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Impact of Traumatic Stress on Sleep and Management Options in Women.

Ihori Kobayashi, Mary Katherine Howell

Sleep Medicine Clinics September 2018 DOI: 10.1016/j.jsmc.2018.04.009 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Interventions Cognitive behavioral therapy for insomnia Imagery rehearsal therapy Prazosin
Topics PTSD
Keywords Cognitive behavioral therapy Imagery rehearsal therapy Insomnia Nightmares Pharmacotherapy Posttraumatic stress disorder Women
Key findings Reviews preliminary evidence indicating that cognitive behavioral therapy for insomnia, imagery rehearsal therapy, and their combinations are efficacious for treating insomnia and nightmares in trauma-exposed women, and that prazosin as an adjunct is potentially efficacious for trauma-related nightmares in women.

Abstract

After exposure to traumatic stress, women are at greater risk than men for developing symptoms of some psychiatric disorders, including insomnia and nightmares. Sleep disturbance is one of the most refractory symptoms of posttraumatic stress disorder. Women were included in a few studies that examined efficacy of psychological or pharmacologic interventions for trauma-related sleep disturbances. Studies demonstrated preliminary evidence for efficacy of cognitive behavioral therapy for insomnia, imagery rehearsal therapy, and combinations of these techniques in treating insomnia and nightmares in trauma-exposed women. Prazosin as an adjunct to ongoing treatment is a potentially efficacious strategy for treating trauma-related nightmares in women.

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