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Characterization, Conceptualization, and Treatment of Sleep Disturbances in PTSD 

Characterization, Conceptualization, and Treatment of Sleep Disturbances in PTSD
Chapter:
Characterization, Conceptualization, and Treatment of Sleep Disturbances in PTSD
Author(s):

Edward F. Pace-Schott

, and Ryan Bottary

DOI:
10.1093/med/9780190457136.003.0013
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date: 28 January 2022

This chapter reviews the commonly observed sleep-related symptoms of posttraumatic stress disorder (PTSD). Sleep disturbances, such as insomnia and trauma-related recurrent nightmares, are extremely common in PTSD and have long been recognized as a core feature of the condition. They appear to play an important role in the development and maintenance of PTSD symptoms; however, first-line treatments do not specifically address sleep. The discussion in this chapter focuses on both subjective reports of sleep disturbance and objectively measured sleep abnormalities. It summarizes the contemporary theoretical pathways in which sleep disturbances and abnormalities may contribute to the development and maintenance of PTSD symptomatology. It concludes with a discussion of clinically relevant sleep-related treatment considerations for patients with PTSD.

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