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Distinguishing Current From Remitted Posttraumatic Stress Disorder—Reply
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In reply
In our article entitled "Sleep in Lifetime Posttraumatic Stress Disorder: A Community-Based Polysomnographic Study,"1 we report polysomnographic findings from a large study nested in a well-described, longitudinal epidemiologic sample. The PTSD subset comprises lifetime cases, both current and past, combined based on the absence of any evidence suggesting group differences. We found no evidence for clinically relevant sleep disturbances in lifetime PTSD but higher rates of arousal from REM, a finding of uncertain clinical relevance. Clearly, our findings do not lead us to deny the possibility that some PTSD cases have sleep disturbances and could benefit from treatment.
Drs Woodward, Neylan, Mellman, and Ross find in our article confirmation for their beliefs about sleep phenomena in PTSD. They do so by redefining the article as a study of remitted (past) PTSD and discounting current cases as irrelevant for the reported results, which are based on the combined group. . . . [Full Text of this Article]
AUTHOR INFORMATION
Naomi Breslau, PhD;
Thomas Roth, PhD;
Eleni Burduvali, MA;
Alissa Kapke, MA;
Lonnie Schultz, PhD;
Timothy Roehrs, PhD
RELATED LETTER
Distinguishing Current From Remitted Posttraumatic Stress Disorder
Steven H. Woodward, Thomas C. Neylan, Thomas A. Mellman, and Richard J. Ross
Arch Gen Psychiatry. 2006;63(8):940-941.
EXTRACT
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RELATED ARTICLE
Sleep in Lifetime Posttraumatic Stress Disorder: A Community-Based Polysomnographic Study
Naomi Breslau, Thomas Roth, Eleni Burduvali, Alissa Kapke, Lonni Schultz, and Timothy Roehrs
Arch Gen Psychiatry. 2004;61(5):508-516.
ABSTRACT
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