Effects of early nightmares on the development of sleep disturbances in motor vehicle accident victims

Autor: Ihori Kobayashi, William F. Fallon, Douglas L. Delahanty, Eileen Spoonster, Eve M. Sledjeski
Rok vydání: 2008
Předmět:
Zdroj: Journal of Traumatic Stress. 21:548-555
ISSN: 0894-9867
DOI: 10.1002/jts.20368
Popis: The present study prospectively examined the extent to which trauma-related nightmares affected the subsequent development of insomnia symptoms in 314 motor vehicle accident (MVA) victims. Participants were assessed in-hospital and at 2 weeks, 6 weeks, 3 months, and 1 year post-MVA. Hierarchical linear regression analyses showed that 6-week PTSD symptoms (PTSS) and 3-month nightmares, but not 2-week nightmares were positively associated with sleep onset and maintenance problems reported at 3-month post-MVA. Nightmares reported at 3-months post-MVA were positively associated with 1-year sleep maintenance problems. These findings highlight the dynamic relationship between PTSS and sleep problems as well as the potential importance of early intervention for trauma-related nightmares as a means to prevent sleep problems after a traumatic experience.
Databáze: OpenAIRE