Understanding nightmares after traumatic events in Detroit (UNiTED): prospective associations with interpersonal violence and posttraumatic stress disorder symptoms
European Journal of Psychotraumatology October 8, 2024 A. Reffi, Philip Cheng, D. Kalmbach et al.
Among 88 predominantly low-income, Black, urban patients hospitalized after traumatic injury, those exposed to interpersonal violence (e.g., assault) were significantly more likely to experience trauma-related nightmares (TRNs) over two months than those exposed to non-interpersonal trauma (e.g., motor vehicle collision): 80% vs. 48.7%. Interpersonal violence patients had nearly five times greater odds of TRNs across timepoints. TRNs at one month prospectively predicted more severe PTSD symptoms at two months, beyond initial PTSD status. The authors propose that early nightmare-focused treatment after interpersonal violence may reduce PTSD risk.