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Ecological Momentary Assessment of Sleep and PTSD Symptoms in a Veteran Sample.

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  • Additional Information
    • Affiliation:
      VA Connecticut Health Care System, West Haven, Connecticut, and Department of Psychiatry, Yale School of Medicine
    • Subject Terms:
    • Subject Terms:
    • 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. 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.
    • Journal Subset:
      Biomedical; USA
    • Instrumentation:
      PTSD Checklist (PCL-5)
    • ISSN:
      1942-9681
    • MEDLINE Info:
      NLM UID: 101495376
    • Publication Date:
      20200205
    • Publication Date:
      20200205
    • DOI:
      10.1037/tra0000494
    • Accession Number:
      141377816
  • Citations
    • ABNT:
      DEVIVA, J. C. et al. Ecological Momentary Assessment of Sleep and PTSD Symptoms in a Veteran Sample. Psychological Trauma: Theory, Research, Practice & 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=rzh&AN=141377816. Acesso em: 20 out. 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 & 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 & 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 & 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 & 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 & Policy, vol. 12, no. 2, pp. 186–192, viewed 20 October 2020, .
    • MLA:
      DeViva, Jason C., et al. “Ecological Momentary Assessment of Sleep and PTSD Symptoms in a Veteran Sample.” Psychological Trauma: Theory, Research, Practice & 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 & 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 & Policy [Internet]. 2020 Feb [cited 2020 Oct 20];12(2):186–92. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141377816