Showing posts with label nightmares. Show all posts
Showing posts with label nightmares. Show all posts

Tuesday, June 9, 2009

Sleep in Posttraumatic Stress Disorder

Dr. Anne Germain, assistant professor of psychiatry at the University of Pittsburgh School of Medicine, is presenting an invited lecture on “Sleep in Posttraumatic Stress Disorder” until 2:30 p.m. Pacific Time. Topics being discussed include sleep disorders reported by patients with PTSD and effective pharmacological and behavioral treatments for sleep disturbances in PTSD.

The AASM reports that nightmares tend to be the most disturbing symptom of PTSD. In these dreams patients may relive a traumatic event in a way that seems shockingly real. View other common signs of PTSD.

In January the Sleep Education Blog reported that the U.S. Defense Department rejected the idea of awarding Purple Hearts to soldiers who have PTSD. Read
the full report.

Nightmares & Other Parasomnias

Two studies being presented later this morning as posters focus on parasomnias – undesirable physical events or experiences that occur during entry into sleep, within sleep or during arousals from sleep.

One study (#0600) reports that the prevalence of parasomnia symptoms in patients with obstructive sleep apnea is higher than the prevalence rates of individual parasomnias in the general population. Of 537 adult participants with OSA, 51 (9.5 percent) had at least one type of parasomnia complaint; in the general population, the reported prevalence of common parasomnias is 2 percent to 5 percent. The most commonly reported complaints were sleep paralysis, sleep-related hallucinations and symptoms suggestive of REM sleep behavior disorder.

Another study (#1120) found that self-reported nightmares by adult patients seeking emergency psychiatric evaluation uniquely predicted elevated suicidal symptoms. Results indicate that after controlling for depression, the severity of self-reported disturbing dreams and nightmares independently predicted higher scores for suicide ideation as a non-significant trend; insomnia severity scores were no longer associated with suicide ideation after controlling for depression. The results suggest that nightmares may be an acute warning sign and risk factor for suicide.

You can download the SLEEP 2009 abstract supplement as an 11 MB file in PDF format.