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Changes in REM Sleep Following Trauma Likely Significant
- Publication Year :
- 2018
- Publisher :
- American Academy of Sleep Medicine, 2018.
-
Abstract
- Sleep disturbances are common in United States military personnel. Despite their exposure to combat and trauma, little is known about nightmares in this population. The purpose of this study was to describe the prevalence and associated clinical and polysomnographic characteristics of nightmares in United States military personnel with sleep disturbances.Retrospective review of 500 active duty United States military personnel who underwent a sleep medicine evaluation and polysomnography at our sleep center. The Pittsburgh Sleep Quality Index and the Pittsburgh Sleep Quality Index-Addendum were used to characterize clinically significant nightmares. Subjective and objective sleep attributes were compared between groups.At least weekly nightmares were present in 31.2%; yet, only 3.9% reported nightmares as a reason for evaluation. Trauma-related nightmares occurred in 60% of those patients with nightmares. Patients with nightmares had increased sleep onset latency (SOL) and rapid eye movement (REM) sleep latency (mean SOL/REM sleep latency 16.6/145 minutes,Clinically significant nightmares are highly prevalent in United States military personnel with sleep disturbances. Nightmares are associated with both subjective and objective sleep disturbances and are frequently comorbid with other sleep and mental health disorders.A commentary on this article appears in this issue on page 303.
- Subjects :
- Pulmonary and Respiratory Medicine
Adult
Male
Sleep Wake Disorders
medicine.medical_specialty
Polysomnography
MEDLINE
Anxiety
Stress Disorders, Post-Traumatic
Sleep Initiation and Maintenance Disorders
Surveys and Questionnaires
medicine
Prevalence
Humans
Psychiatry
Letter to the Editor
Retrospective Studies
medicine.diagnostic_test
business.industry
Depression
Sleep in non-human animals
United States
Dreams
Military personnel
Military Personnel
Neurology
Female
Neurology (clinical)
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....1a3224d7cc3d2ca91cbe7ddf207b09f3