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23-11-2019 | ORIGINAL PAPER

Sleep Disturbance and PTSD Symptoms in Psychiatric Inpatients: the Role of Mindfulness Facets

Auteurs: Lia J. Smith, Antoine Lebeaut, Anka A. Vujanovic

Gepubliceerd in: Mindfulness | Uitgave 2/2020

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Abstract

Objectives

Trauma exposure and posttraumatic stress disorder (PTSD) are significant concerns across psychiatric inpatient populations. Sleep disturbance is implicated in the etiology and maintenance of PTSD. Mindfulness facets, including observing, describing, acting with awareness, non-judging of inner experience, and non-reactivity to inner experience, may have clinical relevance to sleep disturbance and PTSD. No studies to date have examined associations among sleep disturbance, mindfulness facets, and PTSD symptom severity among psychiatric inpatients. Based upon the extant literature, greater sleep disturbance and lower acting with awareness, non-judging of inner experience, and non-reactivity to inner experience were expected to be associated with greater PTSD severity; sleep disturbance was expected to exert an indirect effect on PTSD severity through acting with awareness, non-reactivity to inner experience, and non-judging of inner experience. Covariates included trauma load and number of psychiatric diagnoses.

Methods

Participants included 115 trauma-exposed psychiatric inpatients (40.0% female; Mage = 33.2, SD = 10.9).
During an acute-care psychiatric inpatient hospitalization, participants were administered the Mini Mental Status Examination and completed a self-report packet, which included questionnaires used in the current investigation.

Results

Greater sleep disturbance and lower describing, acting with awareness, and non-judging of inner experience facets of mindfulness were each significantly associated with greater PTSD total symptom severity. Through non-judging of inner experience, sleep disturbance exerted an indirect effect on PTSD total symptom severity and the severity of PTSD symptom clusters, including intrusion, avoidance, negative cognitions and mood, and arousal and reactivity symptoms.

Conclusions

Future research and clinical work may target the mindfulness facet of non-judging of inner experience in order to reduce the association between sleep disturbance and PTSD symptomatology among psychiatric inpatients.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRef
go back to reference Armour, C., Tsai, J., Durham, T. A., Charak, R., Biehn, T. L., Elhai, J. D., & Pietrzak, R. H. (2015). Dimensional structure of DSM-5 posttraumatic stress symptoms: support for a hybrid anhedonia and externalizing behaviors model. Journal of Psychiatric Research, 61, 106–113.CrossRefPubMed Armour, C., Tsai, J., Durham, T. A., Charak, R., Biehn, T. L., Elhai, J. D., & Pietrzak, R. H. (2015). Dimensional structure of DSM-5 posttraumatic stress symptoms: support for a hybrid anhedonia and externalizing behaviors model. Journal of Psychiatric Research, 61, 106–113.CrossRefPubMed
go back to reference Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://doi.org/10.1037/pas0000254.CrossRefPubMed Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://​doi.​org/​10.​1037/​pas0000254.CrossRefPubMed
go back to reference Hartwig, E. M., Rufino, K. A., Palmer, C. A., Shepard, C., Alfano, C. A., Schanzer, B., … Patriquin, M. A. (2019). Trajectories of self-reported sleep disturbance across inpatient psychiatric treatment predict clinical outcome in comorbid major depressive disorder and generalized anxiety disorder. Journal of Affective Disorders, 251, 248-255. doi:https://doi.org/10.1016/j.jad.2019.03.069 CrossRefPubMed Hartwig, E. M., Rufino, K. A., Palmer, C. A., Shepard, C., Alfano, C. A., Schanzer, B., … Patriquin, M. A. (2019). Trajectories of self-reported sleep disturbance across inpatient psychiatric treatment predict clinical outcome in comorbid major depressive disorder and generalized anxiety disorder. Journal of Affective Disorders, 251, 248-255. doi:https://​doi.​org/​10.​1016/​j.​jad.​2019.​03.​069 CrossRefPubMed
go back to reference Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis (2nd ed.). New York, NY: Guilford Press. Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis (2nd ed.). New York, NY: Guilford Press.
go back to reference Hulsheger, U. R., Feinholdt, A., & Nubold, A. (2015). A low-dose mindfulness intervention and recovery from work: Effects on psychological detachment, sleep quality, and sleep duration. Journal of Occupational and Organizational Psychology, 88(3), 464–489. https://doi.org/10.1111/joop.12115.CrossRef Hulsheger, U. R., Feinholdt, A., & Nubold, A. (2015). A low-dose mindfulness intervention and recovery from work: Effects on psychological detachment, sleep quality, and sleep duration. Journal of Occupational and Organizational Psychology, 88(3), 464–489. https://​doi.​org/​10.​1111/​joop.​12115.CrossRef
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavioral Research Methods, 40(3), 879–891.CrossRef Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavioral Research Methods, 40(3), 879–891.CrossRef
go back to reference Schennach, R., Feige, B., Riemann, D., Heuser, J., & Voderholzer, U. (2019). Pre- to post-inpatient treatment of subjective sleep quality in 5,481 patients with mental disorders: a longitudinal analysis. Journal of Sleep Research, e12842. doi:https://doi.org/10.1111/jsr.12842 Schennach, R., Feige, B., Riemann, D., Heuser, J., & Voderholzer, U. (2019). Pre- to post-inpatient treatment of subjective sleep quality in 5,481 patients with mental disorders: a longitudinal analysis. Journal of Sleep Research, e12842. doi:https://​doi.​org/​10.​1111/​jsr.​12842
go back to reference Vujanovic, A. A., Niles, B., Pietrefesa, A., Schmertz, S. K., & Potter, C. M. (2011). Mindfulness in the treatment of posttraumatic stress disorder among military veterans. Professional Psychology: Research and Practice, 42, 24–31. https://doi.org/10.1037/a0022272.CrossRef Vujanovic, A. A., Niles, B., Pietrefesa, A., Schmertz, S. K., & Potter, C. M. (2011). Mindfulness in the treatment of posttraumatic stress disorder among military veterans. Professional Psychology: Research and Practice, 42, 24–31. https://​doi.​org/​10.​1037/​a0022272.CrossRef
go back to reference Vujanovic, A. A., Niles, B. L., & Abrams, J. L. (2016). Mindfulness and meditation in the conceptualization and treatment of posttraumatic stress disorder. In E. Shonin, W. V. Gorden, & M. Griffiths (Eds.), Mindfulness and Buddhist-derived approaches in mental health and addictions (pp. 225–246). New York: Spring Press. Vujanovic, A. A., Niles, B. L., & Abrams, J. L. (2016). Mindfulness and meditation in the conceptualization and treatment of posttraumatic stress disorder. In E. Shonin, W. V. Gorden, & M. Griffiths (Eds.), Mindfulness and Buddhist-derived approaches in mental health and addictions (pp. 225–246). New York: Spring Press.
go back to reference Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Life Events Checklist for DSM-5 (LEC-5). Instrument available from the National Center for PTSD at www.ptsd.va.gov . Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Life Events Checklist for DSM-5 (LEC-5). Instrument available from the National Center for PTSD at www.ptsd.va.gov .
go back to reference Zhu, J., Wekerle, C., Lanius, R., & Frewen, P. (2019). Trauma- and stressor-related history and symptoms predict distress experienced during a brief mindfulness meditation sitting: moving toward trauma-informed care in mindfulness-based therapy. Mindfulness, 10(10), 1985–1996. https://doi.org/10.1007/s12671-019-01173-z.CrossRef Zhu, J., Wekerle, C., Lanius, R., & Frewen, P. (2019). Trauma- and stressor-related history and symptoms predict distress experienced during a brief mindfulness meditation sitting: moving toward trauma-informed care in mindfulness-based therapy. Mindfulness, 10(10), 1985–1996. https://​doi.​org/​10.​1007/​s12671-019-01173-z.CrossRef
Metagegevens
Titel
Sleep Disturbance and PTSD Symptoms in Psychiatric Inpatients: the Role of Mindfulness Facets
Auteurs
Lia J. Smith
Antoine Lebeaut
Anka A. Vujanovic
Publicatiedatum
23-11-2019
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-019-01256-x

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