Comorbid sleep apnea, post-traumatic stress disorder, and insomnia: underlying mechanisms and treatment implications—a commentary on El Solh et al.’s Impact of low arousal threshold on treatment of obstructive sleep apnea in patients with post-traumatic stress disorder

Douglas M. Wallace, Alexander Sweetman

    Research output: Contribution to journalComment/debate

    1 Citation (Scopus)

    Abstract

    The recognition of bidirectional relationships between obstructive sleep apnea (OSA) and post-traumatic stress disorder (PTSD) among active military service members and US veterans continues to grow. The prevalence of PTSD may be as high as 25% among recently deployed military personnel while the incidence of OSA has shown a 6-fold increase in recent years. Encountering service members presenting with co-occurring symptoms of OSA and PTSD is commonplace in sleep clinics and can pose unique diagnostic and treatment challenges. Importantly, untreated OSA may worsen some PTSD symptoms (i.e., nightmares, insomnia) and may increase the risk for suicidal ideation...
    Original languageEnglish
    Pages (from-to)605-607
    Number of pages3
    JournalSleep and Breathing
    Volume25
    Issue number2
    DOIs
    Publication statusPublished - Jun 2021

    Keywords

    • sleep apnea
    • post-traumatic stress disorder (PTSD)
    • insomnia
    • Suicide behaviors

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