PTSD After Heart Attack Linked to Poor Sleep

Problems with shut-eye may increase along with rise in stress disorder symptoms, study says

By Mary Elizabeth Dallas

Thursday, May 30, 2013

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THURSDAY, May 30 (HealthDay News) -- People who experience post-traumatic stress disorder following a heart attack may find it hard to get a good night's sleep, a new study indicates.
The researchers from Columbia University Medical Center noted that poor sleep is typical among post-traumatic stress disorder (PTSD) patients, which may help explain the association between heart attack-induced PTSD and worse sleep quality.
The study's first author, Jonathan Shaffer, and colleagues at Columbia's Center for Behavioral Cardiovascular Health examined the link between PTSD and sleep in almost 200 patients who suffered a heart attack. They found that the more PTSD symptoms people experienced following a heart attack, the worse their self-reported sleep was in the month after their heart attack.
PTSD symptoms include anxiety, avoidance behaviors and flashbacks to bad memories.
Worse PTSD symptoms were also tied to poorer sleep quality, shorter sleeping time, interrupted sleep, use of sleeping pills and daytime sleepiness, the investigators found.
Gender also seemed to play a role. The research, published in the current issue of Annals of Behavioral Medicine, revealed that women were more likely to be affected by poor sleep following a heart attack.
People with poor sleep after a heart attack were also likely to have more symptoms of depression and a higher body-mass index (a measurement that takes into account height and weight), according to the report. These patients were also less likely to be Hispanic, the findings showed.
The study authors noted that functional problems with the "autonomic nervous system" -- the part of the nervous system that regulates involuntary bodily functions, such as breathing -- is associated with both PTSD and disrupted sleep. The researchers suggested that nervous system dysfunction could be a common cause behind both problems.
More studies are needed to investigate the link between heart attack-induced PTSD and poor sleep, as well as the risk for future heart attacks, the team suggested in the news release. While the study findings revealed an association, they did not prove a cause-and-effect relationship.

SOURCE: Columbia University Medical Center, news release, May 30, 2013

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