Sleep Quality Moderates the Relationship between Anxiety Sensitivity and PTSD Symptoms in Combat-exposed Veterans.

Abstract:

:Objective/Background: Posttraumatic stress disorder (PTSD) and related conditions (e.g., depression) are common in Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND) veterans. High anxiety sensitivity (AS), defined as fear of anxiety and anxiety-related consequences, is related to greater PTSD and depressive symptoms; however, few studies have identified possible modifiers of these associations. The current study examined the moderating role of sleep quality in the associations between AS and PTSD and depressive symptoms. Participants: Participants were 155 OEF/OIF/OND community veterans ages 21-40 (12.3% women). Methods: Participants completed a semi-structured clinical interview for DSM-IV PTSD symptoms (Clinician Administered PTSD Scale; CAPS) and self-report measures of anxiety sensitivity (Anxiety Sensitivity Index), sleep quality (Pittsburgh Sleep Quality Index global score; PSQI), and depressive symptoms (Beck Depression Inventory-II; BDI-II). Results: Results of hierarchical linear regression models indicated that the main effects of AS and global PSQI score were significantly associated with greater PTSD and depressive symptoms (both with sleep items removed), above and beyond the covariates of trauma load and military rank. Sleep quality moderated the relationship between AS and PTSD symptoms (but not depressive symptoms), such that greater AS was associated with greater PTSD symptoms for individuals with good sleep quality, but not poor sleep quality. Conclusions: Sleep quality and AS account for unique variance in PTSD and depressive symptoms in combat-exposed veterans. AS may be less relevant to understanding risk for PTSD among combat-exposed veterans experiencing poor sleep quality.

journal_name

Behav Sleep Med

authors

McNett S,Lind MJ,Brown RC,Hawn S,Berenz EC,Brown E,McDonald SD,Pickett T,Danielson CK,Thomas S,Amstadter AB

doi

10.1080/15402002.2020.1726749

subject

Has Abstract

pub_date

2021-03-01 00:00:00

pages

208-220

issue

2

eissn

1540-2002

issn

1540-2010

journal_volume

19

pub_type

杂志文章
  • Poor Sleep Associates With Recent Nonsuicidal Self-Injury Engagement in Adolescents.

    abstract::Objective/Background: Poor sleep has been shown to have multiple negative outcomes during adolescence, in both academic and mental health domains. Several studies have identified the association between poor sleep and suicide risk in adolescents. However, onset of and engagement in nonsuicidal self-injury (NSSI) is al...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2018.1545652

    authors: Bandel SL,Brausch AM

    更新日期:2020-01-01 00:00:00

  • Sleep patterns in female adolescents with chronic musculoskeletal pain.

    abstract::This study examined sleep patterns in female adolescents with chronic musculoskeletal pain. Twenty-six participants with chronic musculoskeletal pain completed questionnaires during their clinic visit, and three 24-Hour Sleep Patterns Interviews during the following 2 weeks. Compared to normative data (Acebo & Carskad...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1207/s15402010bsm0304_2

    authors: Meltzer LJ,Logan DE,Mindell JA

    更新日期:2005-01-01 00:00:00

  • Agreement among subjective, objective, and collateral measures of insomnia in postwithdrawal recovering alcoholics.

    abstract::The level of agreement among objective, subjective, and collateral assessments of insomnia was examined in 56 recovering alcoholics. Participants underwent a multimodal sleep assessment protocol consisting of sleep logs, actigraph recordings, questionnaires, and collateral reports of insomnia severity. All sleep measu...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1207/s15402010bsm0203_4

    authors: Currie SR,Malhotra S,Clark S

    更新日期:2004-01-01 00:00:00

  • Poor Sleep Has Negative Implications for Children With and Without ADHD, but in Different Ways.

    abstract::Background: Sleep problems are commonly reported in attention deficit hyperactivity disorder (ADHD), and are also a familiar characteristic of typical development (TD). We sought to elucidate the relationship between sleep, ADHD trait behaviors, and cognitive inattention, and how it manifests between ADHD and TD child...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2017.1395335

    authors: Knight FLC,Dimitriou D

    更新日期:2019-07-01 00:00:00

  • Sleep problems and fatigue in chronically ill women.

    abstract::The objective of this study was to understand the quality and quantity of sleep in women with multiple sclerosis (MS) or rheumatoid arthritis (RA), who also had young children, and how their sleep behaviors were associated with their fatigue. A cross-sectional sample of mothers with MS and RA and a well comparison gro...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2011.583897

    authors: Parker White C,White MB

    更新日期:2011-01-01 00:00:00

  • Sleep in older African Americans and Caucasians at risk for sleep-disordered breathing.

    abstract::This study explored differences in sleep between older African Americans (AA) and Caucasians (CA) at risk for sleep-disordered breathing. Seventy AA and 70 CA were compared on ambulatory monitoring sleep variables and on self-reports on health and socioeconomic status (SES). After controlling for SES and health covari...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1207/s15402010bsm0403_3

    authors: Fiorentino L,Marler M,Stepnowsky C,Johnson S,Ancoli-Israel S

    更新日期:2006-01-01 00:00:00

  • Lifetime Characteristics of Evening-Preference and Irregular Bed-Rise Time Are Associated With Lifetime Seasonal Variation of Mood and Behavior: Comparison Between Individuals With Bipolar Disorder and Healthy Controls.

    abstract::Sleep-wake cycle disruption and seasonal variation in mood and behavior have been associated with mood disorders. This study aimed to investigate the lifetime characteristics of the sleep-wake cycle and its association with the lifetime characteristics of seasonality in individuals with bipolar disorder. Circadian pre...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2014.974179

    authors: Baek JH,Kim JS,Kim MJ,Ryu S,Lee K,Ha K,Hong KS

    更新日期:2016-01-01 00:00:00

  • Participant Experiences of Attending a Community CBT Workshop for Insomnia: A Qualitative Six-Year Follow-Up.

    abstract::Objective/Background: Our aim was to qualitatively explore the experiences of people who attended a one-day sleep workshop six years previously. Participants: Of the 95 people who originally attended the workshop and a three-month follow-up, 14 individuals (mean age = 63.6 years) participated. Methods: Semi-structured...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/15402002.2017.1301942

    authors: Barnes GL,Lawrence V,Khondoker M,Stewart R,Brown JSL

    更新日期:2019-03-01 00:00:00

  • Coping Processes, Self-Efficacy, and CPAP Use in Adults With Obstructive Sleep Apnea.

    abstract::Background: Coping strategies are predictive of 1 week CPAP use. Coping strategies may predict longer-term CPAP use among adults with obstructive sleep apnea (OSA). Objectives: To investigate the influence of two coping styles (active and passive) and individual coping processes on CPAP use at 1 week and 1 month; and ...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2018.1545651

    authors: Saconi B,Yang H,Watach AJ,Sawyer AM

    更新日期:2020-01-01 00:00:00

  • Adolescents living in homes without electric lighting have earlier sleep times.

    abstract::The aim of this project was to compare circadian rhythmicity of a group of 37 adolescents (14 girls), aged 11 to 16 (mean age = 13.1 +/- 1.7 years), with and without electricity at home. Twenty students attended morning school (07:30-11:30), and 17 attended evening school classes (19:00-22:30). Eleven adolescents had ...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402000902762311

    authors: Peixoto CA,da Silva AG,Carskadon MA,Louzada FM

    更新日期:2009-01-01 00:00:00

  • Insomnia and complicated grief symptoms in bereaved college students.

    abstract::In this study, we extended previous research by concentrating on sleep- and grief-related symptoms in a cohort of bereaved college students, in view of the potential for each of these problems to exacerbate the other. A sample of 815 college students completed the Inventory of Complicated Grief (H. G. Prigerson & S. C...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1207/s15402010bsm0302_4

    authors: Hardison HG,Neimeyer RA,Lichstein KL

    更新日期:2005-01-01 00:00:00

  • Examining How Racial Discrimination Impacts Sleep Quality in African Americans: Is Perseveration the Answer?

    abstract:BACKGROUND:African Americans experience more problematic and disordered sleep than White Americans. Racial discrimination has been implicated in this disparity. However, the mechanisms by which discrimination disrupts sleep are unclear. It has been theorized that Perseverative Cognition (PC), characterized by recurrent...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2016.1228648

    authors: Hoggard LS,Hill LK

    更新日期:2018-09-01 00:00:00

  • The development of insomnia or the plasticity of good sleep? A preliminary study of acute changes in sleep and insomnia resulting from an analogue trauma.

    abstract::The present preliminary study aimed to shed light on the mechanisms underlying the development of insomnia. An analogue stressor (i.e., trauma video) was used to prevent presleep cognitive de-arousal. Subsequent changes in nocturnal sleep and sleep-related attentional processing were examined. Thirty-four participants...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/15402002.2013.829065

    authors: Richardson C,Gradisar M,Pulford A

    更新日期:2015-01-01 00:00:00

  • Discriminating Between Fatigue and Sleepiness in the Naval Operational Environment.

    abstract:OBJECTIVE:To assess the similarities and differences between reported levels of fatigue and sleepiness as a consequence of working at sea. PARTICIPANTS:767 crewmembers of a U.S. Navy ship. METHODS:Retrospective analysis of a survey to include questions about demographics, caffeine consumption, sleep adequacy, the Epw...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2016.1228645

    authors: Matsangas P,Shattuck NL

    更新日期:2018-09-01 00:00:00

  • Managing Acute Insomnia in Prison: Evaluation of a "One-Shot" Cognitive Behavioral Therapy for Insomnia (CBT-I) Intervention.

    abstract::Objectives/Background: Insomnia is a serious condition that affects over 60% of the prison population and has been associated with aggression, anger, impulsivity, suicidality, and increased prison health care use. Nonpharmacological interventions for prison inmates are scarce despite the high prevalence and significan...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2018.1518227

    authors: Randall C,Nowakowski S,Ellis JG

    更新日期:2019-11-01 00:00:00

  • Falling asleep at the wheel: aclose look at 1,269 fatal and serious injury-producing crashes.

    abstract::This article reviews the literature on the prevalence of sleep-related motor vehicle crashes and presents a detailed analysis of the driver and context variables associated with a sample of 1,269 sleepy-driver, fatal and injury-causing vehicle crashes that occurred over a 6-year period in Tennessee. The crash profiles...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1207/S15402010BSM0103_4

    authors: McConnell CF,Bretz KM,Dwyer WO

    更新日期:2003-01-01 00:00:00

  • Associations between Mental Workload and Sleep Quality in a Sample of Young Adults Recruited from a US College Town.

    abstract:OBJECTIVE:To evaluate associations between perceived mental workload (number of hours spent studying and perceived mental intensity) and sleep quality among young adults. PARTICIPANTS:656 participants [62% male, median age (IQR) = 20 (19, 21) years] recruited from a US college town. METHODS:As part of an online scree...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2019.1626728

    authors: Jansen EC,Peterson KE,O'Brien L,Hershner S,Boolani A

    更新日期:2020-07-01 00:00:00

  • Psychological stress is associated with heightened physiological arousal during NREM sleep in primary insomnia.

    abstract::The objective of this study was to evaluate cross-sectional relationships among symptoms of psychological stress, sleep, and physiological arousal during non-rapid eye movement (NREM) sleep in a sample of 30 patients with chronic, primary insomnia (mean age, 30.2 years, 60% female). Study measures included indexes of ...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402000701263221

    authors: Hall M,Thayer JF,Germain A,Moul D,Vasko R,Puhl M,Miewald J,Buysse DJ

    更新日期:2007-01-01 00:00:00

  • Brief behavioral therapies reduce early positive airway pressure discontinuation rates in sleep apnea syndrome: preliminary findings.

    abstract::Sleep apnea syndrome (SAS) is a serious disorder with significant daytime consequences. Treatment for SAS most commonly takes the form of positive airway pressure (PAP). Although effective, PAP adherence is often below expectations. Previous studies have suggested that the provision of information on the importance of...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402000701190549

    authors: Aloia MS,Smith K,Arnedt JT,Millman RP,Stanchina M,Carlisle C,Hecht J,Borrelli B

    更新日期:2007-01-01 00:00:00

  • Sleep education for paradoxical insomnia.

    abstract::This case study series investigated a new treatment for paradoxical insomnia patients as there is no standard treatment for this patient group at this time. Four paradoxical insomnia patients had a polysomnography (PSG) sleep study, an unsuccessful brief course of behavioral treatment for insomnia, and then a novel sl...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2011.607022

    authors: Geyer JD,Lichstein KL,Ruiter ME,Ward LC,Carney PR,Dillard SC

    更新日期:2011-01-01 00:00:00

  • Event-related potentials during the transition to sleep for individuals with sleep-onset insomnia.

    abstract::Event-related potentials may be applied to directly measure information-processing deficits associated with the problem of insomnia. This study is a systematic investigation of cortical hyperarousal during the sleep-onset period in participants with sleep-onset insomnia complaints. Thirteen poor sleepers and twelve go...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2011.557989

    authors: Kertesz RS,Cote KA

    更新日期:2011-01-01 00:00:00

  • Preschool executive control and sleep problems in early adolescence.

    abstract:OBJECTIVE:Although numerous studies have documented the effects of sleep loss on executive control (EC) and related abilities, research examining the impact of early EC on subsequent sleep problems is lacking. Therefore, the current study reports on a longitudinal investigation of EC in preschool as a predictor of slee...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2016.1228650

    authors: Nelson TD,Kidwell KM,Hankey M,Nelson JM,Espy KA

    更新日期:2018-09-01 00:00:00

  • Isolated Sleep Paralysis: Fear, Prevention, and Disruption.

    abstract:OBJECTIVES:Relatively little is known about isolated sleep paralysis (ISP), and no empirically supported treatments are available. This study aims to determine: the clinical impact of ISP, the techniques used to prevent or disrupt ISP, and the effectiveness of these techniques. METHOD:156 undergraduates were assessed ...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2014.963583

    authors: Sharpless BA,Grom JL

    更新日期:2016-01-01 00:00:00

  • Work-Related Mental Fatigue, Physical Activity and Risk of Insomnia Symptoms: Longitudinal Data from the Norwegian HUNT Study.

    abstract:OBJECTIVE/BACKGROUND:To examine the prospective association between work-related mental fatigue and risk of insomnia symptoms, and if leisure time physical activity modifies this association. PARTICIPANTS:A total of 8,464 women and 7,480 men who participated in two consecutive surveys of the Norwegian HUNT study. MET...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2019.1614927

    authors: Skarpsno ES,Nilsen TIL,Sand T,Hagen K,Mork PJ

    更新日期:2020-07-01 00:00:00

  • Sleep practices, attitudes, and beliefs in inner city middle school children: a mixed-methods study.

    abstract::The objective of this study was to utilize both semi-quantitative and qualitative data to examine the sociodemographic, social environmental, and behavioral context of sleep practices in a group of 64 middle school students enrolled in a summer camp program. Participants completed the Sleep Habits Survey; semi-structu...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1207/s15402010bsm0402_4

    authors: Owens JA,Stahl J,Patton A,Reddy U,Crouch M

    更新日期:2006-01-01 00:00:00

  • Characteristics of individuals with insomnia who seek treatment in a clinical setting versus those who volunteer for a randomized controlled trial.

    abstract::The generalizability of outcome data derived from insomnia clinical trials is based largely on the extent to which research volunteers resemble clinical patients. This study compared sociodemographic, sleep, psychological, and medical characteristics of individuals who volunteered for an insomnia treatment study (n = ...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402000802577769

    authors: Davidson JR,Aime A,Ivers H,Morin CM

    更新日期:2009-01-01 00:00:00

  • Adolescent Nocturnal Fears: a psychometric evaluation of the fear of sleep inventory (FoSI).

    abstract::Objective: Nocturnal fears are associated with trauma-related sleep disturbance in adults, yet research is limited addressing this relationship in adolescents. This study evaluated the validity of the Fear of Sleep Inventory (FoSI) as a measure of nocturnal fears broadly and in relation to trauma exposure in adolescen...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2018.1469495

    authors: Hall Brown TS,Garcia E,Akeeb A,Lynch-Jiles AC,White D,Young M

    更新日期:2019-11-01 00:00:00

  • Understanding mental and physical fatigue complaints in those with depression and insomnia.

    abstract::Fatigue is a concern for both people with insomnia and with depression, yet it remains poorly understood. Participants (N = 62) included those meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision) criteria for insomnia and major depressive disorder (MDD). Multiple regression examined s...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2013.801345

    authors: Carney CE,Moss TG,Lachowski AM,Atwood ME

    更新日期:2014-01-01 00:00:00

  • Sleep Disruption Due to Stress in Women Veterans: A Comparison between Caregivers and Noncaregivers.

    abstract::Objective/Background: Sleep problems are common in women and caregiving for an adult is a common role among women. However, the effects of caregiving on sleep and related daytime impairment are poorly understood among women veterans. This study compared stress-related sleep disturbances, insomnia symptoms, and sleep-r...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2020.1732981

    authors: Song Y,Carlson GC,McGowan SK,Fung CH,Josephson KR,Mitchell MN,McCurry SM,Teng E,Irwin MR,Alessi CA,Martin JL

    更新日期:2021-03-01 00:00:00

  • Seasonal and weather variation of sleep and physical activity in 12-14-year-old children.

    abstract::Background: Understanding variation in physical activity (PA) and sleep is necessary to develop novel intervention strategies targeting adolescents' health behaviors. We examined the extent to which PA and sleep vary by aspects of the physical environment. Participants: We performed a cross-sectional analysis of 669 a...

    journal_title:Behavioral sleep medicine

    pub_type: 杂志文章

    doi:10.1080/15402002.2017.1376206

    authors: Quante M,Wang R,Weng J,Kaplan ER,Rueschman M,Taveras EM,Rifas-Shiman SL,Gillman MW,Redline S

    更新日期:2019-07-01 00:00:00