Evidence map›Paper›PMID 33029311›Full record

ReviewEuropean journal of psychotraumatology2020

Sleep disturbance in post-traumatic stress disorder (PTSD): a systematic review and meta-analysis of actigraphy studies.

Catrin Lewis, Katie Lewis, Neil Kitchiner, Samantha Isaac, Ian Jones, Jonathan I Bisson

Open access · goldAbstract readReview
In one paragraph

Review in European journal of psychotraumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 49 citations in OpenAlex.

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  9. Efficacy of imagery rehearsal therapy in the treatment of traumatic nightmares in youth with complex post-traumatic stress disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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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

6 authors at 1 institution in 1 country.

Catrin LewisDivision of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, UK.ORCID https://orcid.org/0000-0002-3818-9377
Katie LewisDivision of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, UK.ORCID https://orcid.org/0000-0002-2220-6873
Neil KitchinerDivision of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, UK.ORCID https://orcid.org/0000-0003-0499-9520
Samantha IsaacDivision of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, UK.
Ian JonesDivision of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, UK.ORCID https://orcid.org/0000-0001-5821-5889
Jonathan I BissonDivision of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, UK.ORCID https://orcid.org/0000-0001-5170-1243
Cardiff University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleep disturbance has been described as a 'hallmark' symptom of posttraumatic stress disorder (PTSD). Although there are robust findings of self-reported sleep disturbance in PTSD, evidence of sleep disturbance measured using actigraphy is less certain.

objectiveTo conduct a systematic review and meta-analysis to determine whether there are any significant differences between individuals with and without PTSD in actigraph-derived sleep measures.

methodCase-control studies comparing participants with current PTSD to those without PTSD were eligible for inclusion. Sleep parameters of interest were: (1) total sleep time; (2) sleep onset latency; (3) wake after sleep onset (WASO); and (4) sleep efficiency. Data were meta-analysed as standardised mean differences (SMDs) and potential sources of heterogeneity were explored through meta-regression. Six actigraphy studies with 405 participants were included.

resultsThere was no evidence of a statistically significant difference between those with and without PTSD in total sleep time (SMD 0.09, 95%CI -0.23 to 0.42); WASO (SMD 0.18, 95%CI -0.06 to 0.43); sleep latency (SMD 0.32, 95%CI -0.04 to 0.69); or sleep efficiency (SMD -0.28, 95%CI -0.78 to 0.21).

conclusionsFurther high-quality research is required to determine whether there is a true difference in sleep between those with and without PTSD.

Indexed as

actigraphypost-traumaticreviewsleepStress disorders• We conducted a systematic review and meta-analysis to determine whether there are any differences between individuals with and without PTSD in actigraph-derived sleep of measures. • There was no evidence of a difference between those with and without PTSD on any of the actigraph-derived measures of sleep considered by the review.

Identifiers

PMID33029311
PMCPMC7473131
OpenAlexW3041170057

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.