Sleep quality and emotion regulation interact to predict anxiety in veterans with PTSD

Janna Mantua, Steven M. Helms, Kristianna Weymann, Vincent F. Capaldi, Miranda Lim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Posttraumatic stress disorder (PTSD) is a debilitating and common consequence of military service. PTSD is associated with increased incidence of mood disturbances (e.g., anxiety). Additionally, veterans with PTSD often have poor-quality sleep and poor emotion regulation ability. We sought to assess whether such sleep and emotion regulation deficits contribute to mood disturbances. In 144 veterans, using a double moderation model, we tested the relationship between PTSD and anxiety and examined whether sleep quality and emotion regulation interact to moderate this relationship. We found that PTSD predicts higher anxiety in veterans with poor and average sleep quality who utilize maladaptive emotion regulation strategies. However, there was no relationship between PTSD and anxiety in individuals with good sleep quality, regardless of emotion regulation. Similarly, there was no relationship between PTSD and anxiety in individuals with better emotion regulation, regardless of sleep quality. Results were unchanged when controlling for history of traumatic brain injury (TBI), despite the fact that those with both PTSD and TBI had the poorest emotion regulation overall. Taken together, these results suggest that good-quality sleep may be protective against poor emotion regulation in veterans with PTSD. Sleep may therefore be a target for therapeutic intervention in veterans with PTSD and heightened anxiety.

Original languageEnglish (US)
Article number7940832
JournalBehavioural Neurology
Volume2018
DOIs
StatePublished - Jan 1 2018

Fingerprint

Veterans
Post-Traumatic Stress Disorders
Sleep
Emotions
Anxiety
Aptitude
Incidence

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Neurology
  • Clinical Neurology

Cite this

Sleep quality and emotion regulation interact to predict anxiety in veterans with PTSD. / Mantua, Janna; Helms, Steven M.; Weymann, Kristianna; Capaldi, Vincent F.; Lim, Miranda.

In: Behavioural Neurology, Vol. 2018, 7940832, 01.01.2018.

Research output: Contribution to journalArticle

@article{e611859a33494044a7ffd812f87a4392,
title = "Sleep quality and emotion regulation interact to predict anxiety in veterans with PTSD",
abstract = "Posttraumatic stress disorder (PTSD) is a debilitating and common consequence of military service. PTSD is associated with increased incidence of mood disturbances (e.g., anxiety). Additionally, veterans with PTSD often have poor-quality sleep and poor emotion regulation ability. We sought to assess whether such sleep and emotion regulation deficits contribute to mood disturbances. In 144 veterans, using a double moderation model, we tested the relationship between PTSD and anxiety and examined whether sleep quality and emotion regulation interact to moderate this relationship. We found that PTSD predicts higher anxiety in veterans with poor and average sleep quality who utilize maladaptive emotion regulation strategies. However, there was no relationship between PTSD and anxiety in individuals with good sleep quality, regardless of emotion regulation. Similarly, there was no relationship between PTSD and anxiety in individuals with better emotion regulation, regardless of sleep quality. Results were unchanged when controlling for history of traumatic brain injury (TBI), despite the fact that those with both PTSD and TBI had the poorest emotion regulation overall. Taken together, these results suggest that good-quality sleep may be protective against poor emotion regulation in veterans with PTSD. Sleep may therefore be a target for therapeutic intervention in veterans with PTSD and heightened anxiety.",
author = "Janna Mantua and Helms, {Steven M.} and Kristianna Weymann and Capaldi, {Vincent F.} and Miranda Lim",
year = "2018",
month = "1",
day = "1",
doi = "10.1155/2018/7940832",
language = "English (US)",
volume = "2018",
journal = "Behavioural Neurology",
issn = "0953-4180",
publisher = "IOS Press",

}

TY - JOUR

T1 - Sleep quality and emotion regulation interact to predict anxiety in veterans with PTSD

AU - Mantua, Janna

AU - Helms, Steven M.

AU - Weymann, Kristianna

AU - Capaldi, Vincent F.

AU - Lim, Miranda

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Posttraumatic stress disorder (PTSD) is a debilitating and common consequence of military service. PTSD is associated with increased incidence of mood disturbances (e.g., anxiety). Additionally, veterans with PTSD often have poor-quality sleep and poor emotion regulation ability. We sought to assess whether such sleep and emotion regulation deficits contribute to mood disturbances. In 144 veterans, using a double moderation model, we tested the relationship between PTSD and anxiety and examined whether sleep quality and emotion regulation interact to moderate this relationship. We found that PTSD predicts higher anxiety in veterans with poor and average sleep quality who utilize maladaptive emotion regulation strategies. However, there was no relationship between PTSD and anxiety in individuals with good sleep quality, regardless of emotion regulation. Similarly, there was no relationship between PTSD and anxiety in individuals with better emotion regulation, regardless of sleep quality. Results were unchanged when controlling for history of traumatic brain injury (TBI), despite the fact that those with both PTSD and TBI had the poorest emotion regulation overall. Taken together, these results suggest that good-quality sleep may be protective against poor emotion regulation in veterans with PTSD. Sleep may therefore be a target for therapeutic intervention in veterans with PTSD and heightened anxiety.

AB - Posttraumatic stress disorder (PTSD) is a debilitating and common consequence of military service. PTSD is associated with increased incidence of mood disturbances (e.g., anxiety). Additionally, veterans with PTSD often have poor-quality sleep and poor emotion regulation ability. We sought to assess whether such sleep and emotion regulation deficits contribute to mood disturbances. In 144 veterans, using a double moderation model, we tested the relationship between PTSD and anxiety and examined whether sleep quality and emotion regulation interact to moderate this relationship. We found that PTSD predicts higher anxiety in veterans with poor and average sleep quality who utilize maladaptive emotion regulation strategies. However, there was no relationship between PTSD and anxiety in individuals with good sleep quality, regardless of emotion regulation. Similarly, there was no relationship between PTSD and anxiety in individuals with better emotion regulation, regardless of sleep quality. Results were unchanged when controlling for history of traumatic brain injury (TBI), despite the fact that those with both PTSD and TBI had the poorest emotion regulation overall. Taken together, these results suggest that good-quality sleep may be protective against poor emotion regulation in veterans with PTSD. Sleep may therefore be a target for therapeutic intervention in veterans with PTSD and heightened anxiety.

UR - http://www.scopus.com/inward/record.url?scp=85055545356&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85055545356&partnerID=8YFLogxK

U2 - 10.1155/2018/7940832

DO - 10.1155/2018/7940832

M3 - Article

VL - 2018

JO - Behavioural Neurology

JF - Behavioural Neurology

SN - 0953-4180

M1 - 7940832

ER -