two techniques have different effects on psychological indicators of PTSD, such as depression and anxiety; and finally, to examine how initial PTSD symptom severity and baseline emotional measures are related to the efficiency of these two relaxation methods. Thirteen PTSD patients with no other major psychiatric or neurological disorders participated in the study. The study comprised one seven-day running-in, no-treatment period, followed by two seven-day experimental periods. The treatments constituted either music relaxation or muscle relaxation techniques at desired bedtime. These treatments were randomly assigned. During each of these three experimental periods, subjects' sleep was continuously monitored with a wrist actigraph (Ambulatory Monitoring, Inc.), and subjects were asked to fill out several questionnaires concerned with a wide spectrum of issues, such as sleep, depression, and anxiety. Analyses revealed a significant increase in objective and subjective sleep efficiency and a significant reduction in depression level following music relaxation. Moreover, following music relaxation, a highly significant negative correlation was found between improvement in objective sleep efficiency and reduction in depression scale. The study‘s findings provide evidence that music relaxation at bedtime can be used as treatment for insomnia among individuals with PTSD.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A411-A411
Author(s):  
D Martinez ◽  
M Yeh ◽  
L Oliveira ◽  
B Coimbra ◽  
A F Mello ◽  
...  

Abstract Introduction The increase in violence against young women has a high impact on the prevalence of Posttraumatic stress disorder (PTSD). The lifetime prevalence of PTSD is twice as high in women. However, most studies assessing sleep disturbances in PTSD were conducted predominantly in male samples and combat veterans. Objective: To analyze the sleep of young women with and without PTSD. Hypothesis: Women with PTSD have worse sleep quality, higher arousability, and higher muscle activity during REM sleep. Methods Case-controlled study with young women. Seventy-four women who suffered sexual assault and developed PTSD (DSM-5); and 64 women from the community without PTSD. Women were recruited from the PTSD outpatient clinic (Universidade Federal de São Paulo, Brazil).Clinician-Administered Posttraumatic Stress Scale (CAPS 5), Beck Depression and Anxiety Inventories (BDI) (BAI), full in-lab Polysomnography (PSG), Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Índex (PSQI), Fatigue Impact Scale (FIS), and Insomnia Severity Índex (ISI) were applied to all participants. Analysis of variance, regression models, and general linear modeling were used. Results Patients mean age was 28 vs 24 for the control group (p=0.004). CAPS mean score in PTSD-group was 42.5±9.1. BDI, BAI, FIS, PSQI, ISI scores were worse in PTSD-group (p<0.05, all). Pittsburgh Sleep Quality Index (PSQI) score was significantly associated with CAPS 5 independently of depression, fatigue, and sleep fragmentation. The PTSD women had lower total sleep time (p= 0.01) and lower REM sleep percentage (p=0.04). However, the control group had higher arousal index (p=.0.01) and had higher muscle activity during REM sleep (p=0.03) than PTSD. Conclusion Women with PTSD had significantly worse score in PSQI, FIS, and ISI. PSQI score was associated with PTSD severity. However, when PSG results are concerned, we found higher sleep fragmentation in the control group. We speculate that women with PTSD may have felt safer and taken care of in the lab, which might explain the difference between objective and subjective measures of sleep quality in PTSD. Support Acknowledgments: FAPESP: Fundação de Apoio à pesquisa de São Paulo, AFIP: Associação Incentivo a Pesquisa


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