The following article reviews the existing data on autonomic nervous system status in posttraumatic stress disorder. This review is embedded in a framework that considers the comparative ethology of sleep under threat. In sum, the current literature, though still quite limited, supports a role for impaired parasympathetic drive but not for increased sympathetic drive in the periphery during sleep in PTSD. Understanding this domain better can be expected to provide insights into the elevated prevalence of cardiovascular disease in posttraumatic stress disorder (PTSD) and may help to identify as-yet unrecognized medical comorbidities. Measurement issues and future opportunities are considered.
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http://dx.doi.org/10.1016/j.ynstr.2022.100483 | DOI Listing |
J Psychiatr Res
January 2025
Psychological Health and Readiness, Naval Health Research Center, San Diego, CA, USA. Electronic address:
Despite effective psychotherapy options for posttraumatic stress disorder (PTSD), some patients do not fully respond, and even among those reporting substantial improvement, residual symptoms following treatment are common. Psychiatric conditions frequently co-occur with PTSD, yet research on residual symptoms among comorbid samples is lacking. This study examined residual symptoms of PTSD and depression among 71 active duty service members with PTSD and comorbid major depressive disorder (MDD).
View Article and Find Full Text PDFEur J Psychotraumatol
December 2025
Department of Gerontology, University of Haifa, Haifa, Israel.
On 13-14 April 2024, Iran launched ∼300 drones and missiles at Israel, in an unprecedented attack. As most studies examine the effects of trauma months or years later, less is known about its effects days later. To fill this gap, this study gauged the population response, five days after the attack.
View Article and Find Full Text PDFEur J Psychotraumatol
December 2025
Department of Clinical Neurophysiology, Danish Center for Sleep Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Sleep disturbances are widely reported in Post-Traumatic Stress Disorder (PTSD). Although Dream Enactment Behaviour (DEB) has long been associated with PTSD, its high prevalence has only recently been recognized, sparking discussions about the classification of trauma-related sleep disorders. The impact of DEB on treatment outcomes in PTSD remains unexplored.
View Article and Find Full Text PDFJ Clin Med
December 2024
Scientific Institute IRCCS "E. Medea", Scientific Direction, 23842 Bosisio Parini, Italy.
: Chronobiology has gained attention in the context of paediatric neurological and neuropsychiatric disorders, including migraine, epilepsy, autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and post-traumatic stress disorder (PTSD). Disruptions in circadian rhythms are associated with key symptoms such as sleep disturbances, mood dysregulation, and cognitive impairments, suggesting a potential for chronobiology-based therapeutic approaches. : This narrative review employs a systematic approach to identify relevant studies through searches of three major scientific databases, NCBI/PubMed, ScienceDirect, and Scopus, up to July 2024.
View Article and Find Full Text PDFJ Trauma Stress
January 2025
Department of Psychology, Harvard University, Cambridge, Massachusetts, USA.
Research suggests a bidirectional association between sleep disturbances and posttraumatic stress disorder (PTSD) symptoms. However, most studies have been conducted with group-level data, which do not necessarily capture the associations between PTSD symptoms and sleep within an individual over time. This study aimed to add to the literature concerning the association between sleep and PTSD and extend these findings to investigate the effect of sleep disturbances on positive affect.
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