Douglas M. Wallace|Shirin Shafazand|Alberto R. Ramos|Diego Z. Carvalho|Hannah Gardener|Dalia Lorenzo|William K. Wohlgemuth
Insomnia characteristics and clinical correlates in Operation Enduring Freedom/Operation Iraqi Freedom veterans with post-traumatic stress disorder and mild traumatic brain injury: An exploratory study
University of Miami
limited data chronic insomnia operation enduring freedomoperation iraqi freedom oefoif veterans posttraumatic stress disorder ptsd mild traumatic brain injury mtbi often coexist aim compare sleep characteristics three groups oefoif veterans 1 healthy sleepers hs 2 insomnia associated ptsd mtbi ptsdmtbi 3 insomnia associated ptsd aloneconsecutive veterans insomnia complaints 6 months recruited 6 months miami va post deployment clinic participants completed sleep disorders clinical interview medical history questionnaires insomnia sleepiness pain fatigue depression ptsd healthrelated quality life underwent polysomnography psg 2 weeks actigraphy act sleep diariesthere differences demographics questionnaire responses ptsd ptsdmtbi groups subjective daytime sleepiness significantly greater ptsdmtbi subjects compared hs ptsd participants significant comorbid sleep disorders noted insomnia patients psg act wake sleep onset significantly shorter ptsdmtbi subjects compared ptsd participantsinsomnia patients ptsdmtbi subjectively sleepier despite spending less time awake night ptsd subjects possibly consequence head trauma