Am J Psychiatry 159:855-857, May 2002
© 2002 American Psychiatric Association
Sleep Complaints as Early Predictors of Posttraumatic Stress Disorder: A 1-Year Prospective Study of Injured Survivors of Motor Vehicle Accidents
Danny Koren, Ph.D.,
Isaac Arnon, Ph.D.,
Peretz Lavie, Ph.D., and
Ehud Klein, M.D.
OBJECTIVE: Disturbed sleep is a common complaint among patients with posttraumatic stress disorder (PTSD) that appears in the reexperiencing and hyperarousal symptom clusters in DSM-IV. The causal relationship between sleep complaints and PTSD is unclear. METHOD: Self-reported insomnia and excessive daytime sleepiness were assessed in 102 victims of motor vehicle accidents and 19 comparison subjects 1 week and 1, 3, 6, and 12 months after the trauma. At 12 months the Structured Clinical Interview for DSM-III-R was administered to determine diagnoses of PTSD. RESULTS: Twenty-six of the accident victims but none of the comparison subjects met the criteria for PTSD. Logistic regression models indicated that sleep complaints from 1 month on were significant in predicting PTSD at 1 year. CONCLUSIONS: These results suggest that on the basis of sleep complaints as early as 1 month after the trauma, it is possible to detect subjects who will later develop chronic PTSD.
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M. B. Stein
A 46-Year-Old Man With Anxiety and Nightmares After a Motor Vehicle Collision
JAMA,
September 25, 2002;
288(12):
1513 - 1521.
[Full Text]
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Sleep Complaints Predict PTSD in Trauma Patients
Journal Watch Women's Health,
July 10, 2002;
2002(710):
6 - 6.
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