Sleep in Post-traumatic Stress Disorder

Abstract

Impaired sleep is a common complaint among patients with post-traumatic stress disorder. Sleep-related symptoms for post-traumatic stress disorder takes place within hyperarousal symptoms and re-experiencing traumatic life events in DSM-IV diagnostic criteria. Hyperarousal symptoms usually present as difficulty in initiation and maintaining sleep. Patients often complain from nightmares and these include repetition of traumatic events and reflect threatening incidents. Increased distressing dreams, increased phasic activity of rapid eye movement sleep, increased rapid eye movement sleep arousal, increased exaggerated startle response, a decrease in the recall of dreams and possibly increased arousal threshold are characteristics of sleep pattern in post-traumatic stress disorder..

Keywords

• Post-traumatic stress disorder, sleep, polisomnography

Travma Sonrası Stres Bozukluğunda Uyku

Öz

Uyku bozukluğu, travma sonrası stres bozukluğu hastaları arasında sık görülen bir yakınmadır. Travma sonrası stres bozukluğunda uykuyla ilgili bulgular DSM-IV tanı ölçütleri içinde travmatik olayları tekrar yaşama ve artmış uyarılmışlık bulguları içinde yer alır. Artmış uyarılmışlık bulguları, uykuya başlama ve devam ettirmede güçlük ile kendini gösterir. Gece kabusları da hastaların sıklıkla aktardığı ve travmatik olayların tekrarı ve tehdit eden olayların özelliklerini taşıyan yakınmalardır. Artmış sıkıntı verici rüyalar, artmış hızlı göz hareketleri dönemi uykusu fazik aktivitesi, hızlı göz hareketleri dönemi uykusu artmış uyarılmışlık, artmış abartılı irkilme tepkisi, görülen rüyaların yeniden hatırlanmasında azalma ve muhtemel artmış uyanıklık eşiği travma sonrası stres bozukluğundaki uyku örüntüsü için karakteristiktir.

Anahtar Kelimeler

• Travma sonrası stres bozukluğu, uyku, polisomnografi

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