Post traumatic stress symptom variation associated with sleep characteristics.

Background: Post traumatic stress disorder (PTSD) and sleep problems are highly related. The relationship between nighttime sleep characteristics and next day post traumatic stress symptoms (PTSS) is not well known. This study examined the relationship between the previous night's sleep duration, number of awakenings, sleep quality, trouble falling asleep, and difficulty staying asleep and PTSS the following day.

Daily variation in post traumatic stress symptoms in individuals with and without probable post traumatic stress disorder.

Background: Little is known about the extent to which post traumatic stress symptoms (PTSS) vary from day to day in individuals with post traumatic stress disorder (PTSD). This study examined the variation of PTSS by day of the week, and whether daily or day of week variation differs between individuals with and without probable PTSD.

Methods: Subjects (N = 80) were assessed for probable PTSD at enrollment.

Impact of an Enduring War on Two Military Psychiatry Residency Programs.

Four active duty military psychiatrists at different points in their careers were asked to reflect on the impact that the wars in Iraq and Afghanistan had on their respective training in military psychiatry residency programs. The result is an inside look from four unique perspectives on how military psychiatry residency training adapted over time to prepare their graduates to practice psychiatry in a wartime setting as many graduates went to the front lines of war shortly after graduation. This article will provide an understanding of the challenges faced by these residency programs striving to meet the behavioral health needs created by war while balancing this with ongoing ACGME requirements, how those challenges were met, and the impact it had on residents.

Citalopram-induced hallucinations and delusions in a young adult.

Objective: To report on a case of citalopram-induced hallucinations and delusions.

Method: The authors present the case of a patient who developed psychotic symptoms including hallucinations and delusions shortly after starting the SSRI citalopram for posttraumatic stress disorder and associated depression.

Results: Citalopram was discontinued and his symptoms quickly resolved.

Sentinel cases of community-acquired methicillin-resistant Staphylococcus aureus onboard a naval ship.

Methicillin-resistant Staphylococcus aureus (MRSA) is emerging as a community-acquired organism. A number of recent reports have documented its involvement in a variety of infections in which no risk factors for nosocomial transmission are present. This report presents the initial cases of a MRSA outbreak on a U.