The extreme nocturnal manifestation of trauma: Trauma associated sleep disorder

Vincent Mysliwiec, Matthew S. Brock, Amanda L. Thomas, Jennifer L. Creamer

Research output: Chapter in Book/Report/Conference proceedingChapter

5 Scopus citations


Trauma associated sleep disorder (TSD) is likely a novel REM sleep related parasomnia which develops after trauma associated with sleep deprivation and/or disruption. Patients present with trauma related nightmares and disruptive nocturnal behaviors. These are the most profound sleep disturbances incited by trauma but are not well characterized. This may in part result from their rare occurrence in monitored settings, which contrasts distinctly with patient’s self-reported nocturnal experiences. Disruptive nocturnal behaviors consisting of vocalizations, autonomic discharges of tachycardia, tachypnea, night sweats, and non-specific movements as well as dream enactment behavior are reported. Recognizing the clinical features of TSD and classifying it as a distinct parasomnia are paramount to treating the extreme nocturnal distress characteristic of this disorder.

Original languageEnglish (US)
Title of host publicationSleep and Combat-Related Post Traumatic Stress Disorder
PublisherSpringer New York
Number of pages11
ISBN (Electronic)9781493971480
ISBN (Print)9781493971466
StatePublished - Jan 1 2017
Externally publishedYes


  • Combat
  • Military
  • Nightmares
  • Parasomnia
  • Posttraumatic stress disorder (PTSD)
  • REM sleep behavior disorder (RBD)
  • Trauma
  • Trauma associated sleep disorder (TSD)
  • Veterans

ASJC Scopus subject areas

  • General Medicine
  • General Neuroscience


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