Investigating the effect of a nap following experimental trauma on analogue PTSD symptoms

Abstract Cognitive models assume that the incomplete integration of a traumatic experience into the autobiographical memory results in typical symptoms associated with post-traumatic stress disorder (PTSD) such as intrusive re-experiencing. Sleep supports the integration of new experiences into exis...

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Main Authors: Ines Wilhelm, Yasmine Azza, Karin Brennwald, Yamina Ehrt-Schäfer, Erich Seifritz, Birgit Kleim
Format: Article
Language:English
Published: Nature Portfolio 2021-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-83838-1
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author Ines Wilhelm
Yasmine Azza
Karin Brennwald
Yamina Ehrt-Schäfer
Erich Seifritz
Birgit Kleim
author_facet Ines Wilhelm
Yasmine Azza
Karin Brennwald
Yamina Ehrt-Schäfer
Erich Seifritz
Birgit Kleim
author_sort Ines Wilhelm
collection DOAJ
description Abstract Cognitive models assume that the incomplete integration of a traumatic experience into the autobiographical memory results in typical symptoms associated with post-traumatic stress disorder (PTSD) such as intrusive re-experiencing. Sleep supports the integration of new experiences into existing memory networks through memory consolidation. In fifty-six females, we investigated whether a 90-min daytime nap (n = 33) compared to a wake period (n = 23) after being exposed to an experimental trauma (i.e. a trauma film) prevents PTSD analogue symptoms. Intrusive memories were recorded for seven days using a diary, overall PTSD symptoms were assessed using the Impact of Event Scale (IES-R) and affective response to trauma cues were measured one week after experimental trauma. The two groups did not differ in any of the analogue PTSD symptoms. However, participants obtaining rapid eye movement (REM) sleep in the nap experienced less distressing intrusive memories. Moreover, the duration of REM sleep and slow wave activity was negatively correlated with analogue PTSD symptoms. Our findings suggest that even a short sleep period after experimental trauma can play a protective role in trauma memory formation but only if the nap contains REM sleep. Our data provide additional evidence for a critical role of REM sleep in PTSD development.
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spelling doaj.art-782e08adf86b4b5aa97ae1a2c435bdcb2022-12-21T19:31:08ZengNature PortfolioScientific Reports2045-23222021-02-0111111110.1038/s41598-021-83838-1Investigating the effect of a nap following experimental trauma on analogue PTSD symptomsInes Wilhelm0Yasmine Azza1Karin Brennwald2Yamina Ehrt-Schäfer3Erich Seifritz4Birgit Kleim5Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of ZurichAbstract Cognitive models assume that the incomplete integration of a traumatic experience into the autobiographical memory results in typical symptoms associated with post-traumatic stress disorder (PTSD) such as intrusive re-experiencing. Sleep supports the integration of new experiences into existing memory networks through memory consolidation. In fifty-six females, we investigated whether a 90-min daytime nap (n = 33) compared to a wake period (n = 23) after being exposed to an experimental trauma (i.e. a trauma film) prevents PTSD analogue symptoms. Intrusive memories were recorded for seven days using a diary, overall PTSD symptoms were assessed using the Impact of Event Scale (IES-R) and affective response to trauma cues were measured one week after experimental trauma. The two groups did not differ in any of the analogue PTSD symptoms. However, participants obtaining rapid eye movement (REM) sleep in the nap experienced less distressing intrusive memories. Moreover, the duration of REM sleep and slow wave activity was negatively correlated with analogue PTSD symptoms. Our findings suggest that even a short sleep period after experimental trauma can play a protective role in trauma memory formation but only if the nap contains REM sleep. Our data provide additional evidence for a critical role of REM sleep in PTSD development.https://doi.org/10.1038/s41598-021-83838-1
spellingShingle Ines Wilhelm
Yasmine Azza
Karin Brennwald
Yamina Ehrt-Schäfer
Erich Seifritz
Birgit Kleim
Investigating the effect of a nap following experimental trauma on analogue PTSD symptoms
Scientific Reports
title Investigating the effect of a nap following experimental trauma on analogue PTSD symptoms
title_full Investigating the effect of a nap following experimental trauma on analogue PTSD symptoms
title_fullStr Investigating the effect of a nap following experimental trauma on analogue PTSD symptoms
title_full_unstemmed Investigating the effect of a nap following experimental trauma on analogue PTSD symptoms
title_short Investigating the effect of a nap following experimental trauma on analogue PTSD symptoms
title_sort investigating the effect of a nap following experimental trauma on analogue ptsd symptoms
url https://doi.org/10.1038/s41598-021-83838-1
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