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Cross-Lagged Relationships Between Insomnia and Posttraumatic Stress Disorder in Treatment-Receiving Veterans.
Kartal, Dzenana; Arjmand, Hussain-Abdulah; Varker, Tracey; Cowlishaw, Sean; O'Donnell, Meaghan; Phelps, Andrea; Howard, Alexandra; Hopwood, Malcolm; McFarlane, Alexander; Bryant, Richard A; Forbes, David; Cooper, John; Hinton, Mark.
Afiliação
  • Kartal D; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne. Electronic address: dkartal@unimelb.edu.au.
  • Arjmand HA; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
  • Varker T; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
  • Cowlishaw S; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
  • O'Donnell M; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
  • Phelps A; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
  • Howard A; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
  • Hopwood M; University of Melbourne.
  • McFarlane A; Adelaide Medical School, The University of Adelaide.
  • Bryant RA; The University of New South Wales.
  • Forbes D; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
  • Cooper J; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
  • Hinton M; Phoenix Australia-Centre for Posttraumatic Mental Health and University of Melbourne.
Behav Ther ; 52(4): 982-994, 2021 07.
Article em En | MEDLINE | ID: mdl-34134836
Insomnia is a risk factor for the development of posttraumatic stress disorder (PTSD) while it is also plausible that PTSD symptoms can maintain insomnia symptoms. The present study examined longitudinal bidirectional relationships between insomnia and PTSD symptoms in treatment-seeking veterans. Participants were 693 ex-serving members of the Australian Defence Force who participated in an accredited, hospital-based outpatient PTSD program. Participants completed self-reported assessments of PTSD and insomnia symptoms at four time points: intake, discharge, 3-month, and 9-months posttreatment follow-up. Cross-lagged pathway analyses indicated significant bi-directional pathways between insomnia symptoms and PTSD symptoms at most time points. A final cross-lagged model between insomnia symptoms and the PTSD symptom clusters indicated that the PTSD symptom paths on insomnia symptoms, between intake and discharge, were attributable to reexperiencing PTSD symptoms. In contrast, across posttreatment follow-up time points there were significant paths of insomnia symptoms on all PTSD symptom clusters except from insomnia at 3-months to avoidance symptom at 9-months. PTSD symptoms and insomnia symptoms have bidirectional associations over time that may lead to the mutual maintenance or exacerbation of each condition following PTSD treatment. Where residual insomnia symptoms are present post-treatment, a sleep-focussed intervention is indicated and a sequenced approach to treatment recommended.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Veteranos / Distúrbios do Início e da Manutenção do Sono Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Oceania Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Veteranos / Distúrbios do Início e da Manutenção do Sono Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Oceania Idioma: En Ano de publicação: 2021 Tipo de documento: Article