Evidence map›Paper›PMID 32133531›Full record

ArticleSleep2020

Sleep and intrusive memories immediately after a traumatic event in emergency department patients.

Kate Porcheret, Lalitha Iyadurai, Michael B Bonsall, Guy M Goodwin, Sally A Beer, Melanie Darwent, Emily A Holmes

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03012685 (Relationship Between Sleep the First Night and Week After Trauma and Subsequent Intrusive Memories), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03012685 completednot on this map

Relationship Between Sleep the First Night and Week After Trauma and Subsequent Intrusive Memories: a Prospective Study From the Emergency Department

TypeobservationalSponsorUniversity of OxfordRan2016 to 2018Enrolled100ConditionsSleep, Intrusive Memories, Posttraumatic Stress Disorder
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  8. Scoping Review of Experience Sampling Methodology Investigations of Posttraumatic Stress Disorder Symptoms.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026
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  20. Acute sleep interventions as an avenue for treatment of trauma-associated disorders.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Kate PorcheretNuffield Department of Clinical Neuroscience, University of Oxford, Oxford, UK.
Lalitha IyaduraiDepartment of Psychiatry, University of Oxford and Oxford Health NHS Foundation Trust, Oxford, UK.
Michael B BonsallDepartment of Zoology and St. Peter's College, University of Oxford, Oxford, UK.
Guy M GoodwinDepartment of Psychiatry, University of Oxford and Oxford Health NHS Foundation Trust, Oxford, UK.
Sally A BeerEmergency Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Melanie DarwentEmergency Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Emily A HolmesDepartment of Psychiatry, University of Oxford and Oxford Health NHS Foundation Trust, Oxford, UK.
Oxford Health NHS Foundation Trust · GBOxford University Hospitals NHS Trust · GBSaint Peter's University · USUniversity of Oxford · GBUppsala University · SE

Funding

Medical Research Council MC_UP_0901/1Medical Research Council MC_UU_00005/15Wellcome TrustWellcome Trust 098461/Z/12/Z
6 · The paper itself

Abstract

STUDY

objectivesIntrusive memories of psychological trauma are a core clinical feature of posttraumatic stress disorder (PTSD), and in the early period post-trauma may be a potential target for early intervention. Disrupted sleep in the weeks post-trauma is associated with later PTSD. The impact of sleep and intrusive memories immediately post-trauma, and their relation to later PTSD, is unknown. This study assessed the relationship between sleep duration on the first night following a real-life traumatic event and intrusive memories in the subsequent week, and how these might relate to PTSD symptoms at 2 months.

methodsPatients (n = 87) recruited in the emergency department completed a sleep and intrusive memory diary from the day of their trauma and for the subsequent week, with optional actigraphy. PTSD, anxiety, and depression symptoms were assessed at 1 week and 2 months.

resultsA U-shaped relationship was observed between sleep duration on the first night and intrusive memories over the subsequent week: sleeping "too little" or "too much" was associated with more intrusive memories. Individuals who met Clinician-Administered PTSD Scale (CAPS) criteria for PTSD at 2 months had three times more intrusive memories in the first week immediately post-trauma than those who did not (M = 28.20 vs 9.96). Post hoc analysis showed that the absence of intrusive memories in the first week post-trauma was only observed in those who did not meet CAPS criteria for PTSD at 2 months.

conclusionsMonitoring intrusive memories and sleep in the first week post-trauma, using a simple diary, may help identify individuals more vulnerable to later psychopathology.

Indexed as

Psychological TraumaStress Disorders, Post-TraumaticEmergency Service, HospitalHumansMemorySleepintrusive memoriesmental imageryposttraumatic stress disordersingle symptomsleeptrauma

Identifiers

PMID32133531
PMCPMC7420515
OpenAlexW3009353505

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.