engleski

Differences in symptoms of insomnia between patients with PTSD and complex PTSD

According to recent data up to 80-90 per cent of patients with PTSD experience insomnia and comorbid sleeping disturbances. Patients with sleep disorders are in higher risk of functional disability. Also their existing PTSD symptoms may exacerbate insomnia. Current PTSD diagnosis often does not fully capture the severity of psychological harm that occurs with prolonged, repeated trauma, such as: changes in self-concept and adaptation skills, addictive behaviour, self- mutilation. ICD 11 identifies complex PTSD as a separate condition that includes PTSD with personality changes, though the DSM-V currently does not. This study among 100 patients with PTSD and complex PTSD is a part of other project about correlation of stress exposure, presence of PTSD symptoms and inflammatory markers connected with some somatic diseases. Diagnosis of complex PTSD based on results of „International Trauma Questionnaire“. Insomnia symptoms measured by: „Insomnia Severity Index“. Reliving the trauma through flash backs and nightmares may lead to hyper-arousal , avoiding going to bed and worsening insomnia symptoms. The aim of our study is to compare and identify differences between insomnia symptoms among these two conditions, and to better understand complex PTSD, still often misdiagnosed as personality disorder, or unrecognized.

PTSD ; complex PTSD ; insomnia ; sleep disturbance

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