Veterans Affairs Connecticut Health Care System, 950 Campbell Ave., West Haven, CT, 06516, United States; Department of Psychiatry, Yale School of Medicine, 300 George St., New Haven, CT, 06511, United States.
National Center for PTSD, 163 Veterans Drive, White River Junction, VT, 05009, United States.
J Anxiety Disord. 2021 Jun;81:102413. doi: 10.1016/j.janxdis.2021.102413. Epub 2021 May 1.
Sleep and posttraumatic stress disorder (PTSD) have a complex relationship, with some studies showing that disrupted sleep is associated with subsequent development of PTSD. The purpose of the current study was to examine the relationship between sleep quality and the development of probable PTSD in U.S. veterans surveyed as part of the National Health and Resilience in Veterans Study, a 7-year, nationally representative, prospective cohort study with four waves of data collection. Sociodemographic, military, trauma, and clinical variables were entered into a multivariate analysis to examine independent determinants of new-onset PTSD. A total of 142 (7.3 %) veterans developed PTSD over the 7-year study period. Poor/fair sleep quality at Wave 1 was associated with 60 % greater likelihood of developing PTSD, with more than twice as many veterans who developed PTSD reporting poor sleep quality at Wave 1 (47.8 % vs. 20.7 %). Younger age, using the VA as a primary source of healthcare, greater traumas since Wave, and lifetime depression were additionally associated with this outcome. Results of this study underscore the importance of self-reported sleep quality as a potential risk factor for the development of PTSD in the U.S. veteran population.
睡眠与创伤后应激障碍（PTSD）之间存在复杂的关系，一些研究表明，睡眠紊乱与随后 PTSD 的发展有关。本研究的目的是调查睡眠质量与美国退伍军人 PTSD 发病之间的关系，这些退伍军人是作为国家健康和退伍军人复原力研究的一部分进行调查的，该研究是一项为期 7 年、具有全国代表性的前瞻性队列研究，共进行了 4 轮数据收集。将社会人口统计学、军事、创伤和临床变量纳入多变量分析，以检查新发 PTSD 的独立决定因素。在 7 年的研究期间，共有 142 名（7.3%）退伍军人患上了 PTSD。第 1 波时睡眠质量差/一般与 PTSD 发病的可能性增加 60%有关，在出现 PTSD 的退伍军人中，睡眠质量差的比例要高得多（47.8%比 20.7%）。年龄较小、主要利用退伍军人事务部作为医疗保健来源、自第 1 波以来创伤更多，以及终生抑郁，也与这一结果有关。这项研究的结果强调了自我报告的睡眠质量作为美国退伍军人 PTSD 发病的潜在风险因素的重要性。
