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The Extreme Nocturnal Manifestation of Trauma: Trauma Associated Sleep Disorder

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Book cover Sleep and Combat-Related Post Traumatic Stress Disorder

Abstract

Trauma associated sleep disorder (TSD) is likely a novel REM sleep related parasomnia which develops after trauma associated with sleep deprivation and/or disruption. Patients present with trauma related nightmares and disruptive nocturnal behaviors. These are the most profound sleep disturbances incited by trauma but are not well characterized. This may in part result from their rare occurrence in monitored settings, which contrasts distinctly with patient’s self-reported nocturnal experiences. Disruptive nocturnal behaviors consisting of vocalizations, autonomic discharges of tachycardia, tachypnea, night sweats, and non-specific movements as well as dream enactment behavior are reported. Recognizing the clinical features of TSD and classifying it as a distinct parasomnia are paramount to treating the extreme nocturnal distress characteristic of this disorder.

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Authors and Affiliations

  1. Department of Sleep Medicine, San Antonio Military Medical Center, 2200 Berquist Drive, Suite 1 JBSA, Lackland, TX, USA

    Vincent Mysliwiec

  2. Maj. Department of Sleep Medicine, San Antonio Military Medical Center, San Antonio, USA

    Matthew S. Brock

  3. Science and Technology Division, 59th Medical Wing, JBSA-Lackland, San Antonio, TX, USA

    Amanda L. Thomas

  4. Madigan Army Medical Center, Department Pulmonary, Critical Care and Sleep Medicine, Tacoma, WA, USA

    Jennifer L. Creamer

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  1. Vincent Mysliwiec
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  2. Matthew S. Brock
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  3. Amanda L. Thomas
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  4. Jennifer L. Creamer
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Correspondence to Vincent Mysliwiec .

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Editors and Affiliations

  1. Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands

    Eric Vermetten

  2. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

    Anne Germain

  3. University of California, San Francisco, California, USA

    Thomas C. Neylan

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Mysliwiec, V., Brock, M.S., Thomas, A.L., Creamer, J.L. (2018). The Extreme Nocturnal Manifestation of Trauma: Trauma Associated Sleep Disorder. In: Vermetten, E., Germain, A., Neylan, T. (eds) Sleep and Combat-Related Post Traumatic Stress Disorder. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7148-0_18

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