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War, Sleep and PTSD War, and War-Related Trauma: An Overview

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Sleep and Combat-Related Post Traumatic Stress Disorder

Abstract

Throughout history, times of massive destruction create an atmosphere of chaos that compels individuals to face the terror of unanticipated injury, loss, and death. During natural or man-made disasters, war, and acts of terror, psychological injury may occur on its own or in conjunction with physical injury. This psychological trauma may occur following exposure to the injury and death of others, the disruption of the physical environment, or as a consequence of the terror and helplessness that these events combine to evoke.

The views expressed in this chapter are those of the author and do not reflect the official policy of the Department of Army/Navy/Air Force, Department of Defense, or U.S. Government. The identification of specific products or scientific instrumentation is considered an integral part of the scientific endeavor and does not constitute endorsement or implied endorsement on the part of the author, DoD, or any component agency.

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References

  1. Benedek DM, Ursano RJ, Holloway HC. Military and disaster psychiatry: chapter 28.9. In: Sadock BJ, Sadock VA, editors. Comprehensive textbook of psychiatry, vol. II. 8th ed. Baltimore: Lippincott Williams & Wilkins; 2005. p. 2426–35. 2005.

    Google Scholar 

  2. Ursano RJ, et al. Posttraumatic stress disorder and traumatic stress: from bench to bedside, from war to disaster. Ann N Y Acad Sci. 2010;1208:72–81.

    Article  PubMed  Google Scholar 

  3. Shephard B. A war of nerves: soldiers and psychiatrists in the twentieth century. Cambridge, MA: Harvard University Press; 2001.

    Google Scholar 

  4. Department of Veteran Affairs. America’s wars. Cited 29 Aug 2016. Available from: https://www.va.gov/opa/publications/factsheets/fs_americas_wars.pdf.

  5. Defense Casualty Analysis System. Cited 29 Aug 2016. 2016. Available from: https://www.dmdc.osd.mil/dcas/pages/casualties.xhtml.

  6. Iraq by the numbers. (2011). Available from: http://dpc.senate.gov/docs/fs-112-1-36.pdf.

  7. Mastroianni GR et al. Chapter 3: the stresses of modern war. In Biobehavioral resilience to stress. CRC Press; 2008. p. 43–55.

    Google Scholar 

  8. Huffman AH, S.C.P. Military life: the psychology of serving in peace and combat. In: Britt TW, Adler AB, Castro CA, editors. The military family. Westport: Praeger Security International; 2006. p. 115–37.

    Google Scholar 

  9. Segal DR, M.W.S America’s military population. In: Population Bulletin. 2004. p. 3–40.

    Google Scholar 

  10. Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748–66.

    Article  CAS  PubMed  Google Scholar 

  11. Watson PJ, Shalev AY. Assessment and treatment of adult acute responses to traumatic stress following mass traumatic events. CNS Spectr. 2005;10(2):123–31.

    Article  PubMed  Google Scholar 

  12. Bell DB, Bartone J, Bartone BT, Schumm WR, Gade PA. USAREUR family support during operation joint endeavor: summary report. Alexandria: U.S. Army Research Institute for the Behavioral and Social Sciences; 1997.

    Book  Google Scholar 

  13. Joint Mental Health Advisory Team 7 (J-MHAT 7), Operation Enduring Freedom 2010, Afghanistan. Joint Mental Health Advisory Team 7; 2011.

    Google Scholar 

  14. Mental health advisory team report (MHAT) VI, Operation Iraqi Freedom 07–09, report. In Army medicine reports. Mental Health Advisory Team VI; 2009.

    Google Scholar 

  15. Johnson DR, et al. The impact of the homecoming reception on the development of posttraumatic stress disorder. The West Haven Homecoming Stress Scale (WHHSS). J Trauma Stress. 1997;10(2):259–77.

    CAS  PubMed  Google Scholar 

  16. Rabkin JG, Struening EL. Live events, stress, and illness. Science. 1976;194(4269):1013–20.

    Article  CAS  PubMed  Google Scholar 

  17. Rahe RH. Epidemiological studies of life change and illness. Int J Psychiatry Med. 1975;6(1–2):133–46.

    Article  CAS  PubMed  Google Scholar 

  18. Rahe RH, Arthur RJ. Life change and illness studies: past history and future directions. J Hum Stress. 1978;4(1):3–15.

    Article  CAS  Google Scholar 

  19. Rahe RH, et al. Social stress and illness onset. J Psychosom Res. 1964;54:35–44.

    Article  Google Scholar 

  20. Bell D, Bartone J, Bartone BT, Schumm WR, Gade PA. USAREUR family support during operation joint endeavor: summary report. Alexandria: U.S. Army Research Institute for the Behavioral and Social Sciences; 1997.

    Book  Google Scholar 

  21. Milliken CS, Auchterlonie JL, Hoge CW. Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. JAMA. 2007;298(18):2141–8.

    Article  CAS  PubMed  Google Scholar 

  22. Williams SL, et al. Multiple traumatic events and psychological distress: the South Africa stress and health study. J Trauma Stress. 2007;20(5):845–55.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Hoge CW, et al. Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med. 2004;351(1):13–22.

    Article  CAS  PubMed  Google Scholar 

  24. Kuehn BM. Soldier suicide rates continue to rise: military, scientists work to stem the tide. JAMA. 2009;301(11):1111. 1113

    Article  CAS  PubMed  Google Scholar 

  25. Jakupcak M, et al. Posttraumatic stress disorder as a risk factor for suicidal ideation in Iraq and Afghanistan War veterans. J Trauma Stress. 2009;22(4):303–6.

    Article  PubMed  Google Scholar 

  26. Gradus JL, et al. Posttraumatic stress disorder and completed suicide. Am J Epidemiol. 2010;171(6):721–7.

    Article  PubMed  Google Scholar 

  27. Nock MK, et al. Cross-national analysis of the associations among mental disorders and suicidal behavior: findings from the WHO World Mental Health Surveys. PLoS Med. 2009;6(8):e1000123.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Nock MK, et al. Mental disorders, comorbidity and suicidal behavior: results from the National Comorbidity Survey Replication. Mol Psychiatry. 2010;15(8):868–76.

    Article  CAS  PubMed  Google Scholar 

  29. Wilcox HC, Storr CL, Breslau N. Posttraumatic stress disorder and suicide attempts in a community sample of urban american young adults. Arch Gen Psychiatry. 2009;66(3):305–11.

    Article  PubMed  Google Scholar 

  30. Killgore WD, et al. Post-combat invincibility: violent combat experiences are associated with increased risk-taking propensity following deployment. J Psychiatr Res. 2008;42(13):1112–21.

    Article  PubMed  Google Scholar 

  31. Boscarino JA. Posttraumatic stress disorder and mortality among U.S. Army veterans 30 years after military service. Ann Epidemiol. 2006;16(4):248–56.

    Article  PubMed  Google Scholar 

  32. McGarry, ATAB. Accidental overdoses alarm military officials. Air Force Times; 2010.

    Google Scholar 

  33. Paulozzi L, Baldwin G, Franklin G, Kerlikowske RG, Jones CM, Ghiya N, Popovic T. CDC grand rounds: prescription drug overdoses – a U.S. epidemic. MMWR Morb Mortal Wkly Rep. 2012;61(1):10–3.

    Google Scholar 

  34. Jakupcak M, et al. Anger, hostility, and aggression among Iraq and Afghanistan War veterans reporting PTSD and subthreshold PTSD. J Trauma Stress. 2007;20(6):945–54.

    Article  PubMed  Google Scholar 

  35. Marshall AD, Panuzio J, Taft CT. Intimate partner violence among military veterans and active duty servicemen. Clin Psychol Rev. 2005;25(7):862–76.

    Article  PubMed  Google Scholar 

  36. Jordan BK, et al. Problems in families of male Vietnam veterans with posttraumatic stress disorder. J Consult Clin Psychol. 1992;60(6):916–26.

    Article  CAS  PubMed  Google Scholar 

  37. Bryant RA, Harvey AG. Posttraumatic stress reactions in volunteer firefighters. J Trauma Stress. 1996;9(1):51–62.

    Article  CAS  PubMed  Google Scholar 

  38. Fullerton CS, et al. Psychological responses of rescue workers: fire fighters and trauma. Am J Orthop. 1992;62(3):371–8.

    Article  CAS  Google Scholar 

  39. Marmar CR, et al. Stress responses of emergency services personnel to the Loma Prieta earthquake Interstate 880 freeway collapse and control traumatic incidents. J Trauma Stress. 1996;9(1):63–85.

    Article  CAS  PubMed  Google Scholar 

  40. McCarroll JE, Ursano RJ, Fullerton CS. Symptoms of PTSD following recovery of war dead: 13–15-month follow-up. Am J Psychiatry. 1995;152(6):939–41.

    Article  CAS  PubMed  Google Scholar 

  41. Ursano RJ, McCarroll JE, Fullerton CS. In: Ursano EARJ, editor. Textbook of disaster psychiatry. New York: Cambridge University Press; 2007.

    Chapter  Google Scholar 

  42. McCarroll JE, et al. Effects of exposure to death in a war mortuary on posttraumatic stress symptoms. J Nerv Ment Dis. 2001;189(1):44–8.

    Article  CAS  PubMed  Google Scholar 

  43. McCarroll JE, et al. Somatic symptoms in Gulf War mortuary workers. Psychosom Med. 2002;64(1):29–33.

    Article  PubMed  Google Scholar 

  44. Casualty status. Department of Defense; 2012.

    Google Scholar 

  45. Sher L. Suicide in war veterans: the role of comorbidity of PTSD and depression. Expert Rev Neurother. 2009;9(7):921–3.

    Article  PubMed  Google Scholar 

  46. Cozza SJ, Chun RS, Polo JA. Military families and children during operation Iraqi freedom. Psychiatr Q. 2005;76(4):371–8.

    Article  PubMed  Google Scholar 

  47. LeClere FBA, Kowalewski BM. Disability in the family: the effects on children’s well-being. J Marriage Fam. 1994;56:457–68.

    Article  Google Scholar 

  48. Pessar LF, et al. The effects of parental traumatic brain injury on the behaviour of parents and children. Brain Inj. 1993;7(3):231–40.

    Article  CAS  PubMed  Google Scholar 

  49. Cozza SJ, et al. Combat-injured service members and their families: the relationship of child distress and spouse-perceived family distress and disruption. J Trauma Stress. 2010;23(1):112–5.

    PubMed  Google Scholar 

  50. Jelinek P. Military divorces edge up again in 9th year of war. Washington, DC: The Associated Press; 2009.

    Google Scholar 

  51. Seelig AD, Jacobson IG, Smith B, Hooper TI, Boyko EJ, Gackstetter GD, et al. Sleep patterns before, during, and after deployment to Iraq and Afghanistan. Sleep. 2010;33(12):1615–22.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Price M, Gros DF, Strachan M, Ruggiero KJ, Acierno R. Combat experiences, pre-deployment training, and outcome of exposure therapy for post-traumatic stress disorder in Operation Enduring Freedom/Operation Iraqi Freedom veterans. Clin Psychol Psychother. 2013;20(4):277–85.

    Article  PubMed  Google Scholar 

  53. Kessler RC, Heeringa SG, Stein MB, Colpe LJ, Fullerton CS, Hwang I, et al. Thirty-day prevalence of DSM-IV mental disorders among nondeployed soldiers in the US Army: results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). JAMA Psychiatry, 2014. 2014;71(5):504–13.

    Article  Google Scholar 

  54. Koffel E, Polusny MA, Arbisi PA, Erbes CR. Pre-deployment daytime and nighttime sleep complaints as predictors of post-deployment PTSD and depression in National Guard troops. J Anxiety Disord. 2013;27(5):512–9.

    Article  PubMed  Google Scholar 

  55. Mellman TA, Pigeon WR, Nowell PD, Nolan B. Relationships between REM sleep findings and PTSD symptoms during the early aftermath of trauma. J Trauma Stress. 2007;20(5):893–901.

    Article  PubMed  Google Scholar 

  56. Bryant RA, Creamer M, O’Donnell M, Silove D, McFarlane AC. Sleep disturbance immediately prior to trauma predicts subsequent psychiatric disorder. Sleep. 2010;33(1):69–74.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Lieberman HR, Bathalon GP, Falco CM, Kramer FM, Morgan CA 3rd, Niro P. Severe decrements in cognition function and mood induced by sleep loss, heat, dehydration, and undernutrition during simulated combat. Biol Psychiatry. 2005;57(4):422–9.

    Article  PubMed  Google Scholar 

  58. Lieberman HR, Niro P, Tharion WJ, Nindl BC, Castellani JW, Montain SJ. Cognition during sustained operations: comparison of a laboratory simulation to field studies. Aviat Space Environ Med. 2006;77(9):929–35.

    PubMed  Google Scholar 

  59. Hermans D, Craske MG, Mineka S, Lovibond PF. Extinction in human fear conditioning. Biol Psychiatry. 2006;60(4):361–8.

    Article  PubMed  Google Scholar 

  60. Pace-Schott EF, Germain A, Milad MR. Effects of sleep on memory for conditioned fear and fear extinction. Psychol Bull. 2015;141(4):835–57.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Pace-Schott EF, Germain A, Milad MR. Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory. Biol Mood Anxiety Disord. 2015;5(1):1–19.

    Article  Google Scholar 

  62. Craske MG, Kircanski K, Zelikowsky M, Mystkowski J, Chowdhury N, Baker A. Optimizing inhibitory learning during exposure therapy. Behav Res Ther. 2008;46(1):5–27.

    Article  PubMed  Google Scholar 

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Correspondence to Patcho N. Santiago .

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Santiago, P.N., Oravec, G.J., Ursano, R.J. (2018). War, Sleep and PTSD War, and War-Related Trauma: An Overview. 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_1

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  • DOI: https://doi.org/10.1007/978-1-4939-7148-0_1

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