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The Psychophysiology of PTSD Nightmares

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Sleep and Combat-Related Post Traumatic Stress Disorder

Abstract

Trauma-related nightmares distinguish posttraumatic stress disorder from related mood and anxiety disorders and promise a privileged view into its pathophysiology. This promise has been unkept, in part, because nightmares are rarely observed in the sleep laboratory and represent, at best, a free-recall exercise in which the original stimulus is unknown to the experimenter. We discuss below our efforts to learn more about trauma-related nightmares using laboratory and ambulatory polysomnography. These and other results are next integrated into a broader perspective on the possible interaction of sleep and fear systems. Finally, we consider the important findings of Cano, Mochizuki, and Saper and their implications for future work in this area.

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Authors and Affiliations

  1. National Center for Posttraumatic Stress Disorder, Dissemination and Training Division, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA

    Steven H. Woodward

  2. White Rock South Surrey Mental Health and Addictions Centre, White Rock, BC, USA

    Geoff Michell

  3. Seattle Division, VA Puget Sound Health Care System, Seattle, WA, USA

    Craig Santerre

Authors
  1. Steven H. Woodward
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  2. Geoff Michell
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  3. Craig Santerre
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Correspondence to Steven H. Woodward .

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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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Woodward, S.H., Michell, G., Santerre, C. (2018). The Psychophysiology of PTSD Nightmares. 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_20

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