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Ecological momentary assessment of sleep and PTSD symptoms in a veteran sample.

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  • Author(s): DeViva, Jason C.. VA Connecticut Health Care System, West Haven, CT, US, DeViva, Jason C.. VA Connecticut Health Care System, West Haven, CT, US, ; Rosen, Marc I.. VA Connecticut Health Care System, West Haven, CT, US; Cooney, Ned L.. VA Connecticut Health Care System, West Haven, CT, US; Black, Anne C.. VA Connecticut Health Care System, West Haven, CT, US
  • Source:
    Psychological Trauma: Theory, Research, Practice, and Policy, Vol 12(2), Feb, 2020. pp. 186-192.
  • Publisher:
    US : Educational Publishing Foundation
  • Language:
    English
  • Document Type:
    Journal Article
  • Publication Type:
    Journal; Peer Reviewed Journal
  • Additional Information
    • Address:
      DeViva, Jason C., West Haven VA Medical Center, 950 Campbell Avenue, West Haven, CT, US, 06516, [email protected]
    • Source:
      Psychol Trauma
    • ISSN:
      1942-9681 (Print)
      1942-969X (Electronic)
    • Keywords:
      veteran, sleep difficulties, posttraumatic stress disorder, ecological momentary assessment
    • Abstract:
      Objective: Disturbed sleep is common among individuals with posttraumatic stress disorder (PTSD), but there has been limited research on the momentary relationships between daytime PTSD symptoms and nighttime sleep. The goal of this study was to examine the relationships between daytime peak PTSD symptoms and sleep duration that night and between sleep duration and peak PTSD symptoms the next day. Method: The study sample was 42 American post-2001 veterans recruited for a study of risky sexual behavior who completed a baseline PTSD Checklist-5 For 28 days, PTSD symptoms were assessed 3 times per day using a version of the PTSD Checklist-5 modified to ask about the previous 2 hours. Each morning, participants rated the previous night’s sleep duration. Two multilevel models were estimated, 1 modeling a given day’s peak PTSD symptoms and the other modeling a given night’s sleep duration. Results: In the first model, peak PTSD symptoms on a given day were significantly related to mean peak daily PTSD symptoms, estimate = 1.003, p < .001; previous night’s sleep duration, estimate = −1.799, p < .001; and previous day’s peak PTSD symptoms, estimate = .159, p < .05. In the second model, sleep duration on a given night was associated with mean sleep duration, estimate = 1.032, p < .001, but not with peak PTSD symptoms during that day, estimate = −.001, ns. Conclusions: This study adds to research indicating that a poorer-than-usual night’s sleep is associated with higher peak PTSD symptoms the next day but higher peak PTSD symptoms in the day are not associated with worse sleep that night. (PsycINFO Database Record (c) 2020 APA, all rights reserved)
    • Abstract:
      Clinical Impact Statement—This study found that lower-than-usual sleep duration on a given night was associated with higher peak posttraumatic stress disorder (PTSD) symptoms the next day, suggesting that improving sleep duration among individuals with PTSD may be associated with lower peak PTSD symptoms on a day-to-day level. This study also found that higher-than-usual peak PTSD symptoms on a given day were not associated with decreased sleep that night, indicating that patient and provider concerns about the potential effects of engaging with trauma-related material on sleep that night may not be valid. (PsycINFO Database Record (c) 2020 APA, all rights reserved)
    • Subject Terms:
      *Military Veterans; *Posttraumatic Stress Disorder; *Sleep; *Symptoms; *Ecological Momentary Assessment; Test Construction; Sleep Wake Disorders
    • PsycINFO Classification:
      Neuroses & Anxiety Disorders (3215)
    • Population:
      Human
      Male
      Outpatient
    • Location:
      US
    • Age Group:
      Adulthood (18 yrs & older)
    • Tests & Measures:
      Baseline Questionnaire Assessing Demographic Characteristics, Military Service History, Psychiatric History, and Substance Use Over the Previous 28 Days
      PTSD Checklist-5
      Life Events Checklist for DSM-5
      Sleep Duration Rating Item
      Follow-Up in-Person Assessment Battery
      Ecological Momentary Assessment   DOI: 10.1037/t15771-000
    • Grant Sponsorship:
      Sponsor: Sponsor name not included
      Grant Number: R21DA039038-01
      Recipients: Black, Anne C.
    • Methodology:
      Empirical Study; Quantitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      First Posted: Jul 22, 2019; Accepted: Jun 10, 2019; Revised: Jun 7, 2019; First Submitted: Jan 18, 2019
    • Publication Date:
      20190722
    • Publication Date:
      20200127
    • Copyright:
      In the public domain.
    • Accession Number:
      http://dx.doi.org/10.1037/tra0000494
    • Accession Number:
      31328940
    • Accession Number:
      tra-12-2-186
    • Accession Number:
      2019-40647-001
  • Citations
    • ABNT:
      DEVIVA, J. C. et al. Ecological momentary assessment of sleep and PTSD symptoms in a veteran sample. Psychological Trauma: Theory, Research, Practice, and Policy, [s. l.], v. 12, n. 2, p. 186–192, 2020. DOI 10.1037/tra0000494. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pdh&AN=2019-40647-001. Acesso em: 4 jul. 2020.
    • AMA:
      DeViva JC, Rosen MI, Cooney NL, Black AC. Ecological momentary assessment of sleep and PTSD symptoms in a veteran sample. Psychological Trauma: Theory, Research, Practice, and Policy. 2020;12(2):186-192. doi:10.1037/tra0000494.
    • AMA11:
      DeViva JC, Rosen MI, Cooney NL, Black AC. Ecological momentary assessment of sleep and PTSD symptoms in a veteran sample. Psychological Trauma: Theory, Research, Practice, and Policy. 2020;12(2):186-192. doi:10.1037/tra0000494
    • APA:
      DeViva, J. C., Rosen, M. I., Cooney, N. L., & Black, A. C. (2020). Ecological momentary assessment of sleep and PTSD symptoms in a veteran sample. Psychological Trauma: Theory, Research, Practice, and Policy, 12(2), 186–192. https://doi.org/10.1037/tra0000494
    • Chicago/Turabian: Author-Date:
      DeViva, Jason C., Marc I. Rosen, Ned L. Cooney, and Anne C. Black. 2020. “Ecological Momentary Assessment of Sleep and PTSD Symptoms in a Veteran Sample.” Psychological Trauma: Theory, Research, Practice, and Policy 12 (2): 186–92. doi:10.1037/tra0000494.
    • Harvard:
      DeViva, J. C. et al. (2020) ‘Ecological momentary assessment of sleep and PTSD symptoms in a veteran sample’, Psychological Trauma: Theory, Research, Practice, and Policy, 12(2), pp. 186–192. doi: 10.1037/tra0000494.
    • Harvard: Australian:
      DeViva, JC, Rosen, MI, Cooney, NL & Black, AC 2020, ‘Ecological momentary assessment of sleep and PTSD symptoms in a veteran sample’, Psychological Trauma: Theory, Research, Practice, and Policy, vol. 12, no. 2, pp. 186–192, viewed 4 July 2020, .
    • MLA:
      DeViva, Jason C., et al. “Ecological Momentary Assessment of Sleep and PTSD Symptoms in a Veteran Sample.” Psychological Trauma: Theory, Research, Practice, and Policy, vol. 12, no. 2, Feb. 2020, pp. 186–192. EBSCOhost, doi:10.1037/tra0000494.
    • Chicago/Turabian: Humanities:
      DeViva, Jason C., Marc I. Rosen, Ned L. Cooney, and Anne C. Black. “Ecological Momentary Assessment of Sleep and PTSD Symptoms in a Veteran Sample.” Psychological Trauma: Theory, Research, Practice, and Policy 12, no. 2 (February 2020): 186–92. doi:10.1037/tra0000494.
    • Vancouver/ICMJE:
      DeViva JC, Rosen MI, Cooney NL, Black AC. Ecological momentary assessment of sleep and PTSD symptoms in a veteran sample. Psychological Trauma: Theory, Research, Practice, and Policy [Internet]. 2020 Feb [cited 2020 Jul 4];12(2):186–92. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pdh&AN=2019-40647-001