Nocturnal Blood Pressure Non-Dipping, Posttraumatic Stress Disorder, and Sleep Quality in Women.

Women with posttraumatic stress disorder (PTSD) have poor sleep quality and increased risk of cardiovascular disease (CVD). Non-dipping of nocturnal blood pressure may be an explanatory factor for the relationship between sleep and CVD found in previous research. The current study was designed to de...

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Publicado en:Behavioral Medicine Vol. 39; no. 4; pp. 111 - 122
Autores principales: Ulmer, Christi S., Calhoun, Patrick S., Bosworth, Hayden B., Dennis, Michelle F., Beckham, Jean C.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2013
      vid: 39
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      pub: Taylor & Francis Ltd
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        atl: Nocturnal Blood Pressure Non-Dipping, Posttraumatic Stress Disorder, and Sleep Quality in Women.
      aug:
        au:
          Ulmer, Christi S.
          Calhoun, Patrick S.
          Bosworth, Hayden B.
          Dennis, Michelle F.
          Beckham, Jean C.
        affil: Durham Veterans Affairs Medical Center and Duke University Medical Center
      sug:
        subj:
          Stress Disorders, Post-Traumatic Physiopathology
          Sleep
          Blood Pressure Determination
          Women's Health
          Cardiovascular Risk Factors
          Human
          Female
          Questionnaires
          Self Report
          Scales
          Adult
          Middle Age
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Women with posttraumatic stress disorder (PTSD) have poor sleep quality and increased risk of cardiovascular disease (CVD). Non-dipping of nocturnal blood pressure may be an explanatory factor for the relationship between sleep and CVD found in previous research. The current study was designed to determine if non-dipping nocturnal blood pressure was associated with trauma exposure, PTSD diagnosis, PTSD symptoms, and sleep quality in a sample of women. Participants completed 24 hours of ABPM and self-report questionnaires. Non-dipping was defined as less than 10% reduction in blood pressure during sleep. The frequency of non-dippers did not differ by diagnostic status (d= .15). However, non-dippers endorsed more traumatic event categories (d= .53), more PTSD hyperarousal symptoms (d= .53), poorer overall sleep quality (d= .59), more frequent use of sleep medication (d= .62), greater sleep-related daytime dysfunction (d= .58), and longer sleep onset latencies (d= .55) than dippers. Increased attention to nocturnal blood pressure variation may be needed to improve blood pressure control in trauma-exposed women.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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