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

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 P...

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Bibliographic Details
Published in:Journal of traumatic stress 2001-10, Vol.14 (4), p.647-665
Main Authors: Krakow, Barry, Germain, Anne, Warner, Teddy D., Schrader, Ron, Koss, Mary, Hollifield, Michael, Tandberg, Dan, Melendrez, Dominic, Johnston, Lisa
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Anxiety disorders. Neuroses
Biological and medical sciences
Female
Humans
Insomnia
Medical sciences
nightmares
Nocturnal Myoclonus Syndrome - diagnosis
Nocturnal Myoclonus Syndrome - epidemiology
Nocturnal Myoclonus Syndrome - etiology
periodic limb movements
Post-traumatic stress disorder
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
PTSD
Rape - psychology
restless legs
Severity of Illness Index
Sleep Apnea Syndromes - diagnosis
Sleep Apnea Syndromes - epidemiology
Sleep Apnea Syndromes - etiology
Sleep Wake Disorders - diagnosis
Sleep Wake Disorders - epidemiology
Sleep Wake Disorders - etiology
sleep-disordered breathing
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - psychology
Surveys and Questionnaires
Survivors - psychology
Victimology
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Description
Summary: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.
ISSN:0894-9867
1573-6598
DOI:10.1023/A:1013029819358