TY - JOUR
T1 - Correlates of daytime sleepiness in patients with posttraumatic stress disorder and sleep disturbance
AU - Westermeyer, Joseph
AU - Khawaja, Imran
AU - Freerks, Melesa
AU - Sutherland, R. John
AU - Engle, Kay
AU - Johnson, David
AU - Thuras, Paul
AU - Rossom, Rebecca
AU - Hurwitz, Thomas
PY - 2010
Y1 - 2010
N2 - Objective: To assess the correlates of daytime sleepiness in patients with a lifetime diagnosis of posttraumatic stress disorder (PTSD) and ongoing sleep disturbance not due to sleep apnea or other diagnosed sleep disorders. Method: The sample consisted of 26 veterans receiving mental health care at the Minneapolis VA Medical Center, Minneapolis, Minnesota. The Epworth Sleepiness Scale was the primary outcome measure. Other sleep-related instruments consisted of the Pittsburgh Sleep Quality Scale, a daily sleep log, and daily sleep actigraphy. In addition, data included 3 symptom ratings (Posttraumatic Stress Disorder Checklist, Clinician Administered PTSD Scale [CAPS], and Beck Depression Inventory). Data were collected from 2003 to 2005. Current and lifetime PTSD diagnoses were based on DSM-IV criteria and were obtained by experienced psychiatrists using the CAPS interview. Results: Univariate analyses showed that daytime sleepiness on the Epworth Sleepiness Scale was associated with daytime dysfunction on the Pittsburgh Sleep Quality Index (P<.001), less use of sleeping medication (P=.02), and more self-rated posttraumatic symptoms (P=.05). Within posttraumatic symptom categories, hypervigilance symptoms were more correlated with daytime sleepiness (P=.03) than were reexperiencing and avoidance symptoms (P=.09 for both). Conclusion: In this selected sample, daytime sleepiness was most strongly and independently associated with daytime dysfunction.
AB - Objective: To assess the correlates of daytime sleepiness in patients with a lifetime diagnosis of posttraumatic stress disorder (PTSD) and ongoing sleep disturbance not due to sleep apnea or other diagnosed sleep disorders. Method: The sample consisted of 26 veterans receiving mental health care at the Minneapolis VA Medical Center, Minneapolis, Minnesota. The Epworth Sleepiness Scale was the primary outcome measure. Other sleep-related instruments consisted of the Pittsburgh Sleep Quality Scale, a daily sleep log, and daily sleep actigraphy. In addition, data included 3 symptom ratings (Posttraumatic Stress Disorder Checklist, Clinician Administered PTSD Scale [CAPS], and Beck Depression Inventory). Data were collected from 2003 to 2005. Current and lifetime PTSD diagnoses were based on DSM-IV criteria and were obtained by experienced psychiatrists using the CAPS interview. Results: Univariate analyses showed that daytime sleepiness on the Epworth Sleepiness Scale was associated with daytime dysfunction on the Pittsburgh Sleep Quality Index (P<.001), less use of sleeping medication (P=.02), and more self-rated posttraumatic symptoms (P=.05). Within posttraumatic symptom categories, hypervigilance symptoms were more correlated with daytime sleepiness (P=.03) than were reexperiencing and avoidance symptoms (P=.09 for both). Conclusion: In this selected sample, daytime sleepiness was most strongly and independently associated with daytime dysfunction.
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U2 - 10.4088/PCC.07m00563gry
DO - 10.4088/PCC.07m00563gry
M3 - Article
C2 - 20694134
AN - SCOPUS:78650571323
SN - 1523-5998
VL - 12
JO - Primary Care Companion to the Journal of Clinical Psychiatry
JF - Primary Care Companion to the Journal of Clinical Psychiatry
IS - 2
ER -