Increased Sleep Disturbances and Pain in Veterans With Comorbid Traumatic Brain Injury and Posttraumatic Stress Disorder
Author(s) -
Nadir M. Balba,
Jonathan E. Elliott,
Kris Weymann,
Ryan A. Opel,
Joseph W. Duke,
Barry Oken,
Benjamin J. Morasco,
Mary M. Heinricher,
Miranda M. Lim
Publication year - 2018
Publication title -
journal of clinical sleep medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.529
H-Index - 92
eISSN - 1550-9397
pISSN - 1550-9389
DOI - 10.5664/jcsm.7482
Subject(s) - medicine , posttraumatic stress , traumatic brain injury , sleep (system call) , sleep disorder , comorbidity , psychiatry , clinical psychology , physical medicine and rehabilitation , insomnia , computer science , operating system
Veterans are at an increased risk for traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD), both of which are associated with sleep disturbances and increased pain. Furthermore, sleep disturbances and pain are reciprocally related such that each can exacerbate the other. Although both TBI and PTSD are independently linked to sleep disturbances and pain, it remains unclear whether Veterans with comorbid TBI+PTSD show worse sleep disturbances and pain compared to those with only TBI or PTSD. We hypothesized that sleep and pain would be worse in Veterans with comorbid TBI+PTSD compared to Veterans with only TBI or PTSD.
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