Abstract：
:Polysomnographic studies have been performed to examine sleep abnormalities in posttraumatic stress disorder (PTSD), but clear associations between PTSD and sleep disturbances have not been established. A systematic review of the evidence examining the polysomnographic changes in PTSD patients compared with controls was conducted using MEDLINE, EMBASE, All EBM databases, PsycINFO, and CINAHL databases. Meta-analysis was undertaken where possible. The searches identified 34 studies, 31 of which were appropriate for meta-analysis. Pooled results indicated decreased total sleep time, slow wave sleep and sleep efficiency, and increased wake time after sleep onset in PTSD patients compared with healthy controls. PTSD severity was associated with decreased sleep efficiency and slow wave sleep percentage. Rapid eye movement (REM) sleep percentage was significantly decreased in PTSD patients compared with controls in studies including participants with mean age below 30 y, but not in studies with other mean age groups (30-40 y and >40 y). Our study shows that polysomnographic abnormalities are present in PTSD. Sex, age, PTSD severity, type of controls, medication status, adaptation night, polysomnographic scoring rules and study location are several of the demographic, clinical and methodological factors that contribute to heterogeneity between studies.
journal_name
Sleep Med Revjournal_title
Sleep medicine reviewsauthors
Zhang Y,Ren R,Sanford LD,Yang L,Zhou J,Zhang J,Wing YK,Shi J,Lu L,Tang Xdoi
10.1016/j.smrv.2019.08.004subject
Has Abstractpub_date
2019-12-01 00:00:00pages
101210eissn
1087-0792issn
1532-2955pii
S1087-0792(19)30080-2journal_volume
48pub_type
杂志文章,meta分析abstract：:For many adults, changes in sleep occur with aging. An estimated 15 million elderly, or 50% of older Americans, experience some sleep problem. The elderly complain that their sleep is more fragmented and that as they have gotten older, they experience more daytime sleepiness. Laboratory studies have confirmed these co...
journal_title：Sleep medicine reviews
pub_type： 杂志文章
doi：10.1016/s1087-0792(97)90002-2
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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更新日期：2008-12-01 00:00:00
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journal_title：Sleep medicine reviews
pub_type： 杂志文章
doi：10.1053/smrv.2001.0151
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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更新日期：2005-06-01 00:00:00
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pub_type： 杂志文章,评审
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pub_type： 杂志文章,评审
doi：10.1016/j.smrv.2010.10.001
更新日期：2011-08-01 00:00:00
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journal_title：Sleep medicine reviews
pub_type： 杂志文章
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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更新日期：2017-04-01 00:00:00
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
doi：10.1016/j.smrv.2008.11.001
更新日期：2009-10-01 00:00:00
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
doi：10.1016/j.smrv.2009.10.003
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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journal_title：Sleep medicine reviews
pub_type： 杂志文章
doi：10.1016/s1087-0792(98)90020-x
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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pub_type： 杂志文章
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journal_title：Sleep medicine reviews
pub_type： 杂志文章
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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pub_type： 杂志文章,评审
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更新日期：2002-06-01 00:00:00
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journal_title：Sleep medicine reviews
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pub_type： 评论,杂志文章,评审
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更新日期：2008-10-01 00:00:00
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journal_title：Sleep medicine reviews
pub_type： 杂志文章,评审
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