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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Sorted by citations

Stress and Health: Psychological, Behavioral, and Biological Determinants
Schneiderman, N., Ironson, G., & Siegel, S. D. (2005) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.144141 · Cited by 2,252
“Another variable related to stress that could provide a link to health is the increased sleep problems that have been reported after sychological trauma (Harvey et al. 2003).”
Background
Overnight therapy? The role of sleep in emotional brain processing
Walker, M. P., & van der Helm, E. (2009) · Psychological Bulletin · doi:10.1037/a0016570 · Cited by 1,087
“It may not be coincidental, therefore, that such patients continue to display hyperarousal reactions to associated trauma cues (Harvey et al., 2003; Pole, 2007 ) and may indicate that the process of separating the affective tone from the emotional experience has not been accomplished.”
BackgroundInfluential
Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials
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The role of sleep in emotional brain function
Goldstein, A. N., & Walker, M. P. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153716 · Cited by 1,052
“Moreover, these reports offer tentative neural explanations for the pervasive co-occurrence of sleep abnormalities in psychiatric disorders (Armitage 2007, Buysse 2004, Franzen & Buysse 2008, Gottesmann & Gottesman 2007, Harvey et al 2003, Tsuno et al 2005).”
BackgroundInfluential
The Role of Sleep in Cognition and Emotion
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“It may not be coincidental, therefore, that these patients continue to display hyperarousal reactions to associated trauma cues (Harvey et al. 2003; Pole 2007), indicating that the process of separating the affective tone from the emotional experience has not been accomplished.”
Background

See all 337

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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