Publications by authors named "M Boussaud"
Sleep disorders in post-traumatic stress disorder (PTSD) are both diagnostic (nocturnal reliving) and prognostic. Poor sleep worsens the daytime symptomatology of PTSD and makes it resistant to treatment. However, no specific treatment is codified in France to treat these sleep disorders although sleep therapies (cognitive behavioural therapy for insomnia, psychoeducation and relaxation) have proven for years to be effective in treating insomnia.
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- Trauma-related nightmares (TRNs) significantly affect the sleep quality and treatment outcomes of PTSD patients, making it important to study them in realistic home environments rather than sleep labs.
- The study utilized two ambulatory devices to collect objective sleep data from 60 veterans and active-duty service members, correlating this data with their subjective complaints about sleep and TRNs over five nights.
- Findings showed a connection between TRNs and sleep stages, revealing that most awakenings from TRNs occurred during NREM sleep, alongside differences in electrodermal activity (EDA) before TRNs, suggesting EDA may serve as a potential marker for these nightmares.
The participation of the French army in the Afghan conflict has highlighted the need for discussion and action regarding the pathway, rehabilitation and reintegration of soldiers who have been physically or psychologically injured. Clinical experience demonstrates that difficulties are less likely to appear during the initial treatment phase than later on, when there is less group support and there are fewer visible effects of the recognition on the part of the institution. It is important to strengthen the links between healthcare personnel and institutional players, in order to optimise the medical and social care of these war casualties.
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