7/25/2019 Effects of Blast Exposure on Subjective and Objective
Sleep Measures in Combat Veterans With and Without PTSD
1/2
Effects of Blast Exposure on Subjective and Objective Sleep
Measures in Combat
Veterans with and without PTS
http://dx.doi.org/10.5664/jcsm.5392
Ryan P.J. toc!"r# Psy$1#2% &"njamin '.(. Pa)*# +,1% -omm"n
+amm"n1#2% ass"n han# &1%
+arissa . i"p*y# &1% nn" "rmain# Ph$2
1ni"rsity o Pitts)rgh +"dica* "nt"r# Pitts)rgh# P% 2ni"rsity o
Pitts)rgh choo* o
+"dicin"# $"partm"nt o Psychiatry# Pitts)rgh# P
Stud! Objectives
'his st)dy "xamin"d th" "xt"nt to 7hich s"*8r"port"d "xpos)r" to
*ast d)ring d"p*oym"nt to
ra and ghanistan a"cts s)j"cti" and oj"cti" s*""p m"as)r"s in
s"ric" m"m"rs and
"t"rans 7ith and 7itho)t posttra)matic str"ss disord"r ;P'$ ?
5.>6 y"ars o*d%
@5A m"n< comp*"t"d s"*8r"port s*""p m"as)r"s and o"rnight
po*ysomnographic st)di"s. Bo)rm)*tiariat" ana*ys"s o arianc"
;+C-Ds< 7"r" cond)ct"d to "xamin" th" impact o *ast
"xpos)r" and P'$ on s)j"cti" s*""p m"as)r"s# m"as)r"s o s*""p
contin)ity# non8rapid "y"
mo"m"nt ;CR(+< s*""p param"t"rs# and rapid "y" mo"m"nt
;R(+< s*""p param"t"rs.
"esults
'h"r" 7as no signiicant &*ast E P'$ int"raction on s)j"cti"
s*""p m"as)r"s. Rath"r# P'$had a main ""ct on insomnia s""rity#
s*""p )a*ity# and disr)pti" noct)rna* "haiors. 'h"r"7as no
signiicant &*ast E P'$ int"raction# nor 7"r" th"r" main ""cts o
P'$ or &*ast on
m"as)r"s o s*""p contin)ity and CR(+ s*""p. signiicant P'$ E
&*ast int"raction ""ct 7as
o)nd or R(+ ragm"ntation.
Conclusions
'h" r"s)*ts s)gg"st that# a*tho)gh p"rsist"nt conc)ssi" symptoms
o**o7ing *ast "xpos)r" ar"
associat"d 7ith s*""p dist)ranc"s# s"*8r"port"d *ast "xpos)r"
7itho)t conc)rr"nt symptomsdo"s not app"ar to contri)t" to poor
s*""p )a*ity# insomnia# and disr)pti" noct)rna*
dist)ranc"s "yond th" ""cts o P'$. R"d)c"d R(+ s*""p
ragm"ntation may " a s"nsiti"ind"x o th" syn"rg"tic ""cts o oth
psycho*ogica* and physica* ins)*ts.
Citation
toc!"r RP# Pa)* &'# +amm"n -# han # i"p*y +# "rmain . ("cts
o *ast "xpos)r" on
s)j"cti" and oj"cti" s*""p m"as)r"s in comat "t"rans 7ith and
7itho)t P'$.J Clin Sleep
Med2016%12;1
