Cited by 337Sleep and related disordersPosttraumatic Stress Disorder ResearchSleep and Wakefulness Research

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Sleep and posttraumatic stress disorder: a review

Harvey, Allison G, Jones, Charlie, Schmidt, D.Anne·2003·Clinical Psychology Review

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Abstract

Research seeking to establish the relationship between sleep and posttraumatic stress disorder (PTSD) is in its infancy. An empirically supported theory of the relationship is yet to emerge. The aims of the present paper are threefold: to summarise the literature on the prevalence and treatment of sleep disturbance characteristic of acute stress disorder (ASD) and PTSD, to critically review this literature, and to draw together the disparate theoretical perspectives that have been proposed to account for the empirical findings. After a brief overview of normal human sleep, the literature specifying the relation between sleep disturbance and PTSD is summarized. This includes studies of the prevalence of sleep disturbance and nightmares, content of nightmares, abnormalities in rapid eye movement (REM) sleep, arousal threshold during sleep, body movement during sleep, and breathing-related sleep disorders. In addition, studies of the treatment of sleep disturbance in individuals with PTSD are reviewed. We conclude that the role of sleep in PTSD is complex, but that it is an important area for further elucidating the nature and treatment of PTSD. Areas for future research are specified. In particular, a priority is to improve the methodology of the research conducted.

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Background
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Authors: Harvey, A. G., Jones, C., & Schmidt, D. A.
Affiliations: University of Oxford (GB)
Corresponding author: Harvey, Allison G
ORCID: Harvey, Allison G
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2003-05
Volume: 23
Issue: 3
Pages: 377-407
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/s0272-7358(03)00032-1
OpenAlex: W2163325497
Cited by: 337
References: 142
Citations by year: 2026: 13 · 2025: 8 · 2024: 11 · 2023: 18 · 2022: 11 · 2021: 19 · 2020: 13 · 2019: 9 · 2018: 7 · 2017: 29 · 2016: 12 · 2015: 16 · 2014: 21 · 2013: 18 · 2012: 15
FWCI: 12.91
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords: post-traumatic stress disorder, sleep disorders, acute stress disorder, nightmares, REM sleep abnormalities, sleep-related movement disorders
MeSH terms: Humans, Middle Aged, Sleep Wake Disorders, Sleep, REM, Stress Disorders, Post-Traumatic, Veterans, Cognitive Behavioral Therapy

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