scholarly journals Predictors of insomnia symptoms and nightmares among individuals with post-traumatic stress disorder: an ecological momentary assessment study

2017 ◽  
Vol 27 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Nicole A. Short ◽  
Nicholas P. Allan ◽  
Lauren Stentz ◽  
Amberly K. Portero ◽  
Norman B. Schmidt
Author(s):  
Mohammad Shamsul Ahsan ◽  
Suman Ahmed ◽  
Rubaiya Khan ◽  
Md Mahbubul Hasan ◽  
Ananya Kar ◽  
...  

This study aimed to estimate the prevalence of depression, anxiety, post-traumatic stress disorder, and insomnia symptoms among frontline health workers during the corona virus disease 19 (COVID-19) pandemic in Bangladesh and to compare these between medical and allied health workers. We conducted a cross-sectional survey between June and August 2020. A total of 479 health care professionals participated in the study. Anxiety and depression were measured using Patient Health Questionnaire-4 (PHQ-4), post-traumatic stress disorder (PTSD) was measured by primary care post-traumatic stress disorder score (PC-PTSD score), and insomnia was measured by Insomnia Severity Index (ISI). We performed logistic regression to assess risk factors associated with psychological symptoms. Overall, prevalence of anxiety, depression, PTSD and insomnia symptoms were 17.6%, 15.5%, 7.6% and 5.9%, respectively. Compared to allied health workers, doctors had significantly higher prevalence of symptoms of anxiety: doctor versus allied health care worker; 21.1% vs 06%, (OR= 4.19; 95% CI= 1.88-9.35; p <0.001); depression: 18% vs 6.8%, (OR= 2.99; 95% CI= 1.40-6.42; p 0.005); PTSD: 9.4% vs 1.7%, (OR= 5.96; 95% CI= 1.41-25.11; p 0.015) and insomnia: 7.4% vs 0.9%, (OR= 9.22; 95% CI= 1.24-68.4; p 0.03),respectively. The logistic regression analysis showed pre-existing medical illness as a predictor of anxiety (OR= 2.85; 95% CI= 1.71-4.76; p <0.001) and depressive symptoms (OR= 2.29; 95% CI= 1.39-3.77; p 0.001). Working more than 6(six) weeks in COVID-19 dedicated hospitals was significantly associated with PSTD symptoms (OR= 2.83; 95% CI= 1.35-5.93; p 0.006) and insomnia (OR= 2.63; 95% CI= 1.15-6.02; p 0.022). Our study demonstrated a high prevalence of symptoms of depression, anxiety, PTSD, and insomnia among Bangladeshi frontline health workers during the COVID-19 pandemic. BSMMU J 2021; 14 (COVID -19 Supplement): 22-29


Biofeedback ◽  
2009 ◽  
Vol 37 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Jeffrey M. Pyne ◽  
Richard Gevirtz

Abstract Post traumatic stress disorder (PTSD) is a common mental health outcome associated with combat operations. Since October 2001, more than 1.6 million U.S. troops have deployed as part of Operation Enduring Freedom or Operation Iraqi Freedom. Current estimates for postdeployment post-traumatic stress disorder in Operation Enduring Freedom and Operation Iraqi Freedom veterans range from 5%–30%. This paper will briefly review a series of new and ongoing projects that utilize psychophysiologic assessment for patients with Operation Enduring Freedom or Operation Iraqi Freedom combat-related PTSD. Two treatment studies are supported by the Office of Naval Research, one assessment study is supported by the Veterans Health Administration, and a second assessment study is supported by the Department of Defense. Psychophysiologic reactivity is not new to combat-related PTSD, but there are new technologies that may enhance our ability to assess and understand this aspect of the condition. Papers describing the outcomes of these studies will be forthcoming.


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