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Trauma Associated Sleep Disorder: A Proposed Parasomnia Encompassing Disruptive Nocturnal Behaviors, Nightmares, and REM without Atonia in Trauma Survivors
- Source :
- Journal of Clinical Sleep Medicine. 10:1143-1148
- Publication Year :
- 2014
- Publisher :
- American Academy of Sleep Medicine (AASM), 2014.
-
Abstract
- To characterize the clinical, polysomnographic and treatment responses of patients with disruptive nocturnal behaviors (DNB) and nightmares following traumatic experiences.A case series of four young male, active duty U.S. Army Soldiers who presented with DNB and trauma related nightmares. Patients underwent a clinical evaluation in a sleep medicine clinic, attended overnight polysomnogram (PSG) and received treatment. We report pertinent clinical and PSG findings from our patients and review prior literature on sleep disturbances in trauma survivors.DNB ranged from vocalizations, somnambulism to combative behaviors that injured bed partners. Nightmares were replays of the patient's traumatic experiences. All patients had REM without atonia during polysomnography; one patient had DNB and a nightmare captured during REM sleep. Prazosin improved DNB and nightmares in all patients.We propose Trauma associated Sleep Disorder (TSD) as a unique sleep disorder encompassing the clinical features, PSG findings, and treatment responses of patients with DNB, nightmares, and REM without atonia after trauma.
- Subjects :
- Adult
Male
Sleep Wake Disorders
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Parasomnias
Polysomnography
Somnambulism
Sleep, REM
Nocturnal
REM sleep behavior disorder
Stress Disorders, Post-Traumatic
medicine
Humans
Survivors
Psychiatry
Sleep disorder
Continuous Positive Airway Pressure
business.industry
Mental Disorders
General Medicine
Prazosin
Parasomnia
New Research
medicine.disease
Dreams
Military Personnel
Neurology
Muscle Tonus
Adrenergic alpha-1 Receptor Antagonists
Neurology (clinical)
business
Psychology
Subjects
Details
- ISSN :
- 15509397 and 15509389
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Sleep Medicine
- Accession number :
- edsair.doi.dedup.....25d1d0239fc8e8945672a161b927ffb5