Trauma Associated Sleep Disorder: Clinical Developments 5  Years After Discovery

AbstractPurpose of ReviewWe review recent and growing evidence that provides support for a novel parasomnia, trauma associated sleep disorder (TASD). Based on these findings, we further develop the clinical and polysomnographic (PSG) characteristics of TASD. We also address factors that precipitate TASD, develop a differential diagnosis, discuss therapy, and propose future directions for research.Recent FindingsNightmares, classically a REM phenomenon, are prevalent and underreported, even in individuals with trauma exposure. When specifically queried, trauma-related nightmares (TRN) are frequently associated with disruptive nocturnal behaviors (DNB), consistent with TASD. Capture of DNB in the lab is rare but ambulatory monitoring reveals dynamic autonomic concomitants associated with disturbed dreaming. TRN may be reported in NREM as well as REM sleep, though associated respiratory events may confound this finding. Further, dream content is more distressing in REM. Therapy for this complex disorder likely requires addressing not only the specific TASD components of TRN and DNB but comorbid sleep disorders.SummaryTASD is a unique parasomnia developing after trauma. Trauma-exposed individuals should be specifically asked about their sleep and if they have nightmares with or without DNB. Patients who report TRN warrant in-lab PSG as part of their evaluation.
Source: Current Psychiatry Reports - Category: Psychiatry Source Type: research

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Conclusions:Because the nightmare frequencies were very stable, it would be desirable to carry out intervention studies treating nightmares as early as possible—even in childhood—and study whether nightmare occurrence is lower even years after the intervention.Citation:Schredl M, Gilles M, Wolf I, Peus V, Scharnholz B, Sütterlin M, Bardtke S, Send TS, Samaras A, Deuschle M. Nightmares and stress: a longitudinal study.J Clin Sleep Med. 2019;15(9):1209–1215.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Post-traumatic stress disorder (PTSD) is a common, often debilitating mental health condition that occurs in some people who have experienced trauma. It can have a negative impact on mood, mimicking depression, and is characterized by petrifying episodes in which affected people re-experience trauma. New research suggests psychotherapy may provide a long-lasting reduction of distressing symptoms. Over the course of a lifetime, many people directly experience or witness trauma, such as sexual assault, violence, or natural disasters. Experts estimate that 10% to 20% of these people will experience acute (short-term) PTSD. So...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Anxiety and Depression Mental Health Source Type: blogs
Conclusions: Most studies to date are small and of low quality, with significant limitations to the study designs precluding any clinical recommendations about its use in routine clinical practice. Evidence that cannabinoids may help reduce global PTSD symptoms, sleep disturbances, and nightmares indicates that future well-controlled, randomized, double-blind clinical trials are highly warranted. PROSPERO registration number: 121646. PMID: 31479625 [PubMed - as supplied by publisher]
Source: Journal of Dual Diagnosis - Category: Addiction Tags: J Dual Diagn Source Type: research
This article presents the current situation in the treatment of insomnia and nightmare disorders as particularly well-suited fields of application. For insomnia there are several English language and also recently German language options, which for example were also evaluated for the application to work-related stress and sleep disorders. In this respect, procedures with and without contact to a therapist or multicomponent procedures and single interventions can be differentiated. For nightmare disorders imagery rehearsal therapy provides a structure, which can also easily be transferred to an internet-based therapy p...
Source: Der Nervenarzt - Category: Neurology Authors: Tags: Nervenarzt Source Type: research
Abstract Subjects suffering from post-traumatic stress disorder present sleeping disorders like a chronic insomnia, traumatic nightmares, but also less expected, sleep breathing disorders. Sleep problems are a factor of development and maintenance of PTSD, but also a factor of resistance to treatment. After a therapy focused on PTSD, they represent frequent residual symptoms. It is necessary to couple, with the usual management of PTSD, targeted approaches for sleep problems. These targeted approaches allow an improvement of the nocturnal properties but also diurnal specific symptoms of PTSD. Stakes around primary...
Source: Presse Medicale - Category: General Medicine Authors: Tags: Presse Med Source Type: research
Experts share why bad dreams happen and how to stop them so you can get some damn sleep.
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Experts share why bad dreams happen and how to stop them so you can get some damn sleep.
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
rno R Abstract While evidence-based interventions can help the substantial number of veterans diagnosed with comorbid PTSD and depression, an emerging literature has identified sleep disturbances as predictors of treatment nonresponse. More specifically, predicting effects of residual insomnia and nightmares on postintervention PTSD and depressive symptoms among veterans with comorbid PTSD and depression has remained unclear. The present study used data from a clinical trial of Behavioral Activation and Therapeutic Exposure (BA-TE), a combined approach to address comorbid PTSD and depression, administered to veter...
Source: Behavior Therapy - Category: Psychiatry & Psychology Authors: Tags: Behav Ther Source Type: research
You're reading The Essential Benefits of Zen Meditation and How it will Change your Life, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. Being one of the ancient practices in the eastern world, Zen meditation is known for its ability to lead you towards the path of inner peace. Following a Buddhist tradition, zen meditation’s approach seeks to disconnect us from our worldly attachments, leading us to achieve a kind of contentment that comes from within.          &nb...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: depression featured health and fitness meditation self improvement Source Type: blogs
Conditions:   Stress Disorders, Post-Traumatic;   Combat Disorders;   Ptsd;   Nightmare;   Nightmares, REM-Sleep Type;   Nightmare Disorder With Associated Non-Sleep Disorder Interventions:   Device: NightWare Therapeutic System;   Device: Sham NightWare Sponsors:   NightWare;   Minneapolis Veterans Affairs Medical Center Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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