TY - JOUR
T1 - Calidad del sueño subjetiva y objetiva en mujeres jóvenes con trastorno de estrés postraumático tras agresión sexual
T2 - un estudio prospectivo
AU - Yeh, Mary S. L.
AU - Poyares, Dalva
AU - Coimbra, Bruno Messina
AU - Mello, Andrea Feijo
AU - Tufik, Sergio
AU - Mello, Marcelo Feijo
N1 - Funding Information: This study was supported by grants from FAPESP [2014/12559-5] and from CNPq [303389/2016-8]. There was financing in part by the Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - Brasil (CAPES)?[Finance Code 001] and Associa??o Fundo de Incentivo ? Pesquisa (Afip). The clinical trial of this study was registered at Brazilian Clinical Trials, number RBR-3z474z, URL: http://www.ensaiosclinicos.gov.br/rg/RBR-3z474z/. Registration Date: March 24th, 2015. Publisher Copyright: © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2021
Y1 - 2021
N2 - Background: Most posttraumatic stress disorder (PTSD) sleep disturbances reports have been conducted in male combat veteran populations, usually decades after the disorder’s onset. Given the increase in the prevalence of violence against women and the fact that women are at greater risk for developing PTSD, it is critical to examine sleep abnormalities in this population. Objectives: To examine subjective and objective sleep quality in young women with PTSD following sexual assault compared with a control group at baseline and after one year of treatment. Methods: Seventy-four women with PTSD following sexual assault and 64 healthy controls with no history of sexual assault were assessed using the Clinician-Administered PTSD Scale (CAPS-5), the Beck Depression Inventory, the Beck Anxiety Inventory, the Pittsburgh Sleep Quality Index (PSQI), the Modified Fatigue Impact Scale, and the Insomnia Severity Index. Subjects also underwent full in-lab polysomnography. PTSD participants received pharmacological and/or psychological therapy between baseline and one-year follow-up. Results: The PTSD group had significantly higher scores in the clinical and sleep measurements than the control group. Although the PTSD group reported poorer subjective sleep quality than healthy controls, there were few between-group differences in objective sleep. Analysis of the PTSD group at baseline and one-year follow-up showed that the PSQI global score was a significant predictor of PTSD improvement. Conclusions: Sleep quality is impaired in young women with PTSD and may impact long-term treatment responses. Better sleep quality is significantly associated with PTSD improvement, independent of depression and anxiety.
AB - Background: Most posttraumatic stress disorder (PTSD) sleep disturbances reports have been conducted in male combat veteran populations, usually decades after the disorder’s onset. Given the increase in the prevalence of violence against women and the fact that women are at greater risk for developing PTSD, it is critical to examine sleep abnormalities in this population. Objectives: To examine subjective and objective sleep quality in young women with PTSD following sexual assault compared with a control group at baseline and after one year of treatment. Methods: Seventy-four women with PTSD following sexual assault and 64 healthy controls with no history of sexual assault were assessed using the Clinician-Administered PTSD Scale (CAPS-5), the Beck Depression Inventory, the Beck Anxiety Inventory, the Pittsburgh Sleep Quality Index (PSQI), the Modified Fatigue Impact Scale, and the Insomnia Severity Index. Subjects also underwent full in-lab polysomnography. PTSD participants received pharmacological and/or psychological therapy between baseline and one-year follow-up. Results: The PTSD group had significantly higher scores in the clinical and sleep measurements than the control group. Although the PTSD group reported poorer subjective sleep quality than healthy controls, there were few between-group differences in objective sleep. Analysis of the PTSD group at baseline and one-year follow-up showed that the PSQI global score was a significant predictor of PTSD improvement. Conclusions: Sleep quality is impaired in young women with PTSD and may impact long-term treatment responses. Better sleep quality is significantly associated with PTSD improvement, independent of depression and anxiety.
KW - PSQI
KW - PTSD
KW - sexual assault
KW - sexual violence
KW - sleep disorder
UR - http://www.scopus.com/inward/record.url?scp=85108778084&partnerID=8YFLogxK
U2 - https://doi.org/10.1080/20008198.2021.1934788
DO - https://doi.org/10.1080/20008198.2021.1934788
M3 - Article
C2 - 34221253
SN - 2000-8198
VL - 12
JO - European journal of psychotraumatology
JF - European journal of psychotraumatology
IS - 1
M1 - 1934788
ER -