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Clinical Correlates of Poor Sleep Quality



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P1 JLS pljots2004 cls 03 27 2004 v1 1 LaTeX2e JOTS document class pp1381 jots 495796 September 21 2004 23 3 N LY C 2004 Journal of Traumatic Stress Vol 17 No 6 December 2004 pp 477 484 IN G O Clinical Correlates of Poor Sleep Quality in Posttraumatic Stress Disorder Sleep disturbances SD are a core clinical feature of PTSD The goal of the study was to determine the influence of patient related characteristics disorder related characteristics and psychiatric comorbidity on the severity of SD in PTSD outpatients n 367 who were not recruited for a sleep study Increased severity of SD paralleled increasing overall PTSD severity The severity of SD did not differ according to gender age groups types of trauma PTSD chronicity or psychiatric comorbidity The severity of SD paralleled PTSD severity Results suggest that age gender and psychiatric comorbidity have minimal impact on sleep quality in this PTSD sample The inclusion of PTSD patients who were not specifically seeking treatment for SD reinforces the study findings KEY WORDS sleep insomnia posttraumatic stress Pittsburgh Sleep Quality Index FO R PR O O FR EA D Anne Germain 1 3 Daniel J Buysse 1 M Kathy Shear 1 Rana Fayyad 2 and Carol Austin2 Sleep disturbances SD are a core clinical feature of PTSD and often complicate PTSD outcomes In individuals with PTSD who seek specific treatments to alleviate SD the severity of SD is comparable to or exceeds the levels observed in other sleep disordered and psychiatric samples Krakow Germain et al 2001 Subjective SD and objectively measured sleep disruption occurring early after trauma exposure predict the development of PTSD at follow up Koren Arnon Lavie Klein 2002 Mellman Bustamante Fins Pigeon Nolan 2002 In addition PTSD patients who report significant SD also report more substance use and abuse more severe health related complaints depression and suicidality Clum Nishith Resick 2001 Krakow Artar et al 2000 Nishith Resick Mueser 2001 Saladin Brady Dansky Kilpatrick 1995



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